Mailpass request form
dedicated to Eiffel grantholders
Please fill in the following form and send it to us by clicking the corresponding button

Identity
First name
Family name
Sex
Male
 Female
e-mail address
Date of birth Day   Month Year
Place of birth
Nationality

Area of study
Field of interest
5 to 10 key-words defining
your area of study

At home
Address
Postal code and Town  
Country
State

In France
Address
in France
Postal code and Town
Phone
Fax

Your contacts in France
Your study advisor in France
First name
Family name
Function/Title
Duration
of stay
from (day)  (month)  (year)

until (day)  (month)  (year)
Host organism
(university or graduate school)
Directory of guest researchers
and grantholders in France
Would you like to add your name to the 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 or studies 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 …
Your password
password
confirm