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Asian Development Bank Institute CANDIDATE’S BIODATA

Asian Development Bank Institute CANDIDATE’S BIODATA. Project Title: Rural Poverty Issues: 29 Oct.- 3 Nov., 2001, Jaipur, INDIA. A. PERSONAL DATA. Dr./Mr./Ms. NAME. Last Name. First Name. Middle Name. Attach Recent Photograph Here. HOME ADDRESS. DATE OF BIRTH.

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Asian Development Bank Institute CANDIDATE’S BIODATA

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  1. Asian Development Bank Institute CANDIDATE’S BIODATA Project Title: Rural Poverty Issues: 29 Oct.- 3 Nov., 2001, Jaipur, INDIA A. PERSONAL DATA Dr./Mr./Ms. NAME Last Name First Name Middle Name Attach Recent Photograph Here HOME ADDRESS DATE OF BIRTH Yr: M : D: Number SEX MALE / FEMALE Date of Issue PASSPORT NATIONALITY Place of Issue Expiry Date Name and Address: CONTACT PERSON IN CASE OF EMERGENCY Tel: Relationship: If any, please specify: DIETARY RESTRICTION If any, please specify: ALLERGY B. PRESENT EMPLOYMENT PRESENT POSITION SINCE WHEN NAME OF COMPANY/ ORGANIZATION DATE JOINED ADDRESS Tel: Fax: Email: TOTAL NO. OF EMPLOYEES TYPE OF BUSINESS TYPE OF ORGANIZATION  Govt. Ministry/Agency  Academic/Research Institute  Local Government  Private Sector  NGO  International Organization

  2. C. OBJECTIVE FOR PARTICIPATION Kindly refer to Project Notification, and state relevancy of project to your work, and indicate expectation from project. - 2 -

  3. D. EDUCATION AND TRAINING E. PARTICIPATION IN OTHER ADB/ADBI PROJECTS Year Obtained University/Institution Major Field of Study Cert./Diploma/Degree  YES NO If yes, please specify below YEAR DATES PROJECT - 3 -

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