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Reviewer | International Centre of Excellence in Chemical, Agricultural and Biological Sciences
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Prof. Dr.</option> <option value="Dr.">Dr.</option> <option value="Mr.">Mr.</option> <option value="Miss.">Miss.</option> </select> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Name* :</label> </div> <div class="col-lg-4 col-md-4 "> <input type="text" name="fname" class="required form-control" value=""> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Surname :</label> </div> <div class="col-lg-4 col-md-4"> <input class="form-control" type="text" name="surname" value=""> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Email(Eg:abc@gmail.com)* :</label> </div> <div class="col-lg-4 col-md-4"> <input type="text" name="email" class="form-control" value=""> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Country* :</label> </div> <div class="col-lg-4 col-md-4"> <select name="country" class="form-control"> <option value="">-Select Country-</option> <option value="1">Afghanistan</option><option value="2">Aland Islands</option><option value="3">Albania</option><option value="4">Algeria</option><option value="5">American Samoa</option><option value="6">Andorra</option><option value="7">Angola</option><option value="8">Anguilla</option><option value="9">Antarctica</option><option value="10">Antigua and Barbuda</option><option value="11">Argentina</option><option value="12">Armenia</option><option value="13">Aruba</option><option value="14">Australia</option><option value="15">Austria</option><option value="16">Azerbaijan</option><option value="17">Bahamas</option><option value="18">Bahrain</option><option value="19">Bangladesh</option><option value="20">Barbados</option><option value="21">Belarus</option><option value="22">Belgium</option><option value="23">Belize</option><option value="24">Benin</option><option value="25">Bermuda</option><option value="26">Bhutan</option><option value="27">Bolivia</option><option value="28">Bonaire, Sint Eustatius and Saba</option><option value="29">Bosnia and Herzegovina</option><option value="30">Botswana</option><option value="31">Bouvet Island</option><option value="32">Brazil</option><option value="33">British Indian Ocean Territory</option><option value="34">Brunei</option><option value="35">Bulgaria</option><option value="36">Burkina Faso</option><option value="37">Burundi</option><option value="38">Cambodia</option><option value="39">Cameroon</option><option value="40">Canada</option><option value="41">Cape Verde</option><option value="42">Cayman Islands</option><option value="43">Central African Republic</option><option value="44">Chad</option><option value="45">Chile</option><option value="46">China</option><option value="47">Christmas Island</option><option value="48">Cocos (Keeling) Islands</option><option value="49">Colombia</option><option value="50">Comoros</option><option value="51">Congo</option><option value="52">Cook Islands</option><option value="53">Costa Rica</option><option value="54">Cote d'ivoire (Ivory Coast)</option><option value="55">Croatia</option><option value="56">Cuba</option><option value="57">Curacao</option><option value="58">Cyprus</option><option value="59">Czech Republic</option><option value="60">Democratic Republic of the Congo</option><option value="61">Denmark</option><option value="62">Djibouti</option><option value="63">Dominica</option><option value="64">Dominican Republic</option><option value="65">Ecuador</option><option value="66">Egypt</option><option value="67">El Salvador</option><option value="68">Equatorial Guinea</option><option value="69">Eritrea</option><option value="70">Estonia</option><option value="71">Ethiopia</option><option value="72">Falkland Islands (Malvinas)</option><option value="73">Faroe Islands</option><option value="74">Fiji</option><option value="75">Finland</option><option value="76">France</option><option value="77">French Guiana</option><option value="78">French Polynesia</option><option value="79">French Southern Territories</option><option value="80">Gabon</option><option value="81">Gambia</option><option value="82">Georgia</option><option value="83">Germany</option><option value="84">Ghana</option><option value="85">Gibraltar</option><option value="86">Greece</option><option value="87">Greenland</option><option value="88">Grenada</option><option value="89">Guadaloupe</option><option value="90">Guam</option><option value="91">Guatemala</option><option value="92">Guernsey</option><option value="93">Guinea</option><option value="94">Guinea-Bissau</option><option value="95">Guyana</option><option value="96">Haiti</option><option value="97">Heard Island and McDonald Islands</option><option value="98">Honduras</option><option value="99">Hong Kong</option><option value="100">Hungary</option><option value="101">Iceland</option><option value="102">India</option><option value="103">Indonesia</option><option value="104">Iran</option><option value="105">Iraq</option><option value="106">Ireland</option><option value="107">Isle of Man</option><option value="108">Israel</option><option value="109">Italy</option><option value="110">Jamaica</option><option value="111">Japan</option><option value="112">Jersey</option><option value="113">Jordan</option><option value="114">Kazakhstan</option><option value="115">Kenya</option><option value="116">Kiribati</option><option value="117">Kosovo</option><option value="118">Kuwait</option><option value="119">Kyrgyzstan</option><option value="120">Laos</option><option value="121">Latvia</option><option value="122">Lebanon</option><option value="123">Lesotho</option><option value="124">Liberia</option><option value="125">Libya</option><option value="126">Liechtenstein</option><option