WIPO-WTO COLLOQUIUM
FOR TEACHERS OF INTELLECTUAL PROPERTY

Geneva, Switzerland
June 28 - July 9, 2010

Application Form

This Application Form should be submitted on-line or by fax ((41 22) 740 1417) by April 4, 2010.

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:
Identify a topical intellectual property issue currently under debate or review in your country or region, which you are currently researching. You will be expected to prepare a short presentation on the issue, covering: (i) the nature of the issue, and the policy background to it; (ii) options that are under debate or review, and your analysis or suggestions for addressing the issue; (iii) lessons for policymakers and/or researchers in other countries or regions.
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:

Verification: *		Please enter below the characters displayed above

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 28 - July 9, 2010

Application Form

Personal Data

University Education

Profession/Experience

WIPO Academy

Related Links

WIPO-WTO COLLOQUIUMFOR TEACHERS OF INTELLECTUAL PROPERTY

Geneva, SwitzerlandJune 28 - July 9, 2010

Application Form

Personal Data

University Education

Profession/Experience

WIPO Academy

Related Links

WIPO-WTO COLLOQUIUM
FOR TEACHERS OF INTELLECTUAL PROPERTY

Geneva, Switzerland
June 28 - July 9, 2010