Joint Universities Accelerator School

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Pre-registration form for JUAS 2018
Personal Information (pre-registration)
(*) Merci de remplir les champs obligatoires
(*) School
JUAS
(*) School year
2018
(*) Family name
(*) Given name
(*) Gender
(*) Date of birth
(*) Nationality (passport)
(*) Email address
(*) Current status
Educational Establishment
(*) Name
(*) City
(*) Country
Employer
(*) Name
(*) City
(*) Country
(*) Are you employed or in an internship at CERN ?
(*) Spam validation
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