AMI-CLINIC 2024 PRE / POST

* Fields are required

AMI-24 PRE / POST

Candidate (Surname, Name)*

IRBLleida Group leader (Surname, Name)*

Principal Investigator from hosting group (Surname, Name)*

Host Institution*

Dates of the stay*

CVA candidate*

CVA/CV principal investigator from the host institution*

Candidate Data predoctoral/postdoctoral category *

Acceptance of the host institution*

Supporting documentation (academic report, participation in congresses)*

Sick/maternity lift accreditation*

Documents: