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PART 1: PERSONAL PARTICULARS

Name

TEST TEST

Title

Gender

Female

Recent Photo

Date of Birth

15/07/2026

Place of Birth

Bahrain

Type of Identity Document Held

Passport

HKID / Passport Number

54341

Nationality

Afghan

PART 2: CONTACT INFORMATION

Email Address

Email hidden; Javascript is required.

Contact Phone Number

+85245421241

Address

test
test
Afghanistan

PART 3: FORUM INTEREST

First Discipline to be Joined

Life Science and Medicine

Second Discipline to be Joined

Life Science and Medicine

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

ACADEMIC AND/OR RESEARCH INFORMATION
ACADEMIC AND/OR RESEARCH INFORMATION
ACADEMIC AND/OR RESEARCH INFORMATION
ACADEMIC AND/OR RESEARCH INFORMATION
ACADEMIC AND/OR RESEARCH INFORMATION

PART 4: ACADEMIC AND/OR RESEARCH INFORMATION

Academic Level / Position

Undergraduate

Academic Subject / Research Field

Current Affiliated University / Institution / Organisation

xxxxxxx

Location

Resume (in chronological order)

Transcript 1

Recommendation Letter(s) issued by university / institutions, etc (if any)
File format: jpg, jpeg, png, pdf. Max. file size: 3MB
If your letter or document is not in English, please upload a translated version underneath.

First Academic or Research Referee *

First Referee Name

test

First Referee University

test

First Referee Position

test

First Referee Email Address

Email hidden; Javascript is required.

Second Academic or Research Referee

Award(s) and/or Scientific Accomplishment(s) (if any) (max. 100 words)

ACADEMIC AND/OR RESEARCH INFORMATION

Reference/Certificate of Award and/or Scientific Accomplishement

ACADEMIC AND/OR RESEARCH INFORMATION

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?

HKLF newsletter