QUAID-I-AZAM UNIVERSITY
                ISLAMABAD

 

Expert/Referee Nomination Form for the Department of

Fill out this form and then print. Please indicate category of nomination for (Tick only one ): If you would like to nominate the same individual for more than one category, please use separate form for each.

(a) Local Expert (for M. Phil. Viva examination)

(b) Local Expert (for Ph.D. Viva examination)

(c) Foreign Referee (for Ph.D. thesis evaluation) (d) Foreign Expert (for teaching appointments)
Note :: In case of category (c) or (d) , nominations chould preferably be from Western Europe,
            USA, Canada, Japan, Australia and New Zealand.
*Name *Designation:
*Institute/University:    
*Mailing Address:    
*Telephone
(with country code):		 *Fax
(with country code):
*Email: Webpage (if any)
*Research area (sub-discipline/section) for which nominated:
*Briefly describe contributions of the nominated person to research: (maximum 100 words)
*List five recent publications (complete references):
1
2
3
4
5
Nominated person has agreed to be on the panel Yes