Entry Information
PART 1: PERSONAL PARTICULARS
Name
Jackson Visibee
Title
Mr
Gender
Male
Recent Photo
Date of Birth
06/08/1999
Place of Birth
Afghanistan
Type of Identity Document Held
Passport
HKID / Passport Number
12312
Nationality
Afghan
PART 2: CONTACT INFORMATION
Email Address
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Contact Phone Number
+93231423443
Address
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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)
Testing
PART 4: ACADEMIC AND/OR RESEARCH INFORMATION
Academic Level / Position
Undergraduate
Academic Subject / Research Field
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Current Affiliated University / Institution / Organisation
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Location
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Resume (in chronological order)
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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
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First Referee Position
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First Referee Email Address
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Second Academic or Research Referee
Would you like to present your Research in Poster Presentation Session and/or Flash Presentation?
Both Sessions
PART 5: OTHERS
Did you participate in the inaugural Hong Kong Laureate Forum?
Yes, as a Young Scientist in Forum 2023
How Did You Know About the Forum?
HKLF newsletter