Registration Form – Research Professional

Before completing this form, make sure you have all the necessary information/documents.

Identification
Last name*
First name*
Home address*
City*
Postal code*
Phone number*
Email*
Other Email (academic, if applicable)
Director/Researcher of CRIR*
Institution*
Start date*
DD slash MM slash YYYY
Expected end date (if applicable)
DD slash MM slash YYYY
Number of hours per week (if applicable)
Education

Education completed or in progress*

Educational level	Discipline	Start date (dd/mm/yyyy)	End date (dd/mm/yyyy)

Research interests
List of research interests*
Support
Name of principal researcher - Who you are collaborating with*
Email of the researcher*
I am not a robot
Comments
This field is for validation purposes and should be left unchanged.