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Nomination form



Event

 

Professor Details

Last name Academic institution
First name Address
Title Country
Tel. Department
Email Course duration
Market Research content taught in the course:      Yes      No
 

Student(s) Details

Student #1

Last name Languages spoken
First name Year
Nationality Birthdate
Tel. Email
Reason for nomination
Upload CV
(preferred formats: doc and pdf - max. 500Kb)
 

Student #2 (optional)

Last name Languages spoken
First name Year
Nationality Birthdate
Tel. Email
Reason for nomination
Upload CV
(preferred formats: doc and pdf - max. 500Kb)
 

Student #3 (optional)

Last name Languages spoken
First name Year
Nationality Birthdate
Tel. Email
Reason for nomination
Upload CV
(preferred formats: doc and pdf - max. 500Kb)