Thai Professionals in North America Data Form

Office of Science and Technology is going to update the information of Thai professionals in our database. If you are a Thai professional currently working in North America and would like your name to be included in our database, please complete the data form and submit to OSTC. The information you provide will be kept confidential and only be used by OSTC staff for providing you OSTC news, activities, annual conferences, projects, and other information from Thailand.

First Name
Last Name
Expertise1
Expertise2
Expertise3
Edu. Background
	(Ex. Ph.D., MS., BS., etc. and major field of study)

Organization
Title
Address
City
State
Zip
Country
Work Phone
Work Fax

Home Address
City
State
Zip
Country
Home Phone
Home Fax

Email Address