Bewerbungsformular by ajizai

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									                                 DAAD                             Deutscher Akademischer Austausch Dienst
                                                                  German Academic Exchange Service

             Special Programme for Serbia – Scientific Internship in Germany
                      for Undergraduates and Graduates from Serbia

                                APPLICATION FORM FOR A RESEARCH INTERNSHIP


                                 Surname:

        Attach                   Name:
        photo
       please –                  Date of birth:
        do not
        staple!
                                 Place of birth:

                                 Country of birth:

                                 Marial status:                  married;       single;   Number of children

                                 Country of permanent
                                 residence:


1. M AILING ADDRESS,
Where you may be contacted at any time until taking up a possible scholarship

Street:

Post/Zip Code, town:

Country:

Telephone, area code:

Fax:

e-mail:

2. SECONDARY SCHOOL EDUCATION


Secondary school education:

from (month/year), to (month/year):

Type of final examination / Original
name of examination:

Awarded on (day/month/year):

Result(s):
3. HIGHER EDUCATION
(university or other degree-awarding institution)

     from                  to                             at                          Subject




4. ACADEMIC YEAR AT THE TIME OF APPLICATION

Main subject/major                                                                year:


Subsidiary subject/minor                                                          year:




5. DEGREES HELD
day/month/year            Exact degree title                    Subject               Degree result




Degree(s) expected before taking up a
possible scholarship:

Expected date of final examination:


6. DURATION OF PLANNED STAY IN GERMANY
From (day/month/year):                               To (day/month/year):



7. HOST UNIVERSITY/INSTITUTION IN GERMANY


Name of the
university/institution:

Name of the project
supervisor:

Have contacts been made?        No             yes, namely with (attach copies)

Reasons for your internship stay in
Germany
(please only outline your project here and
attach a precise and detailed on separate
sheet)
8. WHICH ACADEMIC REFEREES HAVE SUBMITTED A REPORT FOR THIS APPLICATION?

Please give name, academic
field, university/institution


9. LANGUAGE SKILLS

Languages:                                 very good         good          fair     poor




10.      Have you received a DAAD scholarship in the past?

         no                     yes, give exact dates and title of programme ____________________________


         Have you been sponsored by other institutions?

         no                     yes, give exact dates and title of programme ____________________________


         Are you applying under another DAAD programme for the same period of time?

         no                     yes, give title of programme _________________________________________


         Are you currently applying to other institutions?

         no                     yes, name of institution _____________________________________________


Please notify the DAAD immediately, should you be granted another scholarship!!!


11. PRACTICAL OR PROFESSIONAL WORK EXPERIENCE DURING OR AFTER HIGHER EDUCATION

Please give complete                                                                       position (give exact
information             from…to…                where?              type of work           title)




12. WHAT PROFESSIONAL CAREER DO YOU ENVISAGE?

                                     _______________________________________


13. WHAT ARE YOUR EXTRACURRICULAR INTERESTS?

                                     _______________________________________


14. OTHER INFORMATION/REMARKS WHICH SEEM IMPORTANT TO YOU IN CONNECTION WITH THIS APPLICATION
15. NAME AND ADDRESS OF PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

Name:                                         Street:

PO Box:                                       Post code, town:

Country:

phone, including                              e-mail:
area code:




I certify that the information provided in this application is accurate to the best of my knowledge.
Furthermore I agree to inform the DAAD immediately of any changes and amendments.

I have taken note of the information provided in and regarding this application as well as the notice about
the storage of personal data. I accept responsibility for the completeness of my application. I agree that
this application and accompanying documents shall remain with the DAAD.




______________________________
(Place)

______________________________                              _______________________________
(Date)                                                      (Signature)

								
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