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Coimbra Group Scholarship Programme for Africa


Required fields (*)

 

1. Personal data

First Name*
Family Name*
Date of birth*
Place of birth*
Gender* M F
Nationality*
Title/profession *
Current University *
Id. Number /Passport*
Address*
Postal Code*
Town*
Country*
Tel*
Email (just one)*
   

 

2. Professional data (Additional documents are not accepted)


University degree, field, university and date*
 
Current position and employer*
 
Language proficiency (Tell us the degree for each language: Fluent, Good or Moderate)*

Language Written Oral
 

 

3. Curriculum Vitae
(In chronological order, starting from the most recent)

Academic qualifications (200 words)

 
Professional experience (200 words)
 
Stays abroad (200 words)
 
Scholarships/awards (200 words)
 
Publications (Max. 200 words)
 
Extra relevant information (work experience, internships, etc – 300 words)
 

 

4. Application data (Additional documents are not accepted)


University (Please choose)*
 

Department and contact person (Tutor/Partner) in Country of destination (address, telephone, email)*

Period of stay* :
 
Explanatory report of the work programme to be pursued in the recipient university
(Max. 450 words)*
Acceptance letter from tutor in receiving institution (word or pdf only)*:

What's the result for: 6+2+1 ?*

 

Deadline : 31 March 2017.