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PDF Application Form for Volunteers or Trainees at BASRC

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Basic and Applied Scientific Research Centre Dammam 31113, Saudi Arabia

Procedure Title:

QUALITY MANUAL ISO/IEC 17025:2017

Document No.

Beneficiary service unit -IAU-BASRC-010303-F-04

Department/Section Quality Assurance / Lab Revision Date: 1.1.2022 Next Revision Date: 1.1.2026

Revision No. 1

Page 1 of 2

Application Form for Volunteers or Trainees at BASRC

1. Name in Full:

First Middle FAMILY 2. Date of Birth:

Day / Month / Year

3. Nationality:

4. Gender: 5. ID/Iqama/Passport No:

6. Email Contact NO. :

7. Field of Study

8. Highest Academic Degree:

Date Obtained: Day / Month / Year/

University/Institute: (Country 9. Qualification (Start from the recent one) Degree

(Type, Major)

Started (month/year)

Degree obtained (month/year)

Full-time / Part-time

University/Institution

10. Experience (Start from the recent one) Role / type of work

Period (Joined – Left)

11. Technical /Laboratory Skills

12. Career Goals and Ambitions:

13. Previous Internships/ Projects/ Volunteer Experience:

(Mention details, sponsor, period and attach copies of certificates)

I, Ms/Mr ________________________, certify that:

✓ The above information to be accurate and correct.

✓ I am proficient in English Language.

✓ I have read and fully understand the Scope of the Contract and will abide by the terms and conditions.

Signature: ___________________________________ Date: _______________________

(2)

Basic and Applied Scientific Research Centre Dammam 31113, Saudi Arabia

Procedure Title:

QUALITY MANUAL ISO/IEC 17025:2017

Document No.

Beneficiary service unit -IAU-BASRC-010303-F-04

Department/Section Quality Assurance / Lab Revision Date: 1.1.2022 Next Revision Date: 1.1.2026

Revision No. 1

Page 2 of 2

SCOPE OF CONTRACT:

1. I agree to abide by BASRC and IAU rules and regulations.

2. The particulars given in the form are correct and true to the best of my knowledge.

3. I will not receive or expect any payment for the duration of Volunteer Program.

4. I will maintain BASRC’s Timing and Schedule.

5. I will work in collaboration with my fellow Researchers, promoting good team work.

6. I will implement a strict NON-DISCLOSURE in respect of any information about BASRC and IAU.

7. I am aware of the BASRC and IAU’s research policies and ethical requirements available online at Basic and Applied Scientific Research Center | Imam Abdulrahman Bin Faisal University (iau.edu.sa) and in following table;

Scientific Integrity http://www.iau.edu.sa/en/research/scientific-integrity

Research Ethics on Living Creatures http://www.iau.edu.sa/en/research/research-ethics-on-living-creatures Animal Care and Use in Scientific Research http://www.iau.iau.sa/en/research/animal-care-use-in-scientific-research

Monitoring office for Research and Research Ethics

http://www.iau.edu.sa/en/research/research-ethics-on-living-creatures/monitoring- office-for-research-and-research-ethics

IAU’s Research Strategic Plan 2015-2025 http://www.iau.edu.sa/en/research/research-strategic-plan-2015-2025

Patents and Technology Transfer Office http://www.iau.edu.sa/en/research/patents-and-technology-transfer-office

Volunteer or trainees Details Beneficiary Service Unit, BASRC Name:

Signature:

Name:

Signature:

Referensi

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