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-