Application for Participation 
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Part I: Applicant's Personal Information
1. Surname:
 *
2. Given Name(s): 
 *
3. Date of Birth (DD/MM/YYYY): 
4. Gender:
5. Nationality: 
 *
6. My affiliation is based in Europe (or an associated country) and I’m applying for financial support by ChETEC-INFRA.
 *
Required
Part II: Contact Details
1. Email Address (primary): 
 *
2. (optional) Contact Number (include country and area code):
3. (optional) Mailing Address: 
Part III: Academic Background

1. Name of Current Academic Institution or University:  
 *
2. Level of Current Academic Enrollment (Please tick one): 
 *
Required
3. Field of Study (if applicable): 
4. Research Advisor Name: 
 *
5. Previous Exposure to Nuclear Physics (Please tick one): 
Clear selection
If 'Yes', briefly describe your nuclear physics coursework or research
6. Nuclear Physics Topics of Interest:
Part IV: Special Accommodations (optional)

1. Requirement for Special Accommodations (Please tick one): 
   
If 'Yes', please specify the needed accommodations:
2. Any Dietary Restrictions (Please tick one):
Clear selection
 If 'Yes', please specify:
Part V: Tour Participation (optional)

Would you like to participate in the "Raon" tour (if you are not participating the NIC conference) ? (Please tick one): 

 *
Required
For any inquiries or additional information, please feel free to contact us at  nicschool2023@ibs.re.kr

We thank you for your interest in Nuclei in the Cosmos XVII(NIC-XVII) School 2023 and look forward to your application.

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