CCR Cat Nat Award Application

Candidate

Last name

Required

First Name

Required

Date of birth

Required

Country

Required

Phone

Required

Nationality

Required

Current job

Required

Research laboratory or organisation supporting the research

Name of laboratory or organisation

Required

Website

Research supervisor name

Required

Thesis

Title of the thesis

Required

Area

Required

Thesis defence date

Required

Other informations

How did you hear about the CCR Cat Nat Award?

Required

Comments

Documents to be enclosed with the application (attention: PDF FILES ONLY. Uploading heavy documents may take some time. After "sending" please wait a few minutes until you can see a confirmation message on your screen)

Document1: A summary, no more than two pages long, explaining why your thesis might be of interest to the insurance and risk prevention industry in PDF (in English or in French) (200Mo max.)

Required

Document2: Doctoral certificate issued by the University in PDF (200Mo max.)

Required

Document3: Thesis in PDF format (including the bibliography) (200Mo max.)

Required

Document4: Reports on the thesis manuscript by the designated examining committee members in PDF (200Mo max.)

Document5: Thesis defence report in PDF (200Mo max.)

Document6: Other document in PDF (200Mo max.)

Validation of use and data processing

I authorise CCR to publish my thesis on any CCR website

Yes

Required

Accept Prix CCR rules (please consult at www.ccr.fr) and certify that the information given in this form is accurate

Yes

Required

Text Verification Required

CCR Cat Nat Award Application - CCR