Please enable JavaScript in your browser to complete this form.
Email address *
Name of the ISC Member organization * — Select Choice — Select Member organization Albania, Academy of Sciences of Albania Arab Council of Social Sciences Armenia, National Academy of Sciences of the Republic of Armenia Association of Academies and Societies of Sciences in Asia Association of Asian Social Science Research Councils Australia, Academy of the Social Sciences in Australia Australia, Australian Academy of Science Australia, Australian Early- and Mid-Career Researchers Forum Austria, Austrian Academy of Sciences Azerbaijan, Azerbaijan National Academy of Sciences Bangladesh, Bangladesh Academy of Sciences Bangladesh, National Young Academy of Bangladesh Barcelona Science and Technology Diplomacy Hub Belarus, National Academy of Sciences of Belarus Belgium, Royal Academies for Science and the Arts of Belgium Belgium, Young Academy of Belgium Benin, National Academy of Sciences, Arts and Letters of Benin Bolivia, National Academy of Sciences of Bolivia Bosnia and Herzegovina, Academy of Sciences and Arts of Bosnia and Herzegovina Bosnia and Herzegovina, Academy of Sciences and Arts of the Republic of Srpska Botswana, Botswana Academy of Science Brazil, Brazilian Academy of Sciences Brazil, National Association of Graduate Studies and Research in Social Sciences of Brazil Bulgaria, Bulgarian Academy of Sciences Burkina Faso, National Center for Scientific and Technological Research of Burkina Faso Cameroon, Cameroon Academy of Sciences Canada, National Research Council of Canada Canada, Royal Society of Canada’s College of New Scholars, Artists and Scientists Caribbean Academy of Sciences Chile, Chilean Academy of Sciences China, China Association for Science and Technology China, Chinese Academy of Social Sciences China: Taipei, Academy of Sciences located in Taipei Colombia, Colombian Academy of Exact, Physical and Natural Sciences Colombia, Young Academy of Colombia Committee on Data of the International Council for Science Committee on Space Research Congo, Congolese Academy of Sciences Consortium of Humanities Centers and Institutes Costa Rica, National Academy of Sciences of Costa Rica Cote d’Ivoire, Academy of Sciences, Arts, African Cultures and Diasporas Cuba, Cuban Academy of Sciences Cyprus, Cyprus Academy of Sciences, Letters and Arts Denmark, Danish Young Academy Denmark, Royal Danish Academy of Sciences and Letters Dominican Republic, Academy of Sciences of the Dominican Republic Ecuador, Academy of Sciences of Ecuador Egypt, Academy of Scientific Research and Technology of Egypt El Salvador, Vice Ministry of Education Science and Technology of El Salvador Estonia, Estonian Academy of Sciences Ethiopia, Ethiopian Academy of Sciences Ethiopia, Ministry of Innovation and Technology of Ethiopia European Association of Development Research and Training Institutes European Consortium for Political Research Finland, Council of Finnish Academies Finland, Young Academy Finland France, French Academy of Sciences Future Earth Georgia, Georgian National Academy of Science Germany, German Research Foundation Ghana, Ghana Academy of Arts & Sciences Ghana, Ghana Young Academy Global Climate Observing System Global Ocean Observing System Global Research Programme on Inequality Global Young Academy Greece, Academy of Athens Guatemala, Academy of Medical, Physical and Natural Sciences of Guatemala Honduras, National Academy of Sciences of Honduras Hungary, Hungarian Academy of Sciences Hungary, Hungarian Research Network India, Indian Council of Social Science Research India, Indian National Science Academy India, Indian National Young Academy of Sciences India, Young Academy of India Indonesia, Indonesian Young Academy of Sciences Institute for Global Environmental Strategies Integrated Research on Disaster Risk Inter-American Institute for Global Change Research International Arctic Science Committee International Arctic Social Sciences Association International Association of Applied Psychology International Association of Legal Science International Association of Physics Students International Astronomical Union International Cartographic Association International Commission for Acoustics International Commission for Optics International Commission on Illumination International Consortium of Research Staff Associations International Council for Industrial and Applied Mathematics International Council for Laboratory Animal Science International Council for Scientific and Technical Information International Federation of Library Associations and Institutions International Federation of Societies for Microscopy International Federation of Surveyors International Geographical Union International Institute for Applied System Analysis International Mathematical Union International Network for Advancing Science and Policy International Network for Governmental Science Advice International Peace Research Association