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Centre of Excellence for Nuclear Materials Workshop

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Centre of Excellence for Nuclear Materials Workshop Materials Innovation for Nuclear Optimized Systems December 5-7, 2012, CEA – INSTN Saclay, France REGISTRATION FORM Last name: Surname: Company: NB: if CEA, specify Div./Dept . Activity: Address: Zip-code: City: Country:

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Centre of Excellence for Nuclear Materials

Workshop

Materials Innovation for NuclearOptimized Systems

December 5-7, 2012, CEA – INSTN Saclay, France

REGISTRATION FORM

Last name:

Surname:

Company:

NB: if CEA, specify Div./Dept.

Activity:

Address:

Zip-code:

City:

Country:

Telephone number:

E-mail address:

E-mail to: MINOS workshop Secretary & registration

: workshop-minos@cea.fr

: +33 1 69 08 89 09 & FAX : +33 1 69 08 57 53

Registration fee:  regular, 350 €

 student, 150 €

Attending the JANNuS-Saclay and LTMEx laboratory visits: yes  no 

NB: specific information will be requested for CEA centre entry procedure

Payment:

By cashier’s check to the order of CEA Saclay

By cash in euros to the secretary on your arrival : +33 1 69 08 89 09

By bank transfer in euros:

Account holder: Commissariat EnergieAtomique CEA

Bank name: BNP

Bank branch address: 1, Bd Haussmann – BP281 – 75425 Paris

Bank account number: 30004 00818 00021216221 27

IBAN: FR76 3000 4008 1800 0212 1622 127

BIC:BNPAFRPPPVD

It is mandatory to mention on the bank transfer the name of the participant and the following mention: “Workshop-MINOS”

 CEA