WIPO-WTO COLLOQUIUM
FOR TEACHERS OF INTELLECTUAL PROPERTY

Geneva, Switzerland
June 22 - July 3, 2009

Application Form

This Application Form should be submitted on-line or by fax ((41 22) 740 1417) by April 5, 2009.

All fields marked with * are compulsory.

Personal Data
Family Name: *
First Name: *
Place of Birth:
Date of Birth: *
Nationality: *
Sex:		Male Female
Full address: *
Telephone (country and city code):
Fax:
E-mail: *
University Education
1.	Time Period:
	Degree awarded:
	Major specialization:
	Name of University:
	Country:
2.	Time Period:
	Degree awarded:
	Major specialization:
	Name of University:
	Country:
3.	Time Period:
	Degree awarded:
	Major specialization:
	Name of University:
	Country:
Profession/Experience
English language:		Mother tongue Excellent Good
Current profession:
Name of employing University/Institution:
Title of post presently held:
Date of taking up post:
Description of Duties:
Previous experience in intellectual property (IP) teaching:
Current field of intellectual property research:
Topic related to the areas covered by the programme on which you would be ready to make a short presentation:
Details of experience in intellectual property consultancy/practice, if any:
Publications in the field of intellectual property (only most important):
Details of previous participation in WIPO/WTO activities, if any:
Other relevant information:

World Intellectual Property Organization (WIPO)
WIPO Worldwide Academy (WWA)
34 chemin des Colombettes, 1211 Geneva 20, Switzerland
Email: Meetings.Academy@wipo.int
Phone (41 22) 338 91 11 Fax (41 22) 740 1417

WIPO-WTO COLLOQUIUM FOR TEACHERS OF INTELLECTUAL PROPERTY

Geneva, Switzerland June 22 - July 3, 2009

Application Form

Personal Data

University Education

Profession/Experience

WIPO Worldwide Academy

Related Links

WIPO-WTO COLLOQUIUM
FOR TEACHERS OF INTELLECTUAL PROPERTY

Geneva, Switzerland
June 22 - July 3, 2009