Application form for the

Doctorate Programme DocMASE 2014

DAAD Scholarships 2015

Photo
(Click to load your picture)

Saarland University (UdS), Germany

PERSONAL DATA
Please note that you must write your name on this form in exactly the same way as it appears on your passport and
constantly throughout the application procedure, otherwise you might get into difficulties when applying for a visa
or plane ticket.

aachari brahim
Surname / family name: _________________________________________________________________
First (given) and other names: ____________________________________________________________
Passport number: ________________________

Gender (F/M) l_____l

female/ male

Date of birth l____l____l______l

Place of Birth: __________________________________

Day, month, year

Nationality______________________________

Permanent Address:

_________________________________________________________________
Street name and Number or alternatively PO Box

_________________________________________________________________
Postal Code and City, State/Region

_________________________________________________________________
Country

EU citizenship:

I am a EU citizen
I am not a EU citizen
I have lived in the EU for over a year during the last five years
I have already received an Erasmus Mundus Scholarship for a Master programme

____________________________________

________________________________________

E-mail address 1

Email address 2

____________________________________
Telephone (country code area code phone number)

________________________________________
Fax

PREVIOUS HIGHER EDUCATION RECORDS

(University or other degree-awarding institution)
from

to

Institution

speciality

obtained title

Application form 2014

PRACTICAL OR PROFESSIONAL WORK EXPERIENCE

from

to

where

type of work

position/professional status

LANGUAGE SKILLS (*)

Language

Mother
tongue

1 English (compulsory)
2 German
3 French
4 Spanish
5 Swedish
(*) IMPORTANT: Please attach language certificates

very good

good

fair

nothing

------------- ------------

RESEARCH PROJECT
The 2014 PhD projects (2013 projects are no longer valid) are listed in the DocMASE homepage
(http://www.uni-saarland.de/docmase/doctoral-projects). Please choose a maximum of three projects in order of
preference:
Priority order
1

Project Number

Research project title

IMPORTANT:
I certify that the information provided in this application is accurate to the best of my knowledge. Furthermore
I agree to inform DocMASE immediately of any changes and amendments. I accept responsibility for the
completeness of my application. I agree that this application and accompanying documents shall remain
with DocMASE.
Finally, I understand that if I am admitted to the Doctorate programme and fail to register in person at the
entrance institution before the dates stipulated in the admission letters, I am no longer entitled to my place
in the program and forfeit my place.

____________________________________
Place, Date

__________________________________________
Signature (Click above to load a scanned signature)

Please upload your application form together with all required scanned
documents before July 30th 2014 (deadline) to the database:
www.amase-master.net/docmase-application