On-line Application Form
2018 Training Course on Earthquake Hazard and Risk Assessment in East Asia

Date: October 1st – October 5th, 2018
Location: Academia Sinica, Taipei, Taiwan

All information sent must be true and accurate.
Deadline for submission of applications: 31 AUG, 2018

The language of instruction at the workshop is English.
A good proficiency in spoken and written English is required.

*The personal data will only be used for IRDR ICoE-Taipei's activities. The data sheet is NOT public.

Given Name *
(First and middle name)
Your answer
Last Name *
(surname)
Your answer
Position *
(Director/professor/researcher/engineer/postdoc/PhD student......)
Your answer
Highest Education Degree *
Gender *
Age *
Your answer
Nationality *
Your answer
Department and Organization *
Your answer
Location of your organization *
City and Country
Your answer
Email *
Your answer
Alternative Email
(if any)
Your answer
Tel or Mobile Number *
Country code should be included. (e.g. +886 987654321)
Your answer
Contact Person & Email
Secretary, assistant, etc. (if any)
Your answer
Brief self-introduction *
(<200 words)
Your answer
Have you ever participated in any AIs/Workshops organized by IRDR ICoE-Taipei? *
Diet Preference *
Why would you like to participate in this workshop? *
(<200 words)
Your answer
What would you bring to the workshop in the way of your previous experience/expertise? *
(<200 words)
Your answer
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