iSm2 newcomer form | institut des sciences moléculaires de Marseille

Identity

Title

Mr

Ms

Last name

First name

Date de naissance

Nationality

Professional status

Home institution

Employer

Team

Status

Service number

Research topic

Supervisor(s)

Start date

Expected end date

Professional contact details

Work phone

04 13 94 XX XX

Work email

Work email (confirmation)

Personal contact details

Home address

Personal phone

Emergency contact

Please provide their name, relationship to you and phone number.

Documents

Supporting documents

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Declarations and signature

I confirm that I have read the internal regulations and undertake to comply with them, as well as to follow the safety instructions related to my activities.

I consent to the data collected being processed as part of my registration with iSm2. Learn more about how my data is processed

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