(Referee - When requested by the applicant, please complete the form below)
Conditions of Award
Your Details
Referee Name:
Address:
Tel:
Fax:
E-mail:
Name of applicant:
Your relationship to the applicant (eg former PhD supervisor):
Brief assessment of the applicant:
Your ranking of the applicant: Among a total of graduate students and postdocs, the applicant is in the top...... 5% 10% 20% 30% 40% 50% Lower
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