School Registration – bnsma2023.iliauni.edu.ge

Full Name

E-mail

Phone Number

Institution

Department

Address

Nationality

Gender

Date of birth

Are you member of a FENS society?*

If Yes, please select the FENS society you are member of

If Yes, please provide your FENS Member ID

Please upload your CV*

Current educational status

Highest degree

Date of highest degree

Name of the supervisor you are currently working with

Affiliation of the supervisor you are currently working with

Title of PhD thesis

Name of the supervisor of your PhD thesis

Affiliation of the supervisor of your PhD thesis

Title of Master thesis

Name of the supervisor of your Master thesis

Affiliation of the supervisor of your Master thesis

List up the publications in peer-reviewed journals

List up the presentations at scientific meetings

Motivation for attending this school

Please summarize your current and future research interests

List up the techniques which you are familiar with

Did you attend a BNSMA school in the past?

Full Name, 1st referee

E-mail, 1st referee

Full Name, 2nd referee

E-mail, 2nd referee