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INTERNATIONAL ATOMIC ENERGY AGENCY

Technical Meeting on Research Reactor Ageing Management,Modernization and

Refurbishment,Including New Research Reactor Projects

10-14 October 2011

Vienna

To be sent to competent official authority (Ministry of Foreign Affairs, national atomic energy authority) for transmission to the International Atomic Energy Agency, Vienna International Centre, Wagramer Strasse 5, P.O. Box 100, A-1400 Vienna, Austria,

[Telefax no. +43-1-26007]

INTERNATIONAL ATOMIC ENERGY AGENCY

Technical Meeting on Research Reactor Ageing Management,Modernization and

Refurbishment,Including New Research Reactor Projects

10-14 October 2011

Vienna

To be sent to the competent official authority (Ministry of Foreign Affairs, national atomic energy authority) for transmission to the International Atomic Energy Agency, Vienna International Centre, Wagramer Strasse 5, P.O. Box 100, A-1400 Vienna, Austria [Telefax No. +43 1 26007]

FORM FOR SUBMISSION OF A PAPER/POSTER

FORM C

653-T1-TM-39359

INTERNATIONAL ATOMIC ENERGY AGENCY

Technical Meeting on Research Reactor Ageing Management,Modernization and

Refurbishment,Including New Research Reactor Projects

10-14 October 2011

Vienna

To be sent to the competent official authority (Ministry of Foreign Affairs, national atomic energy authority) for transmission to the International Atomic Energy Agency, Vienna International Centre, Wagramer Strasse 5, P.O. Box 100,

A-1400 Vienna, Austria [Telefax No. +43 1 26007]

GRANT APPLICATION FORM

(To be completed only by participants from developing countries on whose behalf a grant is requested)

NAME: Mr./Ms.:

MAILING ADDRESS: TELEPHONE No.:

TELEFAX No.:

E-MAIL ADDRESS:

DATE OF BIRTH (YEAR/MONTH/DAY): NATIONALITY:

3. DESCRIPTION OF WORK PERFORMED OVER THE LAST THREE YEARS

4. INSTITUTE'S/MEMBER STATE'S PROGRAMME IN FIELD OF MEETING ...........................................…….....................................................................…..……………………………..............…..…………

Date Signature of applicant

Mr. Liu Yongde, Director General .................................................. ....................................Department of International Cooperation, CAEA.........................…..……

Date Name and title (printed) and signature of responsible government official

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