UNESCO KALINGA PRIZE
for the popularization of science

Submission Form

1. Name of the Member State submitting the candidature:

2. Name of the Body proposing the candidature (if appropriate):

3. Name, address, telephone and fax number, email of candidate:  

4. Nationality of candidate:

5. List enclosed annexes (books, CD-ROMs, cassettes, videocassettes, news paper articles, etc):   

6. List translations/summaries of annexes in English and/or French (if original in another language):

7. Description of the candidate's career in science popularisation (used as many sheets as necessary):

Science Popularization

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