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This is not a registration.

1st name

Last name

Email

Lab

City

Your research group

Email of the head of your research group

You are employed by the CNRS (this includes for example permanent CNRS researchers or staff, or ANR PhD or postdocs paid by the CNRS). Being employed by the CNRS *may* give you free registration.
YesNo

If you are a member of the "Société Française de Chimie". Please indicate your membership number:

You are
1st year PhD student2nd year PhD student3rd year PhD student4th year PhD studentPost docMCFCRAIIRIEOther

Your age

You speak and understand French
YesNo

You will be happy to share a room with another participant (note that single room registrations will be more expensive)

In case you share a room, with whom?

Regarding the 4th practical, you prefer (*)
Image analysisStopped-flowSquidDFT

(*) The organization committee will do their best to follow your requests, taking into account the number of places that are still available.

Regarding each of the following methods, rate your knowledge on a scale from 1 (I have never heard about it) to 5 (I know all about it)

  • EPR

  • Mössbauer

  • NMR

  • Theoretical Chemistry

  • Electrochemistry

Briefly describe your motivation to attend this course (in French or in English)

(You will first receive a confirmation of your application. Another email will tell you later whether or not you have been selected.)