Registration Form to Georges Gardarin Workshop
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Name:  

Family Name: 

Organization: 

Address:

Email:


If you were one of the Georges' students genealogy, please indicate:
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The year of your PhD Defence: 

Your PhD Supervisor (Georges or any of his former PhDs):

Your PhD thesis title/topic:

The Job position currently occupied:


If you were one of Georges' team member, please indicate the time periode: 
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If you want to leave a warm message to Georges, please write down here:
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(all messages will be put on a specific page of the workshop site)