Transition, Innovation and Sustainability Environments

(TISE)
Erasmus Mundus Joint Master of Excellence

Application Form
for participation in TISE Programme (student intake fall 2021).

Please fill in the form, print it, then sign and date it by hand. Afterwards scan the paper and use for electronic
application in PDF format. More information: tise-master.eu Please note the TISE Guideline for Applicants.

1. Personal details
Surname Click here to enter text.
First Name Click here to enter text.
Middle Name(s) (if applicable) Click here to enter text.
Gender Click here to enter text.
Date of Birth (dd/mm/yyyy) Click here to enter text.
Nationality of (as in passport) Click here to enter text.
Residence at time of application (city,
Click here to enter text.
country)
E-mail address Click here to enter text.

2. First University degree

First University Degree
Subject
Type of Degree (e.g. Bachelor of Arts)
University (Name in English)
Country and Address of University
Website of University (link)
“First University Degree” is defined as degree of at least three years in
duration (in most cases a Bachelor degree). If you hold more than one
Bachelor, please choose one. Other degrees (e.g. Master degrees) can be
noted below.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
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Please state the type of degree (e.g. Master of Science), subject, university
Other University Degree(s) and country.
Other Degree (if applicable) Click here to enter text.
Other Degree (if applicable) Click here to enter text.

3. Scholarship

 I am applying for EMJMD scholarship form a partner country

 I am applying for EMJMD scholarship form a program country
One of the options  I am applying for a Consortium Scholarship
 I am a self funded student
 I am self funded student with ERASMUS support
Have you already been enrolled into  Yes
EMJMD programme  No
Have you been a resident or have
carried out your studies/work for more
than a total 12 months in any of the 28
If yes specify where (all countries) and how long (in months)
EU member states, Iceland,
Liechtenstein, Norway, North
Macedonia, Serbia
If not granted a EMJMD
scholarship/Consortium scholarship, I
 Yes
maintain the status of self funded
 No
student/self funded student with
ERASMUS support
Application Form (page 2)
for participation in TISE Programme as a self-funded student (without Erasmus+ Scholarship; student intake in fall
2021).

Declaration of Honour
I, the undersigned, hereby declare that I have read all application instructions on tise-master.eu, respectively the
TISE Guideline for Applicants, and that the information I have provided is true and complete. I understand that for
the purpose of student selection my application documents will be made accessible to TISE Consortium Partners and
to reviewers appointed by the consortium. I further understand that any misrepresentation in my application
documents may be a cause for cancellation of my admission to TISE programme. I accept that the submission of this
application in no way guarantees my right to participate in the TISE programme.
I agree that in case of my selection, my personal data may be sent to the EACEA and may be used by other bodies
involved in the management of Erasmus+ (i.e. European Commission, Erasmus+ National Structures, EU
Delegations, Erasmus Mundus Student and Alumni Association) in order to facilitate my participation in the TISE
programme, that my name and nationality may be published as part of the list of selected candidates on the TISE
website, that pictures taken of me during the programme may be used for dissemination activities for TISE and that
my contact details may be communicated to other students and alumni of TISE.

Surname, First Name (repeat) Click here to enter text.

Date by hand (dd/mm/yyyy) Signature by hand (as in passport)