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FORM H - APPLICATION FORM FOR CANDIDATE TO STAFF MOBILITY
This is or Staff who wish to participate in the academic mobility programme coordinated by IUCEA (Guest).
Email address
I. PERSONAL INFORMATION
Name of Applicant:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Nationality:
Your answer
Country of Residence:
Your answer
Telephone:
Your answer
E-Mail:
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Address of Next of Kin:
Your answer
II. QUALIFICATIONS OF THE VISITING STAFF
Educational Background
Degrees attained (e.g. BA, MA, PhD) and details of the institution and the year when attained ( in this following order Degree /University /Year )
Your answer
Academic Progression and Ranks (Professor, Associate Professor,Lecturer)
List of teaching positions held, dates and institution. (Academic Ranks/Date/Institution)
Your answer
List of the Key professional engagements and achievements
(Professional Engagement,/Date/Entity)
Your answer
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