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2026 APSIPA Mid-career Excellence Award Nomination Form
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Part I: Particulars of Nominee
*
1.
Full name (Given name, Surname)
*
2.
Email address
*
3.
Current position
*
4.
Nominee with 3-year membership qualifications
Yes
No
*
5.
If yes, please enter your membership number
*
6.
Doctoral degree institution
*
7.
Doctoral degree graduation date (MM/YYYY)
*
8.
A half-body photo (taken within the last 6 months)
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Part II: Papers Submission
*
9.
Types of papers submission
A paper in APSIPA T-SIP
APSIPA ASC papers
10.
Published papers at
APSIPA T-SIP
: (Please provide
paper title
,
corresponding author
,
published information
, and
the web link
)
*
11.
Number of papers published in
APSIPA ASC
(If you do not have ASC paper, please type 0)
*
12.
Published papers at
APSIPA ASC
: (Please provide
all papers title
,
published information
, and
the web link
)
Part III: Particulars of Nominator 1
*
13.
Full name (Given name, Surname)
*
14.
Email address
*
15.
Current institution
*
16.
Current position
Part IV: Particulars of Nominator 2
*
17.
Full name (Given name, Surname)
*
18.
Email address
*
19.
Current institution
*
20.
Current position
Part V: Supporting Documents
*
21.
Personal achievement (
Maximum of 500 characters
)
*
22.
Research contribution (
Maximum of 500 characters
)
*
23.
Curriculum vitae (
PDF format
)
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Part VI: Declaration
*
24.
I hereby declare that the particulars as contained in Parts I, II, III, IV, and V above are true and correct
Yes
No
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2026 APSIPA Mid-career Excellence Award Nomination Form
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