KKU WHO LID HUB Application Form

KKU WHO LID HUB

Application Form for 2020 Academic Activities
Full Name*

PrefixFirst NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Phone Number*

Area CodePhone Number
Highest Education*
Academic Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Institution*
E-mail*
Check any activities for which you are interested*

International Short Course Training Research Methodology and BiostatisticsDoctor of Philosophy in Epidemiology and Biostatistics (PhD) International Program
Curriculum Vitae*

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Letter of Recommendation*

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Certificate of English Language Proficiency Test

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Research Proposal*

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Contact Person:

Assoc. Prof. Dr. Porjai Pattanittum:pporja@kku.ac.th

Nampet Jampathong: nampja@kku.ac.th
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