BIODATA SHEET

FOR AFRICAN PROFESSIONAL IN ENVIRONMENTAL & RELATED FIELDS

AFRICAN ENVIRONMENTAL RESEARCH AND CONSULTING GROUP

NAME

CONTACT POSTAL ADDRESS

TELEPHONE NUMBER(S)

TELEFAX NUMBER

TELEX NUMBER

QUALIFICATIONS

AREAS OF EXPERIENCE & INTEREST

LANGUAGES & LEVEL OF PROFECIENCY

LIST WORK EXPERIENCE IN AN AFRICAN

COUNTRY

INDICATE IF YOUR WILLING TO TRAVEL

INDICATE NATIONALITY

INDICATE PREFERRED COUNTRIES YOU

WOULD WISH TO WORK IN

INDICATE NUMBER OF WEEKS NOTICE

YOU REQUIRE TO BE GIVEN PRIOR TO

UNDERTAKING ASSIGNMENT

ADDITIONAL INFORMATION AND

SUGGESTIONS

LIST OF OTHER PORFEESIONALS YOU

RECOMMEND

Locations:

Headquarters: Australia Regional Office Washington Regional Affiliate Offices:

14912 Walmer St 48 Taroona Crescent Office P.O. Box 10323

Overland Park, KS 66223 Taroona, Tasmania 7053 P.O. Box 2307 Newport Beach, CA 92658

U.S.A. Australie Fairfax, VA 22031 U.S.A.

Tel/Fax (913) 897-6132 002-278365 (703) 280-0759

Régional African Offices : Algrens, Morocco, Niger, Sengai, Guinea-Bissau, Cote d »Ivoire, Ghana, Burkina, Angoia, S. Africa

A Registered and Non-Profit Group for Sound Environmental Management and Research in Africa.

NOTE: PLEASE ATTACH ANY ADDITIONAL INFORMATION ON YOUR ORGANIZATION.

COMPLETED FORM MUST BE MAILD TO AERCG HEADQUARTERS IN THE U.S.A.