ࡱ> egdbjbjqq .&eeCCCCCWWWWsWBk@(jjjjjjjl$o|jCjCCj666FCCj6j66iWjk0Bk,ojooCQ6jjTBko :APPLICATION FORM GEOHAB INTERNATIONAL TRAINING WORKSHOP ON THE ECOLOGY AND TAXONOMY OF BENTHIC MARINE DINOFLAGELLATES, 21 31 MAY 2012 Nationality:................................ Female:..... Male:..... Age:....... Family name: First name: ....................................................................................................................................... MAILING ADDRESS: ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... Telephone:........................................................................................................................ E-mail:............................................................................................................................... PRESENT POSITION: Title or post:...................................... Years of service:........... Name and address of employer: ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... ....................................................................................................................................... EDUCATION: University attended: Dates: Degree(s): ........................ ............... ................................... ........................ ............... ................................... List any regional training activities attended: THEORETICAL EXPERIENCE: I have a basic knowledge of microalgae taxonomy: Yes:.......... No:.......... PRACTICAL EXPERIENCE: How many years of practical experience in taxonomy identification of microalgae: ......................... Do you have experience in working on marine dinoflagellates in general Yes:.......... No:.......... and benthic dinoflagellates in particular? Yes:.......... No:.......... Do you have practical experience in use of light microscope: Yes:.........No:.........., use of electron microscope: Yes:......... No:............ DESCRIBE YOUR CURRENT RESEARCH AND/OR MONITORING ACTIVITIES: Please use separate sheet of paper, 1/2 to 1 page, to answer the following: What are your area of expertise and interest? What are your current research projects? Are you participating in a monitoring programme in your country? If so, please describe your function. How could this course contribute to your on-going and future research activities? Have you participated in any regional research initiatives? If so, please describe. Do you have funding for research related to benthic dinoflagellates or do you plan to request funding in the immediate future? If you are selected to participate, where in your country would you propose sampling of benthic dinoflagellates? Please list your relevant publications. TEACHING: Are yourself responsible for teaching in algal taxonomy, Yes:... No:.... and for how many years:.......... FUNDING: I wish to apply for travel and accommodation: Full:............ Partial.......... (Indicate need) or I will be able to fund my own travel and accommodation:............ Signature of Applicant: Date: ................................... ........................... ENDORSEMENT AND RECOMMENDATION OF INSTITUTION: Name, title and signature of official: Date: ............................................... ........................... Completed form to be submitted by e-mail to Dr. Gires Usup (giresusup@gmail.com) with a copy to: IOC WESTPAC/Secretariat  HYPERLINK "mailto:w.zhu@unesco.org" w.zhu@unesco.org  HYPERLINK "mailto:hab.ioc@unesco.org" hab.ioc@unesco.org And the applicant's National IOC Action Address ( if you do not have this address you can request it from IOC WESTPAC/Secretariat (w.zhu@unesco.org) EF,<HVXtu QY:=Dstu°°Ѱ°ѰіііііhI5CJ\aJh5CJ\aJh']h']5CJ\aJhd5>*CJ\aJ"h']h']5CJ\aJmH sH h']5CJ\aJmH sH h']5CJ\aJhQSh']5PJmH sH h']5PJmH sH hd5CJ\aJ2  / 9 K C S\gddEF\u FPugdgd']gdd^-.=ln| #5789KLQ|߹īĜīĜĜ~iYhD h']0J5CJ\aJ)jhD h']5CJU\aJhz+:h']5CJ\aJhYrh']0J5CJ\aJjh']5CJU\aJh']h']5CJ\aJhz+:5CJ\aJh']5CJ\aJh']CJaJhdCJaJhd5CJ\aJh5CJ\aJhI5CJ\aJ!;<=]^Y[]M & Fgd']gdgdd|h']hzthd5CJ\aJh']h']5CJ\aJh']5CJ\aJh;:5CJ\aJ,1h. A!"#$% DyK hab.ioc@unesco.orgyK Lmailto:hab.ioc@unesco.orgyX;H,]ą'cb 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~PJ_HmHnHsHtHD`D NormalCJ_HaJmH nHsH tHDA`D Default Paragraph FontRiR  Table Normal4 l4a (k (No List B^@B d Normal (Web)dd[$\$6U@6 z+: Hyperlink >*B*phPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  &|  8KXX8@0(  B S  ? 8 G * 9 w|88X+69D + [ f i t  X \ _ d -:3333333333333333333333/9F\ X   >^]M//EF8 I X t  Q Y   ].=f{(n ^`o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.f{3<;=$$7-4/=}AI[OTV9V\_AnqR}s}{?+?|%)(().H228:<GN[=_x_g u-W**3-8[:)N UVXg]kx{}4 :  -Q+.0ACPKRU]ikt ]%,/0t5R7=E#NARS.UJUYh}t  jzf'd:,POSXCZ/  !j#U&+1^4^56Z8=U>D^JaLfjlsxD ! Y %) -h00K:@@IX\bse]g|opOx  , : 9!.30:;dCDJHTVf~oq7~  T  g     j% . m2 5 A zF G YI Q BR TU jU =V W X [ v_ ` Ks u gw   c$ B rC K }M Q a Tc q r   J , # - ]0 > E *F 2Q sY g\ \ b h t z }      g1 : M> j> A D hK N N E^ h !u v x w ^    #* 83 Z6 h8 N Y .` a b Lf p q .s  m < a+R.0B55:CD4HYI]do5x~Zh *+.06;=BgYc8g7mTx]  }'>*25K@EG]IEOfRSbY]~~G T 4  8R.ADP)QCV\-`admqrrzwdf  #L/4F6m9B~Xg-lnMwh L" "T$ .?588L'SSR```bg lvzy|~  3p/$%:(-02n557o99:@@3ElHxTZbcdlMs|hd#$55<8?FHNSXSjl   x  "$%[&6=GHH?JPX Y:YY\,`bwX}y: @B}CD7DeRSW^^Gnq{o "*25699<D>KXY]cglq{}|~ +5 9:cDI&JLz]^cmh{hh{}-~~   -05@MOPW\]bddwww}e 48: <?