You are on page 1of 2

Holland Scholarship Programme

Application form for incoming Master students 2018/2019


Personal details
Family name*)
Given name *)
Gender Male/female
Date of birth: (dd-mm-yyyy)
Place and country of
Residence
Nationality
Permanent postal address
Zip code and town
Country
e-mail address
Telephone/mobile phone
*) as in passport

Higher education institution where you are currently enrolled or got your last degree
Name
City
Country
Name of programme/degree

University of Groningen
Master programme of
your choice (like mentioned in
the list of participating
programmes)
Length of the course* 1 year (60 ECTS) – 1,5 year (90 ECTS) – 2 years (120 ECTS)
Starting date □ first semester 2018/2019 (September)
□ second semester 2018/2019 (February)
*Please line through what is not applicable

1
Please add
□ Your motivation letter for the Holland Scholarship Programme. (there is no specific
format for this letter; length ca 1 A4)
□ A copy of your University of Groningen (conditional) admission letter
□ Curriculum vitae

Make sure to attach all required documents to your application. Incomplete applications will
not be taken into consideration!

-----
I herewith apply for the Holland Scholarship and declare that I have completed this form to
the best of my knowledge.

Date ................................................ Place ................................................

Signature ...................................................................

You might also like