项目申请表.pdf

Ben-Gurion University of the Negev The Jacob Blaustein Institutes for Desert Research French Associates Institute for Agriculture and Biotechnology of Drylands Summer course 2016 Sustainable Agricultural Solutions APPLICATION FORM Surname: Nationality: Date of birth: E-mail address: Tel: / Name: Passport Number: ☐ Male / ☐ Female / Education/university degrees, dates of awards and names of granting institute: Please indicate your knowledge in English Excellent Very good Good Poor ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Writing Reading Speaking Major Fields of studies (please give general fields): Signature: Date: / / Please attach: o o o o Curriculum Vitae Certified true copy of diploma Certified true copy of academic records Please arrange for 2 letters of recommendation to be sent to us directly