South Asian Primate Network SAPN - Zoo Outreach Organisation

PSG South Asian Primate Network – PSG SAPN (pron. “sah-pen”)
Representing the IUCN SSC Primate Specialist Group in South Asia
(Pl. Expand all initials) First Name Middle Last
Name:
Occupation: Title: Mr. , Mrs. , Ms. , Dr.
Date of birth: dd/mm/yyyy Sex: Male , Female
Name of Institution and
Address:
Office Phone: (w. STD code)
Home Phone: (w. STD code)
Email1:
Fax:
Mobile:
Email2:
Home/office address
other than above if you
prefer us to use it.
Website (If any): I have attached my photo: jpg , tif , psd
Tick or type one or more of the choices below. In case you are shy or modest, please don’t be.
Do you study/observe
primates:
Full Time , Part time , Sporadically , Opportunistically
Are you a primate: Specialist , Student , Amateur , Photographer , Others
Are you interested in
primate:
Taxonomy , Diversity , Genetics , Acoustics , Behaviour , Diseases , Captive
breeding , Photography , Education , Reintroduction , Welfare , Man/Animal
conflict , Grant writing , PVA Analysis (Vortex) , Captive husbandry Captive
management , Others
Are you: currently involved in primate work , were involved but retired , were involved but moved to
other field/s , retired or moved away- but itching to get back into primate work ,
Others
Research interests and
species of special
interest
Are you a Ph.D. holder Yes , No , Presently enrolled for a Ph.D.
Is your Ph.D. on: Primate diversity/conservation , Laboratory , Ecology , Museum , Genetics ,
Others (explain briefly)
Title of Ph.D.
Dissertation:
University Place Year (of submission of dissertation)
Page 1 /2012