Registration Form
Family name :
First name :
Institution :
e-mail :
Dates of the stay :
Hotel reservation :
Nights : 25/26 26/27 27/28 28/29
Are you willing to share a room? No Yes
Asking for a grant? No Accomodation Travel
GDR Member
Accomodation and travel charges of juniors members of GDR 2875 (Ph.D. and young researchers)
would be granted by the GDR. Grant applications, containing :
- an estimation of travel charges,
- dates of the mission,
should be sended to the GDR (contact: Gdr.Topologie@math.univ-lille1.fr) before the 10th of june.

Do you follow a particular diet?

 No Yes Please specify

Comments :