IPERION
CH – Integrated Project for the European Research Infrastructure
ON
Cultural Heritage
FIXLAB PLATFORM B – MTA Atomki
TRANSNATIONAL ACCESS APPLICATION FORM
To be sent to
iperionch@atomki.mta.hu
and
co@iperionch.eu
1)
Project Title _________________ ____________________________________________________
____________________________________________________________________________________
2) Acronym
) ______________________________
(max 20 characters
3) Group Leader
(All correspondence concerning this proposal will be sent to the Group Leader)
Family Name
First Name
Nationality
Birth year
female
male
Gender
Home Institution (HI)
1
2
HI Legal Status Code
HI Country Code
3
Function / Job / Title
Position Code
Mailing address
Phone (office)
Phone (mobile)
Fax
e-mail address
1
UNI=University, RES=Public Research Organisation, SME=Small or Medium Enterprise, PRV=Other and/or profit or not profit
Private Organisation, OTH= Other Organisation
2
AL=Albania, AT=Austria, BE=Belgium, BG=Bulgaria, CH=Switzerland, CY=Cyprus, CZ=Czech Republic, DK=Denmark, EE=Estonia,
FI=Finland, FR=France, DE=Germany, GR=Greece, HR=Croatia, HU=Hungary, IS=Iceland, IE=Ireland, IL=Israel, IT=Italy,
LV=Latvia, LI=Liechtenstein, LT=Lithuania, LU=Luxembourg, MT=Malta, MK=Macedonia, ME=Montenegro NL=Netherlands,
NO=Norway, PL=Poland, PT=Portugal, RO=Romania, SK=Slovakia, SI=Slovenia, ES=Spain, SE=Sweden, SR=Serbia, TR=Turkey,
GB=United Kingdom
3
UND=Undergraduate, PGR=Post graduate (student with a first University degree or equivalent), PDOC=Post-doc researcher,
TEC=Technician, EXP=Experienced researcher (professional researcher).
website:
FIXLAB - PLATFORM B MTA Atomki Transnational Access Application Form