Entry Information

PART 1: PERSONAL PARTICULARS

Name

Dora Dora

Title

Mrs

Gender

Female

Recent Photo

Recent Photo

Date of Birth

01/04/2008

Place of Birth

Albania

Type of Identity Document Held

Passport

HKID / Passport Number

t5444

Nationality

Albanian

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

Name of Recommending Laureate / Academic

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First Discipline to be Joined

Astronomy

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

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Current Affiliated University / Institution / Organisation

New One

Location

Hong Kong

Resume

Resume

Transcript 1

Transcript 1

First Academic or Research Referee *

First Referee Name

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First Referee University

New One

First Referee Position

Engineer

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?

Both Sessions

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?

University