NCIE
National Center for Innovation and Entrepreneurship
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SCIENCE
BUSSINESS
INNOVATION
Questionnaire
Experts and specialists
Last Name
*
First Name
*
Second Name
*
Date of birth
Address
*
(district city, village, street, house, apartment)
Telephone
*
(Note the code)
E-mail
Education
*
(full name of the organization, year of the termination, speciality)
1. Scientific degree, rank, year of award, № of the certificate, the diploma
2. Theme and speciality of candidate and/or the thesis for a doctor's degree, the speciality code number of HQC
3. Place of employment
abbreviated name
Place of employment full name
Address
Supreme subjection
Department
Post
Telephone
Fax
E-mail
URL
4. Service record
*
(Note all the places of employment, the post and the years)
5. Spheres of scientific, scientific and pedagogical, practical activities and experience in these spheres
*
6. Experience of expert work
(Note the spheres – (narrow specialized), name of the organization, programs, projects, years)
7. Scientific and practical activities in which you could be able to prove yourself as an expert
*
(Note the narrow specialized sphere)
8. Keywords
*
(Reflecting the declared spheres of examinations)
9. Datas on results of intellectual activity
( Textbooks, monographies)
Scientific articles
Reports at conferences, forums, seminars, symposiums etc.
Objects of intellectual property (inventions, useful models, copyrights etc.)
10. Additional information
10.1. Experience in preparation of analytical works, marketing researches (sphere, status, years)
10.2. Information recommended by You about experts and specialists (From yours and other spheres of specializations)
Surname, name, second name
Place of employment, post
Contacts (Telephone, e-mail)
10.3. Note an additional information which you consider to be important for the database «Experts and specialists»
I incur responsibility for the reliability and quality of the information, non-distribution of double purpose technologies and the technologies harming to health of the person, observance of intellectual property rights and I understand, that it will be stored in electronic form and will be accessible to interested parties.
Submit
2016-04-26
Announcements
2018-09-10
News
Services
Innovation Projects