+CxF4ILP[DmMpqjP"6BDPPW]_'`h,jjOu{zT;  o  1&3')55BOYk\`du.27:> A|DsQR"eevjlu5}I )FnM-O048:*@HAQRRaVVdvoCpupx|  D B R  |# 1& & + 9 A F G K Q Y 0[ n\ ] 2` nf h Hj lj Yk .m p r s { w!D!w! !!/!)!*!`-!p*u*|**+!+++B +U+++D#+}$+*+a-+2+3+<=+I+N+P+pS+a`+a+c+@j+x+z+b,,I,D,,6,7,3T,yW,_,#d,n,u,;w,)y,},-"- -b------7#-l)-*-,-24-5-7-V-X-Z-[-[-k-4l-4n-)p-s-|-W. .. .".&.:."=.J.QT.cW.X.`.9a.Qe./L/T/ / /// ////6/;/OA/E/YF/]W/l/bx/9/Z0000%*0/070B:0$A0fA0HB0I0K0U0U0n0w011@1L1V1f111:,1.1/1n81D1 P1}Q1T1FT1^1`1=r1't1w1zy1Xz1~1)22:22J 2^2I2&2.272bB2J2K22M2X2b2Qj2Pp2q26s2Bw23 3 333-3/3C3F3V3\3i3o3x3|33%4484W4(414Q24A<4?4fZ4c4rz4{4.~45U 55355)555+5%5O&5J'5[+5 -5-5/5<5>5@5F5N5S5`5d5zl5l5u5+6$6A*6*6+6A64J6P6jU6[W6p]6^6F^6a6gf6i6n6|66l77R7X 7n 7/7 7177#7(7)7.787<7L7V7}X7\7`^7g7s7t78O 888J#8#8.8M8DO8xR8T85[8d88h8j8nt8t8V999999D9r99A9d+9-929:9:9?9hE9E9T9jZ9^9b9Kg9Kq9r9|:::r:: :G(:z+:,:.:1:V9:;:{?:yX:o`:m:)s:|::;h;F ;;;; ";";0;(<;N<;C;D;!G;`I;J;#V;Q\;l;:l;l;Gu;u;v;~; <<X<<j<e<"<2<%3<4</B<E<K<K<W<B\<sd<f<fi<n<kv<#|<O~< ==y="=(=l3=`5=@=sR=IW=Ma=c=i=p=E}=>7>>'>\3>3>7>7>.<>L>`>k><??`???#?6?0:?@?P?R?ZV?Y?a?@e?j?j?l?p?q?t?zu?|@ @@@@@"@%@*@*@/@5@=6@=@>@C@E@/H@H@5I@5R@ Y@[@]@`@hd@g@ot@^AAhANA#AFA5Am2AW3AFtIFIFOFTFpZF0_F`FqaF fFnlFwqFqFwFGGGU GBG&G3GO>GBGEGFGGGTGhGpG~G H2HHH H#H&H(H)H*5H):H>HDH|GHJHKH[H^HbHjgH-lHoH[ IY I IIIIII\6I?I'AIBIII`MIgMI|MIWIXI`I%aIcIfIjICkIkqI{IJJJJJ*Jp-JK@KYBK,EKEKNKRKTUKXK\KEiKlKEoK|K/L0LtLL LLLLL.LT8L:L`;LEBLJL PLQLUL[L[LH^LaL0pLpwLvzL|LvMM M M|M} M3.M =MDMZGMHMVTMdMdMiM5yMNFNXN(NN<NN^NN"N/NI6N~7N?NCN.EN@QNvSNW`NzbNfN7qNqN{NO#Oi2OcOiOwOdOPP P P/PPk!PX+Pn/P8Pa;P,UCUvJUbTUM[UaUDbUcfUfUgUhUsuU)vUvUmVV! V`VVyVV#V%V(VU)V'.V0V<9VJVSV:XV^nV4pVLtV^wVnxV{V-|VWWWWWW'WWy3W3WX@WAWBWBW&CWDWuNW_WeWoW:pWwWxWzW&XX'XaX!X#X#X*X+X;:XAXKXyNXNXRXUXXX_X`X eX}rXy|XYYYYwY;Y3%Yw)YO2Y.7Y9YAY.BY?IY9JYLYRYWYfYnYMxY{YOZZOZ3 ZZZQZ*Z.Z5Z6Z":ZQZZZ]Z^Z_ZtcZiZemZzZq}Z[ [W [[[.[![5'[([f6[*>[@[H[K[Y[PZ[`[a[d[ e[r[s[\"\U"\0)\0\8\?\YG\J\_\a\rb\g\l\=u\u\y\z\]N]` ] ]]]J ]"]']`/]-:]QF]I]tL]R] S]S]\]j^]d]m].r]\r]z]^^^^^'^e1^B?^D^L^[^h^yt^ku^__(_>)_9_C_SF_m^_^_we_&i_y_y_z_ ``k`x``-`1`4`=` D`D`%F`/K`VN`N`O`P`^`/a`ha`h`r`s`w`;aa; aak&a (a2*a+a9a@a!DaGaCIaWMaUaVYaea)paqvaZwaxaUyaza}abbbbbf bG#b 9b:b:b>qH?qOqmUqZqaq,bqvq|qrr}rrN"r$r5r;r@rMLrOrVrYrYr[grdprvr {r=s]swss$s\ s*s-sz2sN4s[5s.8s8s&v@vFvUHvQvUv \v`vav]gvivsv#wv7yv}vwV wwwww0&w%5w:w:wAwqBwCwFw|B|P|U|Y|^g|j|r|s|4}P}}x}t}}R"}V&}9}?}B}sD}I}L}VR}V})\}x^}m} p}Dp}q}}u}X~a~"~Q~~~~*~=~?~`R~D[~f~u~~M /06H9AIJP^SXpZ9]blp9?;BEE$HB`D`cdlv_ 66FUjJloK|Hsk8> BbJP[_fidl ru  %1*{*8~==>>RUW$bg+jp{ )X33q6_AEuORSVffknopvwt G~."