Registration
Registration
Registration
Name: (Underline Surname) .. Father's/Spouse Name: .....Marital Status .......... Date of Birth .................. Place of Birth ............ Nationality .... Official Address: Phone: Fax: E-mail: ................ Home Address:
Office
Home
FOR OVERSEAS APPLICANTS ONLY Passport No: Expiry Date: . Education (Masters Degree and above): Institution attended Period (Years) to to to Degree obtained/Subject . .... .... Date/Place of Issue: ... Nearest Departure Airport:
Title of thesis: M.Sc. /M.S.: Ph.D.: Previous and current scientific and academic responsibilities: Institution Period (Years) to to
Responsibilities/Position:
. ....
Work done during the last five years and current field of interest: (Please give a 50-words summary and enclose list of publications)
Half
Full
No
Undertaking If selected, I will participate in the Summer College for the entire duration offered to me
Signature:
Please Don't Forget To Enclose: 1. Two recent photographs 2. List of publications during the last five years.
Deadline for receipt of requests: 07th April, 2012 Mailing Address: Executive Secretary International Nathiagali Summer College, PAEC, P.O. Box 1114, Islamabad, Pakistan Fax (+92-51) 9208533/9204908 Email: insc@comsats.net.pk