travel and accommodation form

Travel and Accommodation Form
Date: ….. / …. / ……..
Surname: ………………………………..……
First Name: ……………………………....…………………
Birth date: ……/ ……/ ………
Nationality: ………………………………………………….
Laboratory / Home institute address ……………………...…….……………………………………………..….
Personal address: ……………………..……………………………………………………….……………………
Office phone number: ……………………….…… Cellular phone number: …….……………..……………..
E-mail: …………………………………………………………………………………………………………………..
Proposal N°: …………………………………….… Beamline: …………………………………………...………
Means of Transport: Train:
Other:
Booked:
Plane:
Private Car**:
→ Name of the car’s owner: …………….
…………………………………….→ Name of accompanying:………………
BY SOLEIL TRAVEL OFFICE:
BY YOURSELF:
→ paid price: ……….……
Outward trip (from SOLEIL) Date: ….../…../…....
Return Trip (from SOLEIL) Date: ….../…../…….
Departure place
(Station or Airport):
Departure place
(Station or Airport):
Arrival place
(Station or Airport):
Arrival place
(Station or Airport):
Departure Time:
Departure Time:
Or approximative
Time
Or approximative
Time
Arrival Time:
Arrival Time:
Train or Plane
Number:
Train or Plane
Number:
Other information necessary to organise your travel: ………………………….………………………….………
……………………….……………………………………………….………………………………………………….
……………………….……………………………………………….………………………………………………….
** Exceptionally the private car could be reimbursed only in two cases: car-pooling and samples / ancillary
equipment transportation. A request should be addressed to SOLEIL User office previously to the departure.
Accommodation in SOLEIL’s guesthouse:
Dates:
Arrival date….../……/…….. .
No
Yes
If yes, number of nights: ……
Departure date.…./……/……...
Please fill this document in
and send it back by email at least 3 weeks before your arrival at SOLEIL
to SOLEIL Travel Office
[email protected]
SYNCHROTRON SOLEIL – Société Civile au capital de 12.000 €
439 684 903 R.C.S. EVRY – N° TVA Intracommunautaire : FR 27 439 684 903 - NAF 731Z – SIRET 439 684 903 00016
Adresse postale : Division Administration – L’Orme des Merisiers – Saint-Aubin - BP 48 - F 91192 GIF-sur-YVETTE Cedex
Tél. 01 69 35 95 17/95 40 - Fax 01 69 35 94 52- Web http://www.synchrotron-soleil.fr/