You must have JavaScript enabled to use this form. Collected data will be only transmitted to organizers and managers of this event. They will be destroyed within 36 months after registrations will be closed. According to the Data Protection Act of January 6th, 1978, you have at any time, a right of access, rectification and opposition to all of your personal data. To exercise this right, please send us an email at <contact at lebesgue.fr>. Your identity Civility (required) Civility (required) - Select -Mr.Ms.Other… Enter other… Last Name (required) First Name (required) Position (PhD student, postdoc, assistant professor...) (required) University (required) Professionnal email address (required) Practical information Reminder: the event Name of the event will be held from <date to date>. Arrival date Departure date Informations aux organisateurs Merci de cocher les cases selon vos situations. I need an invitation letter for a visa Je demande un soutien financier (prise en charge de l'hébergement et des repas). Comments Example: food, mobility... Survey The Center Henri Lebesgue will carry out a survey on the scientific impact of this semester within about three years. It will contact you and propose you to answer this survey.
