University of Bergen

APPLICATION FOR ADMISSION

EXCHANGE PROGRAMME STUDENTS/SHORT TERM STUDENTS

Introduction to System Dynamics (GEO-SD230)

Starts January 6, 2020 (online course)
Exam date not set, but will be before March 18

Model-based Socioeconomic Planning (GEO-SD 321)

Starts March 9th, 2020 (Bergen, Norway)
Last for 4 weeks. Exam date not set

Please complete the application and return no later than December 1, 2019 via email to: Adedoyin
Onasanya Email: ao@millennium-institute.org

PERSONAL DATA
Surname: Rincon Date of birth Norwegian ID number (if
(dd/mm/yy): available):
06/05/1949
First (and middle) names: Gilberto Male
Female
Nationality: Colombian

Home address: CARRERA 7 237-04 BOGOTA-COLOMBIA Tel: +57(1) 4566853 +57 3108612035
Email: ceidcorp_gr@ceidcolombia.org
Address in Bergen (if available):

Application for: Spring 2019 Duration of Stay Date of Arrival in Bergen

in Norway: (if known):
4 Weeks

STUDY AND EDUCATION INFORMATION

Faculty/Department at UiB where you propose to study: Social Science Faculty / Dept. of Geography
Proposed level of entry in your main subject/area of study: Graduate level
What is the highest level of education you have If you are currently pursuing a degree, specify:
completed:
Bachelors Degree:
Masters Institution:
Doctoral Start year:
Post doctoral Completion year:
Other (specify)

EMPLOYMENT INFORMATION (if applicable)

Name of Employer:
Employer Address: Tel:
Email:
SCHOLARSHIP PROGRAMME/FUNDING INFORMATION
Nordplus Scholarship/Grant Applicant:
Socrates/Erasmus Application Pending
Exchange Agreements Application Submitted
Other Scholarship/Grant Programme Funds Confirmed
Self-Financed
Self Financed Applicant:
Funds Pending
Funds Confirmed

EDUCATIONAL BACKGROUND
List all educational institutions attended, beginning from secondary school, and any education in progress.
Use separate sheet if space is insufficient. (A copy of your diploma/certificate must be submitted as
evidence.)
From To
Name of Institution Studies/degrees Age
(mm/yy) (mm/yy)
Liceo de Cervantes 1960 1967 BACHEROL 18

SECONDARY

Rosario university 1968 1972 LAWYER 23

POST
SECONDARY
Javeriana University 1969 1971 INDUSTRIAL RELATIONS 22
(Completed)

IESE Navarra university 1975 1976 MBA 27

STUDIES
IN
PROGRESS

KNOWLEDGE OF ENGLISH
Do you have any knowledge of English?

Poor Moderate Good

Native speaker

DOCUMENTATION (A copy of the official transcripts of your most recent/highest completed education must be
submitted)

List of enclosed documents:

Law degree, business administration and MBA diplomas
HOW DID YOU HEAR ABOUT THE COURSE
Website/Search Engine
Direct Email
Newsletter (specify)
Social Media (specify)
Other (specify)

BOGOTA - COLOMBIA 20/11/2019

Place and date Signature