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Training Workshop on Marine Radiochemistry
Selangor Darul Ehsan, Malaysia
August 19-23, 2024
 
APPLICATION FORM
Items with * are required

1. PERSONAL INFORMATION
* Last Name£º * First Name £º
* Date of Birth
  (year/month/day)£º		 * Gender£º Mr Ms
* Nationality£º * Institution£º
* Title£º
(Job position or student type)		 * E-mail £º
(for notifications)
* Phone£º   Fax
* Postal Address£º * Code code (Click to refresh the verification code)

2. EDUCATION BACKGROUND (Starting from the most recent degree)
Institution Field of study and description Years  (year/month)
from to
* * * * *

* 3. RECENT EMPLOYMENT RECORD (Starting with your present post if any)
Employer / organization Type of work and description Years  (year/month)
from to

4. Proficiency in English
* Reading * Writing * Speaking * Understanding

* 5. Provide details (any research projects, cruises, lab experiments or publication list) on marine radiochemistry relevant topics you have done.

* 6. Motivations for participating in this training course:

7. Financial Support (ONLY for applicants from developing countries).
Item Amount you want to apply and details
Waive the registration fee 300 USD Yes No
Airfare Yes
(Please fill in the amount)
No
Other Yes
(Please fill in the reason and the amount)
No
Any possibilities that you can secure funding from?
If yes, please list the source and amount.

8. Please provide two referees¡¯ information. The organizing committee will contact them to inquire recommendation as of needed.
* Name * Title * Institution * Country * Email * Phone number
*
*


Please submit the application by May 17, 2024. If you have any questions, please contact the secretariat at xiaodi.sun@xmu.edu.cn or 86-592-2183033.
Save You can SAVE the form for future editing and submit it later. Before you save the page, please complete ¡°Part 1: Personal information¡±.
Submit TO SUBMIT: Please go through the application form and save. Make sure you have filled all mandatory information, then SUBMIT on the next page. Once the form is submitted, no edits can be made. Please note that the application deadline is May 17, 2024.