Name*
Surname*
Institution Department*
Department Address*
email*
AIC member* YESNO
Do you want to apply for AIC grant?* YESNO
CV max half page in pdf (max size 10MB)*
Motivation letter max half page in pdf (max size 10MB)*
Letter from your supervisor max half page in pdf (max size 10MB)*
_____________________________________________________________
Information for invoicing. Please, fill the following fields with information of the entity to which invoice will be put
Entity* natural personlegal personother
If “other” is selected, please specify the entity type:
Corporate name (for legal person) or name and surname (for natural person)*:
Billing address (street/square, house number, city/town)*:
Postal code*:
State*:
Province*:
VAT code/Tax code*:
Email or PEC to which the invoice will be sent*:
Collectability*: immediate collectability of VATsplit payment
SDI unique code* (0000000 for natural person):
Administrative referent person*: