Créer un compte

Step 1 : personal information

Gender

Use name

Name of birth

First name

Picture

One file only.
32 MB limit.
Allowed types: png gif jpg jpeg.

I accept the distribution of my photo on the Institut Cochin website

(this choice can be changed later from your user account)

Date

Date of birth

Place of birth

Country

City

Department

Current place of residence

Address 1

Address 2

Postal code

City

Nationality

Personal e-mail

Phone number

Step 2 : professional information

Date

Date of first arrival

Desk phone

Professional mobile phone

Primary assignment

Type of assignment

Team

Platform

Main support department

Name of supervisor (N+1)

Main assignment working time

Agent's function

Building

Floor

Room number

Secondary assignment

Assignment type (secondary)

Team (secondary)

Platform (secondary)

Support service (secondary)

Name of supervisor (N+1) secondary

Working time assignment (secondary)

Function (secondary)

Building (secondary)

Stage (secondary)

Room number (secondary)

Step 3 : status

Status

Corps and grade

Other

Corps and grade

Other

Occupation

Home university

Other

Master

Master project title

Doctoral school

Other

Thesis project title

Type of contract

Other

Funding organization

Other

BAP

Employer organization

Other

Agreement partner 1: School-Univ

Other

Agreement partner 2-second agreement signatory

Other

Level

Other

Date

Internship start date

Date

Internship end date

Date

Funding start date

Date

Funding end date

Date

Employment start date

Date

Contract end date

Date

Thesis defense date

University of thesis defense

Country of thesis defense

Date

HDR defense date (if known)

Date

Date of entry into the corps

Please note: Newcomer form will only be validated when the date of entry into the corps and the date of entry into the grade have been completed or sent by email to u1016-rh@inserm.fr

Date

Date of entry into the grade

Godfather/godmother

Other godfather/godmother

Thesis director Institut Cochin

Other thesis supervisor

Date

Start date

Date

Estimated end date

Professional insurance

Yes

Public liability insurance

N/A

Yes

Step 4 : computer data

I am committed to :

Do the newcomer internship as soon as possible

When I leave, to return the keys and/or salto that will have been given to me

Meet the prevention assistant in charge of my sector as soon as I arrive

I request the opening of a computer account:

N/A

Yes

I certify that I have read the following documents and agree to comply with their content

Rules of procedure

Inserm IT charter

Prevention booklet

Alumni: I would like to be an alumni when I leave Institut Cochin:

Yes

Personal data :

Image rights authorization

RGPD authorization

Save as

Newcomers form

Downloadables files