You are on page 1of 1

Programme Application Form

Please attach in a separate document your curriculum

Further obliged enclosures

Vitae (CV) with at least containing:

a) A certificate of proficiency in the English language


issued by a recognised institute (only for applicants
from countries, where English is not the first and/or
second language)
b) Certified copies of (educational) certificates/diplomas
and certified transcripts

a. Educational data
b. Working experience (name employer, position, etc.)
c. Description of your present work

Language proficiency
Mother tongue:
language(s) used in higher education:

I certify that I am well posted in the nature and contents of the


programme for which I apply. I certify that the answers are
true and complete.
Place:

How did you get to know about PTC+

Date:

PTC+ website
the embassy/consulate in:

Signature:

a student or alumni of our institute


other:

Financial support
(Please tick the relevant box)

All expenses will be paid by my self / my employer / other


(state clearly which organisation or institution):

I am applying for a fellowship from/ financial aid to (state


clearly which organisation or institution):

I am applying for a fellowship from the Netherlands


Fellowship Programme.

See for the fellowship application procedure

www.nuffic.nl/nfp

Please return to:


E-mail:
internationaloffice@ptcplus.com
Address:
PTC+
P.O. Box 32
6710 BA Ede
The Netherlands
Phone: +31 (0)88 020 6400
Fax: +31 (0)88 020 6401

Take notice of the different deadlines

36

You might also like