Quantum Computing for Chemistry

Registration fees cover :
- Participation in the training programme
- Coffee breaks and lunches for all days of the conference (until October 28, morning, lunch included).
- Welcome cocktail on Tuesday, October 24, 2023.
- Boat Tour and Gala dinner on Thursday, October 26, 2023.

For Online participation, registration fees cover :
- Video access to lectures and remote participation to the training programme (excluding social activities)

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The information collected on this form are recorded in an electronic file by the SFC - Cellule Congrès - "congres@unistra.fr" for the management of registrations of the "Quantum computing for chemistry" event. They are kept during 3 years and are intended to the University of Strasbourg and the Department of the Vice-President Relations with the socio-economic world and Promotion of the University of Strasbourg. In accordance with Regulation (EU) 2016/679 and the amended “Informatics and Freedoms” law, you can exercise your right of access to data about you, and have it rectified by contacting: vp-valorisation@unistra.fr .
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Modules 1+2 (full week)

950,00 €

Modules 1+2 (full week), with discount code

Code required

850,00 €

Module 1 or Module 2 (2-day pass)

500,00 €

Student

600,00 €

Online participation

750,00 €

UNISTRA student

Title
*

Family name*

First name*

Email Address*

Affiliation (to be indicated on your badge)*

For student of the University of Strasbourg, please, write "UNISTRA" and specify your institution

Phone number*

Please, upload here your student certificate (copy of your student card or other proof of student status)
(pdf. or png. format; please be careful not to write special characters on the name of the document)

Select

"The requested information, unless you specify otherwise by ticking the box, will be the subject of a computerized processing allowing you to receive information concerning exclusively the "Service Formation Continue". In accordance with the law "IT and freedoms", you can exercise your right of access to data concerning yourself and have them rectified by contacting: "sfc-contact@unistra.fr"

The information collected is essential to ensure the follow-up of your registration. The legal basis for processing your data is the performance of a contract (Article 6 (1) b. GDPR). For more information : https://sfc.unistra.fr/traitement-de-vos-donnees/

I authorize the Cellule Congrès-Formation to use my personal data*YesNo

Please specify if you have a special diet (for all meals of the conference)
*None
Vegetarian
Medical allergy

Medical allergy, please precise*

Institution / Name of the payer*

Invoicing address*

Zip Code*

City*

Country*

Please, choose which part of the week you would like to follow*

Do you require a letter of invitation for visa purposes?
(sent only after payment of registration fees, by email)
Yes
No

Passport number

Date of issue

Place of issue

Date of expiry

Specific information to be included on the letter

By the end of the conference, you will be given a certificate of attendance as justification that you followed an official training course.
Please, find attached the official program sheet :

Program sheet

By ticking the box here aside, you confirm that you have read the program sheet *

How will the conference fees be covered?

*By the employer or a training organization
By yourself

If you're an individual payer, current regulations ask you to agree with the professional training contract of the University of Strasbourg :

I validate the Professional Training Contract Continue concluded between myself, hereinafter referred to as the intern and the University of Strasbourg (21 rue du Maréchal Lefebvre, 67100 STRASBOURG Declaration of activity registered under number 4267 04 090 67 with the prefecture of the Alsace Region, SIRET: 130 005 457 00028 - APE / NAF: 8559A) in application of the provisions of part VI of the labor code on the organization of lifelong vocational training as part of continuing education and in particular article L6353-3 of the Labor Code.

Art. 1 In implementing this contract, the University of Strasbourg agrees to host the participant :

For the course: Quantum Computing for Chemistry

Dates: 24-27 October, 2023
Duration in hours: 25

Art. 2 The course provides further training and skills development. All course information is included in the program description annexed to this contract. The participant agrees to sign and/or to have the sign-in sheets signed, and to send these in at the end of each month if necessary. The training leads to the issuance of a certificate of attendance and is the subject of an evaluation.

Art. 3 The participant agrees to pay the amount due following the payment schedule annexed to this contract, or once an invoice is received, in accordance with the terms and conditions of sale of the University's Continuing Education Service, available at https://sfc.unistra.fr/en-pratique/cgv or provided upon request. The regulations applicable to participants can be downloaded at the same address.

The University of Strasbourg reserves the right to seize a bailiff in the event of non-payment of amounts due; the costs will be borne by the participant. It will not be possible to re-register with the University for a course which has been organised and attended but not paid for.

Art 4. If the participant is absent or withdraws from the course, resulting in a reduced sum being covered the by the funding agency, the University reserves the right to charge the beneficiary for the amounts due.

Art. 5 In case of difficulties, the trainee may contact the mediator : sfc-mediateur@unistra.fr. Failing amicable resolution, any dispute relating to the execution of this contract will be submitted to the competent Court in Strasbourg.

Art. 6 This contract shall take effect fourteen days after the date of signature by the parties, and may be amended by agreement. The participant can retract freely, before the contract takes effect (form available here : https://sfc.unistra.fr/en-pratique/cgv). If a signed contract is not returned by the participant, the financial obligations to the University are de facto contracted as of the first day of the participant's presence at the course.

By ticking the box below, I validate the Continuing Professional Training Contract concluded between myself and the University of Strasbourg, according to the terms given above *

Vous n'avez aucun frais d'inscription à régler. Cliquez sur le bouton Terminer en bas de la page pour valider votre inscription.

Télécharger votre récapitulatif

J'ai lu et j'accepte les conditions générales de vente *

Cette étape vous permet de régler vos frais d'inscription. Cliquez sur le lien ci-dessous pour obtenir un détail de vos frais d'inscription puis effectuez votre paiement.

Je confirme mon inscription et je clique sur Terminer. Je règlerai les frais de participation par chèque/virement à faire parvenir à l'organisateur dans les plus brefs délais.