Mailpass request form
Please fill in the following form and send it to us by adding the corresponding button
Identity
Title
First name
Family name
Sex
Male
 Female
e-mail address
Date of birth Day   Month Year
Place of birth
Nationality

Your research activities
Field of interest
5 to 10 key-words defining your research activity

At home
Professional address
Postal code and Town  
Country
State

In France
Professional address in France
Postal code and town
Phone
Fax

Your contacts in France
First name of your host
Family name of your host
Fonction de votre hôte
Function/
Title of your host
from  (day)  (month)  (year)

to  (day)  (month)  (year)
Source of financial support
Host institution
Informations about your stay in France
Do you keep in touch
with your host institution ?
 yes  no
Did you stay several times in France ?
 yes  no
In which institutions ?
Did your stays in France correspond
to what you where looking for ?
 yes  no
How many publications where produced
in relation with your work in France ?
What is your ability to speak french ?
Did you attend to french language courses ?
 yes  no
Did your family come to France
during your stay ?
 yes  no
What were your leisures in France ?
Comments and suggestions
Directory of foreign researchers staying in France
Do you want to appear in this directory ?
yes
 no


What is the directory ?
You are currently in France or have been in France, you might want to know if somebody from your country or a colleague works close to you or in the same institution. You may communicate with him or her by simply adding your name to the foreign scientists directory of France Contact.
You may thus exchange impressions, information and even meet …
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