Environmental Hydrology for Arid and Semi-Arid Regions
Delta Barrage, Cairo, Egypt. May 27 - July 5 , 2012

APPLICATION FORM


Fields Marked with a ( * ) should be filled. Thank You!
* Full name
  Gender  
 Official name
  (i.e. name under which you wish to be registered and will appear in your  diploma)
   

Postal address

  
 
Present citizenship
  
 
Date/Place/Country of birth
   / /  
* Email Address
 
College/University education
 Name Place
 From      To      
 Degree    
 Main  Studies    
 Thesis  of Major    
 Title of  the  thesis    
Additional higher education information
 Practical experience
 before/during higher education(kind of work done,where,how long,full/part  time)
 
 English language proficiency
 (fair F,good G,excellent E)
 
 read F   G   E
 write F   G   E
 speak F   G
 understand F   G   E
 Present professional employment
 Job title
 Employer name
 Postal address
 Phone
 Previous project
 (In case you involved in the execution of a specific project)
 
 Project name
 Location
 Executing agency
 Financing provided by
Short description of previous posts
 (during the last 7 years)
 
 Post(1)
 From    To   
 Post(2)
 From    To   
Personal statement
 (of why you wish to participate in the course)
   
 
 - How were you informed of the course?
 
 
 - How do you intend to pay the costs of your stay and other expenses  (fees,etc.) in Egypt?
 
 - Have you recieved confirmation of financial support from your sponsor? 
 - This applications is supported by my employer / supervisor / head of  department who will :