A Self-Report on the Activities and Achievements of Faculty Member

A self-report on the activities and achievements of the faculty member

During the 2016 academic year

Name (quadrant): ..................................................... ...............National ID:   ................................ .....

Scientific name in publication: ..................................................... ...Functional class: .................................

Scientific Section: ............................................................................................... ...................

Other college or university: ..................................................... ............. (if you are a student or work in another college)

E-mail:   ............................................... ........ Mobile: ................................ ..