Fixlab Platform B - Mta Atomki Transnational Access Application Form Page 2

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IPERION
CH – Integrated Project for the European Research Infrastructure
ON
Cultural Heritage
4) Other User Group participants involved in the Proposal (please, fill-in all the cells following the example
written in blue)
Family Name
First Name
Gender M/F
Birth year
Nationality
Background
Function
/Job/Title
Ross
Katherine
F
1979
Belgium
Chemist
PhD
HI Legal
HI Country
Position
Home Institution (HI)
e-mail address
(1)
(2)
(3)
State
Code
University, Institute of xxxxxxxx
UNI
IT
PDOC
xxx@xxx
Family Name
First Name
Gender M/F
Birth year
Nationality
Background
Function
/Job/Title
HI Legal
HI Country
Position
Home Institution (HI)
e-mail address
(1)
(2)
(3)
State
Code
Family Name
First Name
Gender M/F
Birth year
Nationality
Background
Function
/Job/Title
HI Legal
HI Country
Position
Home Institution (HI)
e-mail address
(1)
(2)
(3)
State
Code
Please add as many users as necessary, via copied extra tables
___________________________________________________
website:
FIXLAB - PLATFORM B MTA Atomki Transnational Access Application Form

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