Transfer to :
Agent Comptable Secondaire du CNRS Cote d'Azur
Bank/Domiciliation : TP Nice
Bank Code/Code Banque  : 100071
Counter Code/ Code Guichet : 06000
Acount Number/Numero de Compte : 00001005422 23 
IBAN FR76/1007/1060/0000/0010/0542/223
BIC : BDFEFRPPXXX 


Please, fill and send to:

CNRS - DR20
Agnes Moreau
Les Lucioles 1
250 Avenue Albert Einstein
06560 Valbonne
France


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    CIAA 2005 Registration for

First name _________________  Last name ____________________


Institution ________________________________________________


Date of transfer _____________________