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1. Name of Institution (Required.)

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2. Name of Institution in English(not required if name is already in English)

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3. Institution's Country (Required.)

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4. Institution's City (Required.)

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5. Institution's Telephone (Required.)

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6. Institution's Web Site (Required.)

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7. Last Name of Vice Chancellor (Required.)

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8. Other Names of Vice Chancellor (Required.)

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9. Email of Vice Chancellor (Required.)

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10. Contact Number of Vice Chancellor (Required.)

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11. Last Name of Registrar (Required.)

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12. Other Names of Registrar (Required.)

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13. Email of Registrar (Required.)

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14. Contact Number of Registrar (Required.)

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15. Is your university a Member of AAU? (non AAU members may be required to share their accreditation / charter before being accepted in to the network)
Check membership status here
(Required.)

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16. Research Brands(Select at least 2 areas of Interest) (Required.)

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17. Lead Researcher Last Name (Required.)

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18. Lead Researcher Other Names (Required.)

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19. Lead Researcher Position (Required.)

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20. Lead Researcher Email (Required.)

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21. Lead Researcher Phone (Required.)

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22. Alternate Researcher 1 Last Name

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23. Alternate Researcher 1 Other Names

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24. Alternate Researcher 1 Position

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25. Alternate Researcher 1 Email

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26. Alternate Researcher 1 Phone

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27. Alternate Researcher 2 Last Name

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28. Alternate Researcher 2 Other Names

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29. Alternate Researcher 2 Position

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30. Alternate Researcher 2 Email

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31. Alternate Researcher 2 Phone

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32. Last Name of Person Submitting this form (Required.)

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33. Other Names of Person Submitting this form (Required.)

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34. Contact Email of Person Submitting this form (Required.)

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35. Contact Phone Number of Person Submitting this form (Required.)

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