The information collected through this form is recorded by Agropolis International in a computerized file for the practical organization of the event and to measure its audience. They are kept for 1 year and are intended for the organizers of the event only.
In accordance with the EU General Data Protection Regulation, you can exercise your right of access to your data and have it rectified by contacting the database administrator: Agropolis International, Cellule Informatique, 1000 avenue Agropolis, 34394 Montpellier Cedex 5, email: salson@agropolis.fr

*compulsory field

	PERSONAL INFORMATION
	Mr     Mrs
*Family Name:
*First Name:
Nationality:
Age:
	PROFESSIONAL SITUATION
Present position:
Organization name:
Address:
*Country:
*E-mail:
	COURSE FINANCING
Funding source for registration fees:
Funding source for travel and per diem:
Training convention needed :	Yes     No
SCIENTIFIC DISCIPLINE:
RESEARCH TOPICS:
EXPERIENCE IN IMPLEMENTING AGENT-BASED MODELS (programming languages, generic platforms):
Experience in computer coding:
BRIEF DESCRIPTION OF THE PROTOTYPE AGENT-BASED MODEL YOU'D LIKE TO IMPLEMENT:
PLEASE TICK THE PLATFORMS YOU WOULD LIKE TO USE TO DESIGN YOUR PROTOTYPE ABM	CORMAS NETLOGO GAMA I don't know
EXPECTATIONS, REMARKS:
How did you hear about the MISS-ABMS training session?
Security code: