CNRS-Oxford Collaboration Scheme Application form to support activities in 2014 This form should be completed jointly by the applicant from a CNRS-affiliated unit and the Oxford applicant. A Word version of the completed form together with a scanned copy with the requested signatures on page 3 should be submitted in an email addressed to both and and by 15 September 2014. APPLICATION TYPE Which organisation are you seeking CNRS Oxford Both funding from? Type of Grant sought: Research Visit Research Workshop For a Research Visit, which organisation CNRS Oxford Both (i.e. an is the hosting institution? exchange) For a Research Workshop, CNRS Oxford organisation is the hosting institution? DETAILS OF CNRS-AFFILIATED UNIT APPLICANT DETAILS OF OXFORD APPLICANT Name: Name: Title (Prof, Dr, Ms, Mr etc): Title (Prof, Dr, Ms, Mr etc): CNRS-affiliated unit name: Division: Laboratory code for Department: unit: Relevant CNRS thematic Telephone: Institute: Evaluation committee at CNRS: Email: Name of head of unit: Address for correspondence: Telephone: Email:
CNRS-Oxford Collaboration Scheme Application form to support activities in 2014 This form should be completed jointly by the applicant from a CNRS-affiliated unit and the Oxford applicant. A Word version of the completed form together with a scanned copy with the requested signatures on page 3 should be submitted in an email addressed to both and and by 15 September 2014. APPLICATION TYPE Which organisation are you seeking funding from? CNRS Oxford Both Type of Grant sought: Research Visit Research Workshop For a Research Visit, which organisation is the hosting institution? CNRS Oxford Both (i.e. an exchange) For a Research Workshop, organisation is the hosting institution? CNRS Oxford DETAILS OF CNRS-AFFILIATED UNIT APPLICANT DETAILS OF OXFORD APPLICANT Name: Name: Title (Prof, Dr, Ms, Mr etc): Title (Prof, Dr, Ms, Mr etc): CNRS-affiliated unit name: Division: Laboratory code for unit: Department: Relevant CNRS thematic Institute: Telephone: Evaluation committee at CNRS: Email: Name of head of unit: Address for correspondence: Telephone: Email: