| 1-Personal Details |
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| Family Name (required) |
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| First Name (required) |
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| Initials |
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| Title (required) |
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| Date of Birth(dd/mm/yy) |
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| Sex (required) |
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| Country of Birth (required) |
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| Nationality (required) |
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| Country of Residence (required) |
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| Permanent Address |
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| Phone |
Fax |
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| Mobile |
Email (required) |
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| Temporary Address |
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| Phone |
Fax |
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| Mobile |
Email |
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| Present Employment(if working) |
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| Organisation |
P. O. Box |
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| Town |
Position |
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| Phone |
Fax |
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| Mobile |
Email |
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| 2-Language Skills |
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Other Language
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3-Membership to Professional Associations |
Association Name |
Address |
Website |
Country |
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Academic Qualification |
| Award |
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| University/College |
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From |
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| Main Subject |
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| Award |
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| University/College |
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| From |
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| Main Subject |
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| Award |
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| University/College |
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| From |
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| Main Subject |
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| Award |
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| University/College |
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| From |
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| Main Subject |
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| Award |
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| University/College |
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| Main Subject |
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5-Professional Experience |
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| Discipline |
| Primary Discipline (required) |
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| Secondary Discipline (required) |
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| 6.Specific areas/s of expertise in the EA |
| a)Area/s of expertise in EIA undertaking |
b)Area/s of Expertise in SEA undertaking |
| Conduct EIA |
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Conduct SEA |
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| Review of EIA |
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Auditing SEA |
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| Auditing |
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Monitoring and follow up |
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| Monitoring |
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Training SEA |
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| Training EIA |
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Stakeholders and Public participation |
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| Policing and Enforcement |
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| Stakeholder and Public Participation |
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| Scoping and Terms of Reference |
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| 7-Specific EIA Expertise |
| Type of project undertaken |
Expertise Provided |
Country |
Years |
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| 8-Consultancy |
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| Availabilty for Consultancy |
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