Professional Documents
Culture Documents
A. Personal Data
This will be displayed in your mailing address, certificate, etc. Please type your name with Title Case, instead of typing in all UPPER CASE or
in all lower case. (e.g. Kumar Singh, Ming-Yin Lee)
Nationality* Gender*
B. Present Employment
Please provide only one present position.
Present Position Since
Country
Tel (Work)
e-Mail*
(Your work e-Mail)
Type of Business Total No. of Employees
C. Personal Contact
Address
(Home)
Address Line
2 (Optional)
City States ZIP Code
Personal
Contact Country
Details
Tel (Home)
Mobile
phone*
(Personal)
e-Mail*
(Personal)
Name
Relationship
Address
Address Line
Emergency
2 (Optional)
Contact
Person City States ZIP Code
Country
Tel*
e-Mail*
Dietary Please
Restrictions specify
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D. Academic and Professional Qualifications
For Academic Achievement, List Last Three Only.
Certification University
Major Field of Study Starting Year Ending Year Country
/Degree /Institution
State your present job duties and other activities in consultancy, training, research, and publication relevant to the project. We may request further
information if necessary.
F. Previous Job Experience over the Past 15 Years (please start with the most recent)
For each previous position, please give designation, name of company/organization, period of employment, and brief job description.
Period Period
Designation Name of Company Brief Job Description
(From) (To)
Apr-2019 Jan-2020
MMM-YYYY MMM-YYYY
MMM-YYYY MMM-YYYY
MMM-YYYY MMM-YYYY
MMM-YYYY MMM-YYYY
MMM-YYYY MMM-YYYY
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G. Areas of Specialization & Professional Skills
(Please tick area(s) of expert services you are competent to provide.
If your specialization is not listed, please specify under "Other:")
- Public Sector:
- Smart Manufacturing:
Other:
- Sustainability:
- Development Of NPOs:
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Other:
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H. Industry Experience
Please specify up to five areas in the industry sector in which you have working knowledge and experience and could offer consultancy service. If you have
not worked in industry, please leave this section blank.
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5
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M. Publications
1
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3
4
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8
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10
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N. Linguistic Abilities
Language Spoken Written
1. English
2
3
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O. Awards/Honors Received
Year Type Conferred by In Recognition of
1
2
3
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I declare that all the above information is true and correct. I agree that my personal information to be shared for project purpose. If
✔
you agree, please type your name and date below.
Name:
Date: DD-MMM-YYYY
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