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The JERICO Deltares Summer School 2014


From data to information


14-20 June 2014


Delft/the Hague

the Netherlands




Local organizer:    largest contributors:



To be completed by a senior of the nominee,e.g. from a university, institution, national or regional organisation.

Name of nominator




Postal address


E-mail address





Name of nominee




Postal address


E-mail address



as a candidate for the JERICO Deltares Summer School on From data to information (14th June – 20th June 2014) in the Hague/Delft (the Netherlands) and certifies that:


 all information supplied by the nominee in the attached form is complete and correct;

 the nominee has adequate knowledge, appropriately tested, of the English language; and

 the absence of the nominee from his/her place of work/study during his/her attendance at the

  course would not have any adverse effect on his/her status, seniority, salary, pension or similar rights.




I certify that my statements in this form are true, complete and correct to the best of my knowledge


__________________________________              __________________________________

Nominator’s signature and institute’s seal                Date