HUGO

Online Application Form

	Chen Award for Outstanding Academic Achievement in Human Genetic and Genomic Research
	Chen New Investigator Award

Surname / Last Name

First Name / Middle Name

Title

Institution

Department

Address 1

Address 2

Address 3

Country

Postal Code

Tel

Fax

Mobile

URL / Website

Date of Birth

Place of Birth (country)

Citizenship

Primary Focus of Research
(max. 1000 words)

* Research & Professional Experience

What are the major contributions of the candidate to the field of Genetics and Genomics? *
(max. 1000 words)

What are the major contributions of the candidate to promoting Genetics and Genomics in Asia? *
(max. 1000 words)

What has this candidate done to enhance Asian Science in general and the perception of Asian Genetic Sciences throughout the world? *
(max. 1000 words)

What other comments do you have for the selection committee about this candidate? *
(max. 1000 words)

Is this candidate a HUGO member? *

Yes

Has this candidate contributed to HUGO as an organization? *
(max. 1000 words)

Upload File (Zip if > 1 file)
File size limit is 5MB

Nominator information *
(Name / Contact Information / Affiliation)

Type the Code

Checklist - Files to upload

Chen Award for Outstanding Distinguished Academic Achievement in Human Genetic and Genomic Research

Endorsed Certification
(Please print the certification and faxed back the signed certification to us at +65 6808 8297 or email a
scanned signed copy to hugoadmin@gis.a-star.edu.sg)
Curriculum vitae
A minimum of three referees and their contact details for further references
A record of human genetic and genomic research focused publications in peer-reviewed scientific journals and all scientific achievements