Name: Haider Ahmed Jaffer Al Lawati

APPLICATION FORM

This application form does not substitute your normal CV.

Please do not delete or alter any item in this form.

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1.Personal Information

Name:

Year of Birth:

Nationality:

Present Address:

Telephone Numbers(Office):

(Mobile):

Fax:

E-mail:

Website:

Field of Specialization (tickone):

Analytical Chemistry / Physical Chemistry
Inorganic Chemistry / Organic Chemistry

2.Education and Employment Information

2.1 Education

PhD(Field):

Department: University:

City: Country:

Year of Graduation:

ThesisTitle:

MSc (Field):

Department: University:

City: Country:

Year of Graduation:

Thesis Title:

BSc(Field):

Department: University:

City: Country:

Year of Graduation:

2.2Employment Information

Position:

Department:

Institution:

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Department:

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3. Awards and Professional Recognition

3.1Teaching/Research Awards

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3.3Research Fellowships

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3.3 Professional Memberships

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Organization:

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4. Teaching

4.1 Teaching and Teaching Management

List ofcourses taughtafter PhD graduation.

Institution:

Course:

Dates: from ………./………./………. to ………./………./……….

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Course:

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List ofmanagement roles in teachingafter PhD graduation.

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4.2Curriculum Design and Development

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4.3Student Advising

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4.4Supervision of Undergraduate Research Projects

Institution(s):

Total number of undergraduate projects: None 1 – 5 6 – 10 11 – 20 ≥ 21

5. Scholarly Activities and Achievements

5.1Refeered Journal Papers

List five (5) papers that best represent your research area

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5.2Participation in Conferences

List five (5) conference presentations that best represent your research area

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5.3 Funded Research Projects

Title of research project:

Research team (put asterisk mark ,*, next to your name if Principal Investigator):

Funding agency:

Research grant in USD:

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Title of research project:

Research team (put asterisk mark ,*, next to your name if Principal Investigator):

Funding agency:

Research grant in USD:

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Title of research project:

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5.4Supervision of Postgraduate Students

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5.5Examination of Theses

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5.6Other Relevant Scholarly Achievements

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6. Service

6.1Administration

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6.2Professional Service

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6.3Public Service

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