Application for a grant

1 Personal informations

2 Vouchers

3 Commitment form

Step 1/3

Personal informations

* Required Fields

Step 2/3

Vouchers

Letter of application signed by the candidate * Files must weigh less than 2 MB.
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Curriculum Vitae, Statement of Titles and Works * Files must weigh less than 2 MB.
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Research project * Files must weigh less than 2 MB.
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Download the research project template

Letter of Recommendation signed by the head of department or the dean of the original Faculty * Files must weigh less than 2 MB.
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Letter of acceptance by the head of department or head of laboratory (host institution) * Files must weigh less than 2 MB.
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Estimated Budget concerning only the applicant (Visa, Eco plane ticket, Accommodation, etc.) * Files must weigh less than 2 MB.
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Download the draft budget template

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Step 3/3

Commitment form

I undertake to send L'Institut Servier, within 6 months of my return, a complete report on the training year, and/or to present my results at a future Laureates' Day. This report and/or this presentation may be posted on L'Institut Servier website. These two commitments are a prerequisite for obtaining a mobility assistance grant from L'Institut Servier. *

I also undertake to inform L'Institut Servier of any changes to my current status. *

I have read and accept the rules *

By submitting this form, I accept that the information entered will be used for the study of the grant application *

* Required Fields