12–16 déc. 2022
IMT
Fuseau horaire Europe/Paris

Application

Registration form for invited speakers

Information de contact
isabelle.guichard@math.univ-toulouse.fr, fabrice.deluzet@math.univ-toulouuse.fr
La participation à cet événement est modérée
Les organisteurs devront approuver votre inscription.
Personal Data

Please fill in this section

Faites un choix
  • Mr
  • Ms
  • Mrs
  • Dr
  • Prof.
  • Mx
MTWTFSS
Format de date: DD/MM/YYYY

Name of Institution or University

Your stay in Toulouse

Please fill in this section to organize your stay

MTWTFSS
Format de date: DD/MM/YYYY
MTWTFSS
Format de date: DD/MM/YYYY
Will you need an accommodation during your stay
No I don't
  • No I don't
  • Vegetarian
  • Koscher
  • Halal
  • Other (Precise in the "Free comments" area)
Will you attend the conference diner on Wenesday, December 14th ?
Banking information for refunding of your expenses

Please attach the requested documents to proceed with the refunding of your expenses

Please complete and upload the "Agent Creation Form" sent to you by e-mail
Faire glisser un fichier ici
Ou
If you hold a french bank account, please upload a copy of your RIB
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Ou
If you work in a French institution (except CNRS) please attach an "Ordre de Mission sans frais" from your institution
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If you hold a European bank account, please upload a screenshot of your online bank statement
Faire glisser un fichier ici
Ou
If you do not hold a European bank account, please complete and upload the banking information form sent to you by e-mail together with a screenshot of your online bank statement
Faire glisser un fichier ici
Ou
Liste des participants

Spécifie si vous acceptez d'être inclu(e) dans la liste des participants de l'événement