Author data form - Grenoble Sciences
Transcription
Author data form - Grenoble Sciences
Author Data form Title (or provisional title) of the manuscript: __________________________________________________________________________________ _________________________________________________________________________________ Author Name, first name: ____________________________________________________________________ __________________________________________________________________________________ Work address (address, telephone, fax, e-mail): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Home address (address, telephone, fax, e-mail): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Author’s occupation, work establishment or employer: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Titles, degrees, distinctions, awards: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Previous publications by the author in related fields (detailed references): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Author Data Form -1- Books or other publications: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Present state of progress (with regards to collaboration, co-authors if any, and the stage of development of the project): __________________________________________________________________________________ __________________________________________________________________________________ _________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Please send the Author Datat Form to: GRENOBLE SCIENCES Bâtiment B de Physique 230 rue de la physique BP53 – 38041 Grenoble cedex 9 FRANCE Tél. : 33 (0)4 76 51 46 95 Fax : 33 (0)4 76 51 45 79 email : [email protected] Author Data Form -2-