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Nomination Proforma For International /
Regional Training / Workshop / Seminar

IMPORTANT INSTRUCTIONS:
i)  Please answer each question clearly and completely.
ii) Please ensure that the attached physical examination report is complete and duly certified by Government Doctor.
iii) Please send the form to the nominating authority for onward transmission to the Secretary General, AARDO.
Title of the Programme
Venue
Duration
Country
Upload Your Passport size photo(100 KB)

Personal Details
Title (Dr, Mr, Mrs, Ms)
Participant's Name
(As indicated in Passport)
Father’s Name Mother’s Name
Marital Status Gender
Email ID
Present Mailing Residential Address (Please Specify City, Province & Country)
i) Address State/Province
City Pin/Zip Code
Country
Present Mailing Official Address (Please Specify City, Province & Country)
ii) Address State/Province
City Pin/Zip Code
Country
Contact Number (Please specify country and city code)
i)Tel.(office) ii)Tel.(Resi)
iii) Mobile/Handset Number

Passport Particulars
i) Number ii) Place of Passport Issued
iii) Place of Birth iv) Issuing Authority
v) Date of Issue vi) Date of Expire
vii) Date of Birth
viii) Nationality
Upload copy of your passport (First and Last Page) (Maximium 200 KB)

Employment Record
i) Experience (Number of Years in Relevant Field) YesNo
ii) Current Position
Designation Name of the Employer
(Department/ Division)
Ministry Nature of duties performed
Duration From and To
iii) Experience (during the last five years)
Positions Exact Title of your post Name of the Employer
(Department/ Division)		 Duration From and To Nature of duties performed
Previous Position1
Previous Position2
Previous Position3
Previous Position4

Educational Qualification
Name of the University
/Institution		 Duration From and To Major Subjects
Bachelor
Master
Ph.D.
Others, (please specify)
ii) Other Formal trainings including professional trainings, (if any)
Title of the Training Name of the University /Institution
Duration From To

Languages Skills
Excellent Good Average
 Oral           Written  Oral           Written  Oral           Written
English                                    
Arabic                                    
French                                    
Other Languages Known (Please specify)
12. Any other information you want to give:
I Certify that the statements made by me in the forgoing paras are true, complete and correct to the best of my knowledge and belief.