World Institute of Retired Scientists
WIRS

 

INVITATION

Please become a member of WIRS by filling the following preliminary application form and inform your peers and friends also to join.

PRELIMINARY APPLICATION FORM FOR SCIENTISTS

First and Family name
Nickname
Birthdate
Gender male female
Marital Status single married divorced widow
Nationality
E-mail
City of present residence
Country of present residence
Highest academic degree obtained
Name of the University
Country of the University
Field of study
Institute from which retired or to be retired
Year of retirement or to be retired
Resume of your scientific and humanistic activies with the list of publications
Field of Research
The title and an extended summary of the ideas that you would like to discuss with your peers at WIRS
Give the names and addresses of your peers that you wish to be invited at the same as you.

 

 
 

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Modificado em 12/04/02, 15:50 Hs.