2010 INTERNATIONAL SCHOOL IN NUCLEAR ENGINEERING REGISTRATION FORM Please duly fill out this form and send it back to us : for course 1 to 5 : no later than August 20th, 2010 for course 6 to 9 : no later than September 20th, 2010 by e.mail : m3nuclear@cea.fr or fax : +33 1 69 08 97 77 Your identity : Last name : First name : Gender : Date of birth (Day/Month/Year) : F M Nationality : Institution/Company : Address of invoice (*) : City Code : City : Country : Phone : Fax : E-mail : Position : (*) graduate student post-doc engineer other researcher specify : If your Account Department requests a special mention on the invoice, please be so kind to indicate it here : Please cross the course(s) you would like to attend : Course 1 Reactor Multiphysics and Fuel Management from September 20 to September 24 Course 2 Materials for Reactor Fuels and Structures from September 27 to October 1 Course 3 Reactor Core Physics : Deterministic and Monte Carlo Methods from October 4 to October 8 Course 4 Nuclear Measurements Tools and Techniques from October 11 to October 15 Course 5 Reactor Kinetics and Reactor Dynamics from October 18 to October 22 School Organisation INSTN / SOLSS – Centre CEA de Saclay – 91191 Gif-sur-Yvette Cedex, FRANCE Fax : +33 1 69 08 97 77 – e-mail: m3nuclear@cea.fr www-instn.cea.fr Course 6 Fuel Cycle Back-End and Reprocessing from October 25 to October 29 Course 7 Nuclear Fuels (LWR, SFR, GCR) from November 15 to November 19 Course 8 Uncertainty Quantification, Experimental Validation and Predictive Simulation from November 22 to November 26 Course 9 The Scientific Basis of Nuclear Waste Management from November 29 to December 3 …/… School Organisation INSTN / SOLSS – Centre CEA de Saclay – 91191 Gif-sur-Yvette Cedex, FRANCE Fax : +33 1 69 08 97 77 – e-mail: m3nuclear@cea.fr www-instn.cea.fr Registration fee (2 000 € for one course – 500 € per additional course) can be paid : by cashier’s check to the order of CEA Saclay (*) by bank transfer : Account holder Bank name Bank branch address Bank account number IBAN BIC Commissariat Energie Atomique CEA (*) BNP Paris Place Vendome (00818) 30004 00818 00021216221 27 FR76 3000 4008 1800 0212 1622 127 BNPAFRPPPVD It is mandatory to mention on the bank transfer the name of the participant and the following mention : "M3 nuclear school 2010". (*) Deadline of payment : September 3rd, 2010 for course 1 to 5 October 4th, 2010 for course 6 to 9 You will be registered only on receipt of payment. by cash : only in euros the 1st day of the course Nota : A limited number of grants (75 % of the registration fee) are available for students. Grant request should be addressed with this registration form. Each course could give you 3 ECTS. Any course that is begun will be invoiced in full. In case of non-presence during the course, please note that there will have no refund of the registration fee (except for an absence due to a medical problem that can be duly supported by certificate – a copy of the medical leave of absence form will be requested). Please also notice that in case of withdrawal, the cancellation must be confirmed in writing a minimum of 14 calendar days before the start of the course ; otherwise the registration fees will be due in full. We would like to know more about your interest on nuclear engineering. Therefore we invite you to answer to the following questions : Research interest : Why would you like to attend this course : Publications on nuclear engineering, if any : You can find this registration form and more information about this school on our website : www-instn.cea.fr (section : ″News – Upcoming events″). School Organisation INSTN / SOLSS – Centre CEA de Saclay – 91191 Gif-sur-Yvette Cedex, FRANCE Fax : +33 1 69 08 97 77 – e-mail: m3nuclear@cea.fr www-instn.cea.fr