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ERN-LWE - European Research Network on Learning to Write Effectively

Main menu :

Address :

European COST IS0703

"Learning to Write Effectively"

GDR-CNRS 2657 "Production Verbale Ecrite" / Laboratoire CeRCA

Maison des Sciences de l’Homme et de la Société

Bâtiment A5

5 rue Théodore Lefebvre

86000 Poitiers - France

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Personal Information and Bank Account

Bank Information

Institution :

Family Name :

First Name (surname) :

Birthdate (dd/mm/yyyy) :

Birthplace :

Birthcountry :

Nationality :

* fields to be filled only by french people :

* Département :

* N° de sécurité sociale :

* Clé :

Personal Address

Personal Address :

House Number :

Street Name :

Zip Code :

City :

Professional Address

Professional Address :

Building Number :

Street Name :

Zip Code :

City :

Phone Number :

Fax Number :

Mobile Phone :

Email : Please enter a valid email address (e.g. you@provider.com).

Personal Vehicle

Personal vehicle used (fulfil it in case of any professional trip with your private vehicle) :

Type of the vehicle (car, ...) :

Brand of the vehicle :

Taxable horsepower :

Number plate :

Bank Details

Bank Details : (Datas needed compulsorily - the absence of any information on "Payments on a foreign bank account" will prevent any payment to members.)

Civility :

Name :

Name of the Bank :

Bank Address (with country and Zip Code) :

IBAN Code (European bank transfers) :

Swift Code (Bic Code) :

Identifier - bank code (European and other type bank transfers) :

Bank Account :

IMPORTANT : - BANK ACCOUNT IN FRANCE, Don’t forget to join a RIB - BANK ACCOUNT IN FOREIGN COUNTRIES, Don’t forget to join a RIB with necessarily SWIFT code, IBAN code and/or bank identifier + bank account.

Upload your RIB :

Last update : 10 December 2010

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Last update : 16 December 2014