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1. Contact Details

Contact Details

Salutation *

First name *

Last name *

Gender *

Gender other *

Birthdate *

Day

Month

Year

Email *

Twitter handle

Phone number

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Mobile phone

Home phone

Work phone

Nominee's postal address

Street *

City *

Post code *

State *

State Other...

If not based in Australia, select 'Other' and then type state or region in the subsequent field

Country *

University or organisation *

Please select 'Individual' if the organisation is not listed or if they are self-employed.

Date of PhD conferral *

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Month

Year

Name of Grant/Research Officer submitting application *

Email address of Grant/Research Officer submitting application *

2. Application Details

Nationality/ies *

Field of research – up to 10 words max *

APEC Aspire Prize nomination form *

Nomination form found on application website.
Files must be less than 2 MB.
Allowed file types: pdf.

Proof of Australian citizenship or permanent residency *

Attach copy of Australian passport, citizenship certificate or permanent residency visa.
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Copy of applicant’s CV *

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Letter of support *

Notes for referees found on application website.
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Advertising category *

Other reason

APEC Science Prize for Innovation, Research and Education (ASPIRE) 2022

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APEC Science Prize for Innovation, Research and Education (ASPIRE) 2022

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Please fill out each section by selecting the tabs below

1. Contact Details

Contact Details

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2. Application Details