&$* ;<>@BJXA]luou/{|N;9E;O67kBGQVdzf{fxvwyz{||& tLe!!-148AJMOe|# Y!:5?C^FK^TyZ_axfzkSm>q  Nz),F]!%&'/4 9QXfs|{8(/'47>MOlTnTmXYbc2dgTln+t{o^<5!U5=E>=@BIKMfmosNuV#7;^DHIJLLLJ[_cin _;I1`;'<ZPQXS_@iAm]qwR 8 !)9HMP@Mj[dfo@s{W~hl vf##L/2==VJJ0LNgOQj(l'U{ 8"TA!"-{/@A1CPT2^Hcc di%l~pz~+X %$$$.05:A[kr ((6.:36;>H@S:^bdlMsuw{k:(1::ATFX]]0^gYozptx=|  '+/f4:eBTQXfk"r #$15qKmM6TTP[`w{P% .  %q%%')V*-G4Rjsuz4lS'-`DCHIALbfg'rx]~& ).34n57.8}::<h>@BBDFIJovpy 1#9#<%&9,EX<[^]g9l t)8 '(]*.X/<OOJU}ZD]f{O $0!+l/e7;H=HI>K$OUWW\cgam @%%Z+5|NASEZ<[]ddGjkjpL}%Q /79?6DJLaR%]emqyz~ #3b39n=BG5JKK=OQ1bbcflnv F!'<F8KR8RTTTV\_nvAxm|Gv6 ""W0[7>?BH^HbdUffmjtjtw{ !"{$L(X)2<AjDfEH-II%MYfhh@nxP}QY[#I*/^/7f8=n>FEQFaHKQWX\\]KghXtu0 Sh%u+x/023bQeW1_bijss!z w  ""$V(./S:#<<EIQ{SjqHt,v-X%$+>26DDJT\F]Fahk:w{x{|~  Q,>0:AAPQRW8accfhkn})J%}),::;>}BLT \ ^s}o "7+:.^/"148o:OJZ`[l]^tw~iL  &+-2\3;=sB~C K[L!\^_5gimx$y~p^$+-7BCF0IMfORc;ux|L.9`!glr|A D$*+2}88-ETHkJ1LSP7SZbffskkMw~i !')_073DF~GL=VW9ZhnuXb?4+ 2:>~?HIJN^Uabpgm8q6rwy*-h/yDMNTN+RRTW\Rg qtm ( ;01X7dBEtKRWY;h?jnw~L K>Dia$)'O'+r35@IO}\miijpvqq0l HV"'Y9:6GGJNQWXZij1O O H< "%&*.,9>FGK{MR2Z]Gu} m0Z,9h@Nv]aOcdpoD7;!"$+(/45B6KFN SWZ_````fghmuk$ (|*9=[JST`~q} &0:Y3lrt,u}~1zT#) 1M@KJLO\`a%qt%xy"A!F"b$E*.9v@A-B.JKYbfvt_z B!!2$()n5P@EW*Z\N]^pVq5tHx )p_!&/2:2HZJzJKOTP[mab jsby#|Ma"+01:<lC"H'HWXUZHrsu{k}'gDn1#s&(]/ 07&>KR\\cgmIpBuv1v;f#t%d8EAABUIOYQ,\_^bc!ejoT H| "&_()GK_kn!v)wx *(!$%+g,,;@+CELjNN[fbiCjmS ZN& G#$+H-15<>@NP4QLBBC PSWc&e,ejoIr]r({Wi!0)a3=DISJeL]bLlr uQ&34:ODL[NOXdfSlvw l y; z'@0~68{9;NQSY ccedz({{!h,0;?2AncjL|V < -!k"':47/=?IST\fcfqxy}~> ] $'4QkW@Z\]gimz}r gu+++W47:>qFzV7[krssv)**#3O<?)@CK5TU^`{z{! C"a$*^,.8y;CQMTY]^h)krr_sHve!F)./9E HHK[P\^{a k $c3?/GIQ X^Neh+sz{} b"$$1C<LrTU^_ooesJvZz<".'4*778=[ByK$NOMS]r>r:tq}  4 a`$#u),,IJXJh>kWl|Q%*B+6>9>AC RS[:]C]aDQJR_adkCp(sw{""t77R@IL7PG[Bq}c Oi((e,0S249FZNO^QVY9u} #(*3P6KRVFZZ_bdeigiymmz""*/ :ANLJZfrmcW. b[J%.<W=YPWj\]D`_g/l}j4$#-[0AGW_duf`hlpt:vx ~!#\$b$)1U2IN!ddvgkorSswt9w-39EcGHhKR-Zaeolp|@X@UnknownG* Times New Roman5Symbol3. * ArialG5  hMS Mincho-3 fgA BCambria Math"qhg5g aa!24d3QKX ?d2!xxAPPLICATION FORM henrikeHenrik Enevoldsen Oh+'0   @ L Xdlt|APPLICATION FORM henrikeNormalHenrik Enevoldsen4Microsoft Office Word@vA@V~@8a՜.+,D՜.+,< hp|   APPLICATION FORM Title 8@ _PID_HLINKSA 7Mmailto:hab.ioc@unesco.orgQ5mailto:w.zhu@unesco.org  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSUVWXYZ[]^_`abcfRoot Entry FPhData 1TableoWordDocument.&SummaryInformation(TDocumentSummaryInformation8\CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q