Honorary and Academic Titles – Application Form by admin HONORARY DESIGNATION HONORARY DOCTORATE DESIRED Doctorate of Philosophy (Hon. PhD)Doctorate of Leadership Development (Hon D.LDev)Doctorate of System Engineering (Hon D.SEng)Doctorate of Sustainability Science ( Hon D. SSc)Doctorate of Creative Technology ( Hon D.CTech)Doctorate of Artificial Intelligence ( Hon D.AI) PERSONAL DATA Last Name: First Name: Company Name : Title : Mailing address: Telephone: Email: Gener : Nationality : FORMAL EDUCATION ( The Certificates, diplomas or degrees earned at the universities or colleges) Title of Certificate, Diploma or Degree : Date Attended : School Name: Title of Dissertation or Thesis NON -FORMAL EDUCATION ( Educational activities outside the formal system of education ) Year Training Program Online Course Workshops Seminars Certifications Others INFORMAL EDUCATION ( Learning outcomes of life and work experience) Year Work Experience and description of responsibilities and accomplishments Internships Work Projects Volunteer-Work Fieldwork Presentation and Lectures Conferences Others ACHIEVEMENT Year Awards and honors Grants, fellowships or scholarships Publications Professional membership Others CURRICULUM VITAE A summary of your credentials, expertise and accomplishments ( not to exceed 1,000 words) SUPPORTING DOCUMENTATION ◆ Copies of all previous studies (filetypes:image or pdf, maximum size 5mb) ◆ Copies of awards and honors (filetypes:image or pdf, maximum size 5mb) ◆ Copies of evidence of distinction (filetypes:image or pdf, maximum size 5mb) I attest to all the facts in this application form, and hereby declare that the information is true to the best of my knowledge
