Demande d'ordre de mission

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Title

Mrs

Name (Champ obligatoire)

FirstName (Champ obligatoire)

Preferred First name

Date of birth (dd /mm/ yyyy) (Champ obligatoire)

Nationality (Champ obligatoire)

I do not work for Rennes 2 University

Office or Unit

Home institution

Home institution country

Invited by office or unit

Email address (Champ obligatoire)

Please indicate your institutional email address.

Email address confirmation (Champ obligatoire)

Business phone (Champ obligatoire)

Mobile phone

First mission or change in individual information

Mailing address

Status

I don’t have an INSEE number

INSEE N°

Payment of costs

Mission fully funded by Rennes 2 University

No-cost mission for Rennes 2 University

Mission partly funded by Rennes 2 University

Voyage

Séjour

Forfait

Montant du forfait

Country of mission (Champ obligatoire)

The mission have been validated by the International Affairs Commission (CAI)

Don't forget to enclose the CAI acceptance letter with your request.

Information about the inviting or hosting organisation, institution or university

Name of inviting institution (Champ obligatoire)

City of inviting institution (Champ obligatoire)

Address of inviting institution (Champ obligatoire)

Reason for the mission (Champ obligatoire)

Type of mission

MEE (Teaching mission)

MCP (Partnership coordination mission)

MDF (Training mission)

SDT (Thesis defence)

SDR (Research mission)

PER (Participation in a research event)

Other (specify)

In the case of a conference or symposium, please enclose a copy of the program and registration form.

Trip with students

Don't forget to enclose the list of relevant students with this request.

Departure journey

If you have to make one or more stopovers, indicate them in the dedicated area below in the form

Place of departure (Champ obligatoire)

Place of arrival (Champ obligatoire)

Date of departure dd/mm/yyyy (Champ obligatoire)

Departure time

Date of arrival

Arrival time

If you have to make one or more stopovers during the departure journey, indicate them here

GHG emissions for the departure journey

kg CO2

Calculate journey emissions on https://impactco2.fr/iframes/transport/itineraire

Return journey

If you have to make one or more stopovers, indicate them in the dedicated area below in the form

Place of departure (Champ obligatoire)

Place of arrival (Champ obligatoire)

Date of departure dd/mm/yyyy (Champ obligatoire)

Departure time

Date of arrival

Arrival time

If you have to make one or more stopovers during the return journey, indicate them here

GHG emissions for the return journey

kg CO2

Calculate journey emissions on https://impactco2.fr/iframes/transport/itineraire

Means of transport

Train (economy class)

Air plane (only if a train journey exceeds 6 hours)

Boat

Personal vehicle

Other (specify)

Don't forget to enclose a copy of your passport with your application.

Please indicate the reason for using your personal vehicle

Don't forget to enclose a copy of the vehicle registration document and insurance certificate, as well as the signed annual authorization to use your personal vehicle (which can be downloaded from here))

Travel ticket/s

will be purchased by the dedicated office from Rennes 2 University from a travel agency approved by the university (compulsory for all Rennes 2 staff)

to be refunded (only if authorised in advance by Rennes 2)

Monthly or yearly pass or reduced fare

Passholder of

SNCF card

Air travel card

Other

No card

If so, please specify which :

Subscriber number or discount code

expiration date (dd/mm/yyyy)

The generated document will only be valid as a mission request form if it contains the required signatures.

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