Form C
EVT2405091	
Grant Application Form
Sixth Technical Meeting on Fusion Data Processing, Validation and Analysis
Shanghai, China
9 to 12 September 2025 	
To be completed by the participant and sent to the competent national authority (e.g. Ministry of Foreign Affairs, Permanent Mission to the IAEA, or National Atomic Energy Authority) of his/her country for subsequent transmission to the International Atomic Energy Agency (IAEA) either by email to: Official.Mail@iaea.org or by fax to: +43 1 26007 (no hard copies needed). Please also send a copy by email to the Scientific Secretary, Mr Matteo Barbarino, Division of Physical and Chemical Sciences, Department of Nuclear Sciences and Applications (Email: M.Barbarino@iaea.org) and to the Administrative Secretary, Ms Rozanne Bojdo, (Email: R.Bojdo@iaea.org).	
Deadline for receipt by IAEA through official channels as per Conference Announcement. 	
Family name(s): (same as in passport)	First name(s): (same as in passport)	Mr/Ms:	
Mailing address:	Tel.:	
	Fax:	
	Email:	
Date of birth (yyyy/mm/dd):	Nationality:	
	
1.	Education (post-secondary):
	
Name and place of institution	Field of study	Diploma or Degree	Years attended 
from            to	

					

2.	Recent employment record (starting with your present post):
	
Name and place of employer/ organization	Title of your position	Type of work	Years attended 
from            to	

					
	
3.	Description of work performed over the last three years:

	

	
4.	Institute’s/Member State’s programme in field of event:

	

	
Date: ___________________	Signature of applicant: ___________________________

Date: ___________________	Name, signature and stamp of Ministry of Foreign Affairs, Permanent Mission to the IAEA or National Atomic Energy Authority 

_________________________________________