Nomination form

EMBO Gold Medal 2018

NOMINATION FORM

Eligible candidates are European molecular biologists who are currently working in one of the EMBC Member States^* and who are under the age of 40 years, or within 10 years of having obtained their PhD or equivalent,

on the day of the deadline for nomination (1 February 2018). Please see website for exceptions.

Candidate details:

First name:	     	Last name:	     
Date of birth:	     	Date of PhD:	     
Address:	     
Email:	     
Website URL:	     

Five (5) relevant publications of the candidate:

1:	     
2:	     
3:	     
4:	     
5:	     

Names of proposer and sponsors:

Proposer:	     
Sponsor 1:	     
Sponsor 2:	     

Please email the completed nomination form to [e-mail], together with

(1) CV of the candidate; and

(2) letters of support from each of the three proposers/sponsors.

Deadline is 1 February 2018.
*EMBC Member States: Austria, Belgium, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Turkey, United Kingdom.

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