APPLICATION FORM FOR PSME PROGRAM, ACADEMIC YEAR 2015/2016 PLEASE COMPLETE THIS FORM AND SEND IT TOGETHER WITH: - application letter - detailed CV in English - copy of transcripts of your Bachelor degree - copy of your IELTS or TOEFL or equivalent English proficiency certificate, if English is not your native language - two letters of recommendation - A copy of your passport Application material may be sent by email at psme@univ-paris1.fr but certified copies of transcripts and certificates and original letters of recommendation will be necessary to confirm registration. A hard copy of all material should be sent to the following address: Mrs. Morgan Hull-Brousmiche Responsible for PSME Program, UFR02, #C2202 Universit Paris 1 Panthon Sorbonne 90 rue de Tolbiac 75013 Paris France Last (Family) name * : First name * : Maiden name : Birth date (dd/mm/yyyy) * : E-mail * : Country of citizenship * : Address 1 (Permanent one in your home country) * : Zip code * : City * : Country * : Address 2 (where you presently live, if different) : Zip code : City : Country : Phone number : Passport Information Passport Number *: Date of Issue (dd/mm/yyyy) *: Date of Expiry (dd/mm/yyyy) *: City of Issue *: City of Birth *: Country of birth *: