Entry Information
Make Decision
--- / Please Select
Applicant No
27A0123
Average Score
0
PART 1: PERSONAL PARTICULARS
Name
Nominee One
Title
Ms
Gender
Female
Recent Photo
Date of Birth
01/04/2026
Place of Birth
Switzerland
Type of Identity Document Held
Passport
HKID / Passport Number
22222
Nationality
Swiss
PART 2: CONTACT INFORMATION
Email Address
Email hidden; Javascript is required.
Contact Phone Number
+15666666666
Address
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Switzerland
PART 3: FORUM INTEREST
Name of Recommending Laureate / Academic
Nominee
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
Postgraduate (Master)
Academic Subject / Research Field
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Current Affiliated University / Institution / Organisation
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Location
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Transcript 1
Transcript 2
Transcript 3
Translation of the Transcript 1
Translation of the Transcript 2
Translation of the Transcript 3
File format: jpg, png. Max. file size: 3MB
If your letter or document is not in English, please upload a translated version underneath.
Recommendation 1
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Recommendation 2
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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
Second Referee Name
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Second Referee University
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Second Referee Position
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Second Referee Email Address
Email hidden; Javascript is required.
Award(s) and/or Scientific Accomplishment(s) (if any) (max. 100 words)
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Abstract of Research / Brief Description of Your Current Research Interest (max. 200 words)
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Would you like to present your Research in Poster Presentation Session and/or Flash Presentation?
Both Sessions