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  A3 CNRS - Association of Friends and Former/Foreign Members of CNRS version française
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Registration on line

Personal data collected via this form are computerized. Pursuant to the French law on personal data protection « Informatique et liberté » (article 34) dated 6 January 1978, you may access and correct the data which relate to you. These data may not be communicated to third parties.

Title: Surname:

Maiden/previous name (if applicable): Given name:

Date of birth: Marital status: Sex:

Nationality:

Home address or address in France if currently here as a visiting researcher:


Home phone n°: Home fax n°: Mobile phone n°:

Email:

Are you:
Employed or Self employed       Retired

CNRS connection:
when (dates):

where (town and name of laboratory or institution):

in what capacity (eg: Ph.D student, post-doc research fellow, visiting professor...):
discipline:


I wish to be registered as an overseas member of the Association of Friends and Former members of CNRS (A3 CNRS)

I would be prepared to assist in setting up an A3 CNRS Club in my country

I authorize A3 CNRS to communicate my address to other members of A3 CNRS in my country

Additional comments, suggestions :




Your registration will be formally acknowledged and you will then be entitled to receive the afore-mentioned publications.