Institution/Institution * Address/adresse * Website/site web * ±·²¹³¾±ð/±Ê°ùé²Ô´Ç³¾ * Surname/Nom de famille * Email/Adresse de courriel * Purpose of your visit/Objectif de la visite Department or faculty you would like to meet with/Entité que vous souhaitez visiter List of your strongest programs or faculties/Liste de vos programmes ou facultés d'excellence Does your institution already have pre-existing affiliations with UCL?/ Existent-il déjà des accords entre votre université et UCLouvain ? Does your institution have any partnerships with other Belgian Universities?/Votre Institution a des accords avec d'autres universités belges ? Do you offer programs in English or French? (yes/no)/Offrez vous des programmes en Anglais ou Français ? (oui/non) If yes, please specify/Si oui, veuillez préciser quels programmes What dates are you proposing for this meeting?/Quelles dates proposez vous pour cette rencontre ? * How many delegates will attend this meeting?/Combien de délegués participerons ? * CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Submit