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Industrial Modernization Programme (IMP)

 

Interest Registration Form

_____________________________________________________

 

To be Mailed to MOINDUST@IDSC.GOV.EG

 

__________________________________________________________________________

 

 

Personal Data

Name ……………………………………………………………………….

Date of Birth ……………………………………………………………………….

Place of Birth ……………………………………………………………………….

Nationality ……………………………………………………………………….

Marital Status ……………………………………………………………………….

Telephones: ………………………………………………………………………..

Email: ………………………………………………………………………..

 

 

Educational History (Degree/Year/University)

 

Period

Degree

Field of Study

University / Country
       
       
       
       
       

 

 

 

Professional History

 

Period

Position

Field of Work

Employer / Country
       
       
       
       
       

 

 

Membership of Professional Societies

 

Society

Country

Type of Membership

Period
       
       
       
       
       

 

 

Languages (1 basic , 5 = excellent)

 

Language

Mother Tongue

Speaking

Reading

Writing
         
         
         
         

 

 

 

 

 

Publications (1995-2000)

 

Title (article/ Books etc)

Journal /Conference

Publisher - Country

Year
       
       
       
       
       

 

 

Consulting Reports (1995-2000)

 

Title

Sponsoring Body

Year
     
     
     
     
     

 

 
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