Cordex 2018

CORDEX Central America and South America
Training Workshop on Downscaling Techniques

La Paz, Bolivia. June 25-27 2018

ONLINE REGISTRATION FORM AND REQUEST FOR FINANCIAL SUPPORT

Please complete this form in block letters following guidelines carefully
DEADLINE FOR SUBMISSION: April 23 2018

(*) mandatory fields

1) APPLICANT INFORMATION:
Please complete name information as it appears in your passport

First Name^*

Family Name (surname)^*

Gender^*
       Male        Female

Nationality^*

Date of birth (DD/MM/YY)^*

Passport number ^*

Passport validity (DD/MM/YY)^*

E-mail address ^*

Alternative E-mail address ^*

Affiliation^*

Full address

City

Postal Code

Country

Mobile phone number

Office phone number

Do you need an invitation letter for VISA purposes?^*        Yes        No

2) ABSTRACT SUBMSSION

Abstract Title ^* (150 chars max)

Upload Abstract ^* (PDF file < 600 words)

3) ASSISTANCE FOR TRAVEL ^*

3.1 Request

Assistance requested: ^*
       Yes        No

3.2 Itinerary
City ^*

Country ^*

Itineray ^* (please provide information on your proposed travel itinerary).

4) ASSISTANCE FOR DAILY SUBSISTENCE ALLOWANCE (DSA) ^*

4.1 Request
Assistance requested: ^*
       Yes        No

4.2 Length of stay.^* (Please indicate estimated dates of arrival and departure)
Date of arrival (DD/MM/YY) ^*

Date of departure (DD/MM/YY) ^*

5) PLEASE PROVIDE BRIEFLY YOUR MOTIVATION TO ATTEND THIS WORKSHOP

Motivation ^* (100 words maximum)

6) UPLOAD SHORT CV

CV ^* (PDF file - maximum 3 pages)

7) UPLOAD RECOMMENDATION LETTER

Letter ^* (PDF file )

Please contact us with any question at cordex-2018@cima.fcen.uba.ar

CORDEX Central America and South America Training Workshop on Downscaling Techniques

La Paz, Bolivia. June 25-27 2018

Please complete this form in block letters following guidelines carefully DEADLINE FOR SUBMISSION: April 23 2018

CORDEX Central America and South America
Training Workshop on Downscaling Techniques

Please complete this form in block letters following guidelines carefully
DEADLINE FOR SUBMISSION: April 23 2018