International Political Science Association International Society for Digital Earth International Society for Photogrammetry and Remote Sensing International Society for Porous Media International Sociological Association International Statistical Institute International Union for Physical and Engineering Sciences in Medicine International Union for Pure and Applied Biophysics International Union for Quaternary Research International Union for the Scientific Study of Population International Union for Vacuum Science, Technique and Applications International Union of Academies International Union of Basic and Clinical Pharmacology International Union of Biological Sciences International Union of Crystallography International Union of Food Science and Technology International Union of Forest Research Organizations International Union of Geodesy and Geophysics International Union of Geological Sciences International Union of History and Philosophy of Science and Technology International Union of Immunological Societies International Union of Materials Research Societies International Union of Microbiological Societies International Union of Nutritional Sciences International Union of Physiological Sciences International Union of Psychological Science International Union of Pure and Applied Chemistry International Union of Pure and Applied Physics International Union of Radio Science International Union of Soil Sciences International Union of Speleology International Union of Theoretical and Applied Mechanics International Union of Toxicology International Visual Sociology Association Iran, Islamic Republic of, University of Tehran Iraq, Ministry of Higher Education and Scientific Research Iraq Ireland, Royal Irish Academy Islamic World Academy of Sciences Israel, Israel Academy of Sciences and Humanities Italy, National Research Council Italy Italy, Pontifical Academies of Sciences and Social Sciences Jamaica, Scientific Research Council of Jamaica Japan, Science Council of Japan Jordan, Royal Scientific Society of Jordan Kazakhstan, National Academy of Sciences of the Republic of Kazakhstan Kenya, African Academy of Sciences Kenya, Kenya National Academy of Sciences Kenya, National Commission for Science, Technology and Innovation Kenya Korea (Democratic People’s Republic of), State Academy of Sciences of North Korea Korea (Republic of), Korean Academy of Science and Technology Korea (Republic of), Korean Social Science Research Council Korea (Republic of), National Academy of Sciences of the Republic of Korea Latin American Council of Social Sciences Latin American Faculty of Social Sciences Latvia, Latvian Academy of Sciences Lebanon, National Council for Scientific Research of Lebanon Lesotho, Department of Science and Technology of Lesotho Lithuania, Lithuanian Academy of Sciences Luxembourg, Luxembourg National Research Fund Madagascar, Ministry of Higher Education and Scientific Research of Madagascar Malawi, National Commission for Science and Technology of Malawi Malaysia, Academy of Sciences Malaysia Marie Curie Alumni Association Mauritius, Mauritius Academy of Science and Technology Mexico, Mexican Academy of Sciences Mexico, Mexican Council of Social Sciences Moldova, Academy of Sciences of Moldova Monaco, Centre Scientifique de Monaco Mongolia, Mongolian Academy of Sciences Montenegro, Montenegrin Academy of Sciences and Arts Morocco, Hassan II Academy of Sciences and Technology Mozambique, Scientific Research Association of Mozambique Namibia, National Commission on Research, Science and Technology of Namibia Nepal, Nepal Academy of Science and Technology Netherlands, Royal Netherlands Academy of Arts and Sciences New Zealand, Royal Society Te Aparangi of New Zealand Nigeria, Nigerian Academy of Science Nigeria, Nigerian Young Academy North Macedonia, Macedonian Academy of Sciences and Arts Norway, Norwegian Academy of Science and Letters Norway, University of Bergen Oman, Ministry of Higher Education, Research and Innovation, Oman Organization for Social Science Research in Eastern and Southern Africa Organization for Women in Science for the Developing Worlds Pacific Science Association Pakistan, National Academy of Young Scientists Pakistan Panama, Universidad de Panama Peru, National Academy of Sciences of Peru Philippines, National Research Council of the Philippines Philippines, Philippine Social Science Council Poland, Polish Academy of Sciences Poland, Polish Young Academy Portugal, Academy of Sciences of Lisbon Portugal, Young Academy of Portugal – Young Scientists Seminar Romania, Romanian Academy Russian Federation, Russian Academy of Sciences Rwanda, Rwanda Academy of Sciences Saudi Arabia, King Abdulaziz City for Science and Technology Scientific Committee of Problems of the Environment Scientific Committee on Antarctic Research Scientific Committee On Frequency Allocations For Radio Astronomy And Space Science Scientific Committee on Oceanic Research Scientific