Allegato Bando di concorso D.R. n.

del
APPLICATION FOR A RESEARCH DOCTORATE TOPIC SCHOLARSHIP
IN…………………………………………………………………………. 35 CYCLE

Department of…………

Before completing this form please register your details with the Politecnico di Milano.
The registration can be done on the website: www.polimi.it servizionlineRegistrati.
At the end of the registration a Personal Code will be given to be used on this application form.

PERSONAL CODE: _______________________

The undersigned
………………........………............................................................................................................…….
……………………………..
SURNAME NAME
Sex F (…) M (…) Tax Code (Codice Fiscale) ………………………………………………………………………………...

Born in..................………...........................…...... ......…….. Country …........................................... On...........…......

…..

Resident in......................................................................…… Citizenship………………….

…………….................................

Street.......................................................................……………………………………….POSTAL CODE ………....

….................

ELECTIVE DOMICILE FOR PURPOSES OF THE CALL:

Town........................................................................................(Province of ............. ……………………………..)

Country……..................……………..…….........................................................................................................

Street......................................................................................................POSTAL CODE…..…….……….……...

Tel..............…....................…..mobile…………….……............e-mail…………..…………..……………………………………..

Skype Name……………………………

HEREBY APPLIES
to be considered for the scholarship restricted to the following research topic …………………………………………
…………………………………………………………………………………………………………………………………………………………………………….
for a research doctorate in: …………………………..….……………………………………………………………………………………………….
……………………………............................…........................................AREA (if applicable)………….…..…35 cycle.

THE APPLICANT DECLARES:

That he/she holds a degree in........…..........………………….......................................................................…….

with a duration of (in years) …………………awarded on ...................……..…………..……………………………………….,
with a mark of ...............……...…......., rating scale (if applicable)………….. at the University of…………………...
………………………………………………………………………………………………………………………………………………………………….
or
 Or will hold the following degree………………………………...………………………..………………………………………………..
with a duration of (in years) ……….… at the University of……………………………………………………...
 Allegato Bando di concorso D.R. n. del
expected award date……………
(the degree must be awarded before…… (1 st May 2020)

to be in possession of a certificate attesting to knowledge of the English language as specified in Art. 2 of the
call;
or
 that he/she will submit, the certification attesting to knowledge of the English language as specified in
Art. 2 of the call, by the enrolment deadline;

 up to 2 names of referees, complete with their e-mail address, telephone number and any Skype contact
details;
……………………………………………………………… _ …………………………………………………………………………………………

 That he/she is aware of and accepts all the provisions contained in the admission call and in the
regulations of the Politecnico di Milano on the subject of Research Doctorates;

 to undertake to attend the Ph.D. in accordance with the provisions set out in the call, the Regulations of
the Politecnico di Milano in relation to Ph.D. programmes and the procedures established by the Faculty
Board;

 That he/she will without delay communicate any change in his/her residence and contact address;

 to authorize the processing of personal data contained in the application and in the attachments
aimed to:
verification of the admission requirements for University Phd courses by authorized personnel;
complete the related competition procedure by the admissions committee;

 to have read the information on the processing of personal data in administrative processes,
available on the University website: https://www.polimi.it/en/policy/privacy/ , and the specific
information document available on the site: http://www.dottorato.polimi.it/en/looking-for-a-phd/call-
for-positions-and-scholarships/calls/additional-calls-35th-cycle/

 to be aware that the originality of their publications and dissertations provided for this application or
during their doctoral career at the Politecnico di Milano can be verified by anti-plagiarism software.

Enclosed as Attachments (all documents must be in pdf format):

 a curriculum vitae containing a list of all publications, in accordance with the outline provided in the call

 a document illustrating the development of a possible Ph.D. research project, written according to the
Research Project Form attached to the admission call;

 Personal Statement (max. 2,000 characters)

 a certificate attesting to knowledge of the English language as specified in Art. 2 of the call (if already
attained);

 documentation relating to all academic qualifications (awarded or to be awarded), with the diploma (if
achieved), in the original language, along with a list of the examinations taken and the corresponding
marks, and any translations in Italian or English; 

 Photocopy of a valid identity document;

(Non-EU Citizens must attach a photocopy of their passport or another Identification document with a
translation in Italian or in English)

 Photocopy of the tax code (Codice Fiscale)

(Mandatory for Italian candidates. International candidates will need to have the tax code in order to
complete the enrolment);

 photocopy of the payment receipt for the fee of € 25.82 

 Allegato Bando di concorso D.R. n. del

The undersigned declares, that he/she is aware of the fact that the University will check the truth of this
declaration, and that, in the event of any false or inaccurate statements, which may be subject to penal
sanctions, any benefits obtained according to the terms of official provisions (Arts. 75 and 76 of D.P.R. No. 445 of
28.12.2000) will become ineffective.

Date..................................... Signed...................................................................