Fiche auteur - Grenoble Sciences

Transcription

Fiche auteur - Grenoble Sciences
Fiche auteur
Titre du manuscrit (même provisoire) :
__________________________________________________________________________________
__________________________________________________________________________________
Identification de l'auteur
Nom, prénom : ______________________________________________________________________
__________________________________________________________________________________
Adresse professionnelle (adresse, téléphone, fax, mail) :
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Adresse personnelle (adresse, téléphone, mail) :
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Fonctions de l'auteur et établissement ou organisme employeur :
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Titres, diplômes, distinctions et prix :
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Publications de l'auteur dans un domaine connexe à l'ouvrage proposé (référence précises, SVP) :
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
FICHE AUTEUR
-1-
Livres ou autres ouvrages :
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Situation du projet d'ouvrage dans la démarche de l'auteur (tant en ce qui concerne les collaborations,
les coauteurs s'il y a lieu, que le contexte d'élaboration du projet) :
__________________________________________________________________________________
__________________________________________________________________________________
_________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Fiche auteur à retourner à :
GRENOBLE SCIENCES
Bâtiment B de Physique
230 rue de la physique
BP53 – 38041 Grenoble cedex 9
Tél. : 33 (0)4 76 51 46 95
Fax : 33 (0)4 76 51 45 79
email : [email protected]
FICHE AUTEUR
-2-

Documents pareils