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)
 
 Submit