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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
