Panellist Application Form
Surname:
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First Name:
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Title:
MR 
MS 
DR 
Prof.  Other______________
City:
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Country of Residence:
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Telephone: _________________________________ Mobile:_________________________
Email: __________________________________________
Current Position:
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Education Qualifications:
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Published works:
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WTO experience or interest:
__________________________________________________________________________________
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EMC² Panellist Interest
FINAL ORAL ROUND 
EUROPEAN REGIONAL ROUND NO. 1 
EUROPEAN REGIONAL ROUND NO. 2 
ASIA-PACIFIC REGIONAL ROUND 
ALL AMERICA REGIONAL ROUND 
AFRICAN REGIONAL ROUND 
EMC² Panellist experience
(Please fill in your past experience – Written Submissions, Regional Rounds, Final Oral Round)
EMC² Accoaching/or participating experience
(please fill in)
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Applicant’s Name
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Applicant’s Signature