value="127">Lithuania</option><option value="128">Luxembourg</option><option value="129">Macao</option><option value="130">Macedonia</option><option value="131">Madagascar</option><option value="132">Malawi</option><option value="133">Malaysia</option><option value="134">Maldives</option><option value="135">Mali</option><option value="136">Malta</option><option value="137">Marshall Islands</option><option value="138">Martinique</option><option value="139">Mauritania</option><option value="140">Mauritius</option><option value="141">Mayotte</option><option value="142">Mexico</option><option value="143">Micronesia</option><option value="144">Moldava</option><option value="145">Monaco</option><option value="146">Mongolia</option><option value="147">Montenegro</option><option value="148">Montserrat</option><option value="149">Morocco</option><option value="150">Mozambique</option><option value="151">Myanmar (Burma)</option><option value="152">Namibia</option><option value="153">Nauru</option><option value="154">Nepal</option><option value="155">Netherlands</option><option value="156">New Caledonia</option><option value="157">New Zealand</option><option value="158">Nicaragua</option><option value="159">Niger</option><option value="160">Nigeria</option><option value="161">Niue</option><option value="162">Norfolk Island</option><option value="163">North Korea</option><option value="164">Northern Mariana Islands</option><option value="165">Norway</option><option value="166">Oman</option><option value="167">Pakistan</option><option value="168">Palau</option><option value="169">Palestine</option><option value="170">Panama</option><option value="171">Papua New Guinea</option><option value="172">Paraguay</option><option value="173">Peru</option><option value="174">Phillipines</option><option value="175">Pitcairn</option><option value="176">Poland</option><option value="177">Portugal</option><option value="178">Puerto Rico</option><option value="179">Qatar</option><option value="180">Reunion</option><option value="181">Romania</option><option value="182">Russia</option><option value="183">Rwanda</option><option value="184">Saint Barthelemy</option><option value="185">Saint Helena</option><option value="186">Saint Kitts and Nevis</option><option value="187">Saint Lucia</option><option value="188">Saint Martin</option><option value="189">Saint Pierre and Miquelon</option><option value="190">Saint Vincent and the Grenadines</option><option value="191">Samoa</option><option value="192">San Marino</option><option value="193">Sao Tome and Principe</option><option value="194">Saudi Arabia</option><option value="195">Senegal</option><option value="196">Serbia</option><option value="197">Seychelles</option><option value="198">Sierra Leone</option><option value="199">Singapore</option><option value="200">Sint Maarten</option><option value="201">Slovakia</option><option value="202">Slovenia</option><option value="203">Solomon Islands</option><option value="204">Somalia</option><option value="205">South Africa</option><option value="206">South Georgia and the South Sandwich Islands</option><option value="207">South Korea</option><option value="208">South Sudan</option><option value="209">Spain</option><option value="210">Sri Lanka</option><option value="211">Sudan</option><option value="212">Suriname</option><option value="213">Svalbard and Jan Mayen</option><option value="214">Swaziland</option><option value="215">Sweden</option><option value="216">Switzerland</option><option value="217">Syria</option><option value="218">Taiwan</option><option value="219">Tajikistan</option><option value="220">Tanzania</option><option value="221">Thailand</option><option value="222">Timor-Leste (East Timor)</option><option value="223">Togo</option><option value="224">Tokelau</option><option value="225">Tonga</option><option value="226">Trinidad and Tobago</option><option value="227">Tunisia</option><option value="228">Turkey</option><option value="229">Turkmenistan</option><option value="230">Turks and Caicos Islands</option><option value="231">Tuvalu</option><option value="232">Uganda</option><option value="233">Ukraine</option><option value="234">United Arab Emirates</option><option value="235">United Kingdom</option><option value="236">United States</option><option value="237">United States Minor Outlying Islands</option><option value="238">Uruguay</option><option value="239">Uzbekistan</option><option value="240">Vanuatu</option><option value="241">Vatican City</option><option value="242">Venezuela</option><option value="243">Vietnam</option><option value="244">Virgin Islands, British</option><option value="245">Virgin Islands, US</option><option value="246">Wallis and Futuna</option><option value="247">Western Sahara</option><option value="248">Yemen</option><option value="249">Zambia</option><option value="250">Zimbabwe</option> </select> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Institution* :</label> </div> <div class="col-lg-4 col-md-4"> <input type="text" name="institution" class="form-control" value=""> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Department* :</label> </div> <div class="col-lg-4 col-md-4"> <input type="text" name="department" class="form-control" value=""> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Phone* :</label> </div> <div class="col-lg-4 col-md-4"> <input maxlength="12" type="text" name="phone" class="form-control digits" value=""> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Fax :</label> </div> <div class="col-lg-4 col-md-4"> <input maxlength="12" type="text" name="fax" class="form-control digits" value=""> </div> </div> <div class="inner_form col-lg-12 col-md-12"> <div class="col-lg-3 col-md-3"> <label>Research field* :</label> </div> <div class="col-lg-4 col-md-4"> <textarea 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