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  BRAIN GAIN MALAYSIA
Partnering Innovation
EXPERTISE SUPPLY FORM
The target group for this survey is Researchers, Scientists, Engineers and Technopreneurs (RSET) offering expertise. It aims to gather expertise from RSET. The outcome of the survey will assist Brain Gain Malaysia Programme to match the RSET abroad to collaborate with local institutions. Please complete this form by ticking the appropriate boxes below. Email completed form to bgm@mosti.gov.my .

1.0 MY PERSONAL DETAILS
Title* :
Name* :
Sex* : Male Female
Country of Birth* :
Nationality* :
Please state your country* :
Email* :

2.0 MY EXPERTISE
Field of Expertise* :
Please state : (specialization)
Role of Expert* :
Profesional Experience* :
Publication* :
Patent* :

3.0 MY EMPLOYMENT DETAILS
Name of Organisation* :
Nature of Business* :

Please state more details:
Address* :


Position :
Phone :         Fax :
* - Compulsory to be filled