Committee on Solar-Terrestrial Physics Senegal, Senegal Academy of Science and Technology Serbia, Serbian Academy of Sciences and Arts Singapore, Singapore National Academy of Science Slovakia, Slovak Academy of Sciences Society for Social Studies of Science Society for the Advancement of Science in Africa Somalia, Somali Natural Resources Research Center South Africa, Human Sciences Research Council of South Africa South Africa, National Research Foundation of South Africa Spain, Ministry of Science, Innovation and Universities of Spain Spain, Young Academy of Spain Sri Lanka, National Science Foundation of Sri Lanka Sudan, Sudan National Centre for Research Sudan, Sudanese National Academy of Sciences Sweden, Royal Swedish Academy of Sciences Switzerland, Swiss Academy of Humanities and Social Sciences Switzerland, Swiss Academy of Sciences Tajikistan, National Academy of Sciences of Tajikistan Tanzania, Tanzania Commission for Science and Technology Thailand, National Research Council of Thailand Transnational Institute Tunisia, Université Tunis El Manar Türkiye, Bilim Akademisi Türkiye, Turkish Academy of Sciences TWAS Young Affiliates Network Uganda, Uganda National Council for Science and Technology Ukraine, National Academy of Sciences of Ukraine United Kingdom, Academy of Medical Sciences United Kingdom, British Academy United Kingdom, Royal Society United States of America, National Academy of Sciences USA University of the Arctic University of the South Pacific Urban Health and Wellbeing Programme Uruguay, National Council of Innovation, Science and Technology of Uruguay Uzbekistan, Academy of Sciences of the Republic of Uzbekistan Venezuela, National Council for Scientific and Technological Research of Venezuela Vietnam, Vietnam Union of Science and Technology Associations World Academy of Sciences World Anthropological Union World Climate Research Programme World Data System Young Academy of Europe Zambia, Zambia Academy of Sciences Zimbabwe, Research Council of Zimbabwe
Role/position in the ISC Member organization *
Email *
Phone number (please include country code)
Nationality 1 Select country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Antilles (French) Antilles (Netherland) Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China China: Hong Kong China: Taipei Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran, The Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People’s Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka St. Helena Sudan Suriname Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Türkiye Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America United States Virgin Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Nationality 2 Select country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Antilles (French) Antilles (Netherland) Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China China: Hong Kong China: Taipei Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran, The Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People’s Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka St. Helena Sudan Suriname Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Türkiye Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America United States Virgin Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Country of residence Select country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Antilles (French) Antilles (Netherland) Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China China: Hong Kong China: Taipei Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran, The Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People’s Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka St. Helena Sudan Suriname Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Türkiye Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America United States Virgin Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Gender: Please self-describe *
Spoken languages *
Organization(s) and position(s). Please list here all organizations that the nominee is currently affiliated with/working for/involved in and specify the nominees position/role within the organization(s). *
Please give more information on the nominees current or previous involvement with one or more ISC Member organizations. *
Please give more information on the nominees experience in developing regional and/or national science networks. *
Please give more information on the nominees experience regarding science-policy and science-societal interactions. *
Please give more information regarding the nominees regional networks, and her/his/their convening power in the scientific, policy, business, or any other sector relevant to the ISCs mission and objectives. *
Vision for the ISC Regional Focal Point for Asia and the Pacific – Please share with us the nominees vision for the work of the ISC RFP AP, and in the nominees opinion the scientific priorities for the Asia- Pacific region. *