Entry Information

PART 1: PERSONAL PARTICULARS

Name

Dora test test

Title

Ms

Gender

Female

Recent Photo

Recent Photo

Date of Birth

01/04/1959

Place of Birth

Algeria

Type of Identity Document Held

Hong Kong Identity Card

HKID / Passport Number

H5433

Nationality

Algerian

PART 2: CONTACT INFORMATION

Email Address

Email hidden; Javascript is required.

Contact Phone Number

+846566666

Address

testing
Ho Chi Minh
Viet Nam

PART 3: FORUM INTEREST

First Discipline to be Joined

Computer Science

Second Discipline to be Joined

Astronomy

Statement of Purpose to Join the Forum (max. 200 words)

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PART 4: ACADEMIC AND/OR RESEARCH INFORMATION

Academic Level / Position

Undergraduate

Academic Subject / Research Field

Math

Current Affiliated University / Institution / Organisation

New One

Location

Hong Kong

Resume (in chronological order)

Resume (in chronological order)

Transcript 1

Transcript 1


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If your letter or document is not in English, please upload a translated version underneath.

First Academic or Research Referee *

First Referee Name

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First Referee University

University

First Referee Position

Position

First Referee Email Address

Email hidden; Javascript is required.

Second Academic or Research Referee

Would you like to present your Research in Poster Presentation Session and/or Flash Presentation?

Flash Presentation Session

PART 5: OTHERS

Did you participate in the inaugural Hong Kong Laureate Forum?

Yes, as a Forum Ambassador

How Did You Know About the Forum?

Our email