ESO SCIENTIFIC VISITOR PROGRAMME IN GARCHING


                           Application Form
                           ================



1. Personal Information:

             Name
             Date of birth
             Nationality
             Degrees held


2.  Present affiliation and contact address (mail & e-mail)

3.  Career path to date

4.  Research activities and main recent publications

5.  Proposed visit to ESO

    5.1 Desired dates and length of the visit
    5.2 ESO staff member/s with whom the visit has been coordinated
    5.3 Purpose of the visit 
    5.4 Other sources of financial support beside your salary at your 
        home institution during your visit at ESO
    5.5 Accompanying persons
    5.6 Would you like to give a (informal) talk at ESO? If yes, please
	suggest a topic
    5.7 Have you been a scientific visitor to ESO in Garching or Santiago
        in the last two years?


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ONCE  COMPLETED, PLEASE FORWARD THE FORM TO: VSC-chair@eso.org