APPLICATION FORM

LL.M. in Cybercrime, Cybersecurity and International Law

2023-24
Application Deadline: 3 September 2023

Please complete all the information required below, do not omit any information.

Your application cannot be processed unless it is complete.

Please fill in this application form in Microsoft Office Word format.

A. PERSONAL INFORMATION (AS INDICATED IN YOUR PASSPORT)

1. Surname/Family Name (as indicated in First Name (as indicated in your Other names (as indicated in your
your passport) passport) passport)

2. Date of birth (dd/mm/yyyy) 3. Place of birth 4. Nationality at birth 5. Present nationality 6. Gender
/ / Male Female

7. Permanent address 8. Present address (if different from permanent address)

E-mail (it will be used to communicate the selection results): Home Telephone (+ country/area code):

Mobile phone (+ country/area code):

Home Telephone (+ country/area code):

Mobile phone (+ country/area code):

Skype-id:

9. Person to notify in case of emergency

Name:

Address:

Home Telephone (+ country/area code):

Mobile phone (+ country/area code):

E-mail:

Application Form 1-7

LL.M. in Cybercrime, Cybersecurity and International Law 2023-24
B. LANGUAGE PROFICIENCY

10. Knowledge of languages

Please indicate your mother tongue:

READ WRITE SPEAK UNDERSTAND

Other
Easily Not Easily Easily Not Easily Easily Not Easily Easily Not Easily
languages

11. In regard to my English language proficiency, I declare that:

English is my mother tongue.
I hold a first or higher degree from an institution in which English is the primary language.
I hold an official English certificate (e.g. Cambridge, TOEFL, IELTS, other).
CAMBRIDGE TOEFL IELTS OTHER
Date (dd/mm/yyyy): / / Score obtained:

I do not have any English certificate. However, I hereby certify that my level of English (both spoken and written) is such
as to allow me to understand lectures and actively participate in classroom debates. I understand that a phone interview
can be arranged in order to assess my English language proficiency.
None of the above. Please explain below how you have learned English:

C. EDUCATION
Give full details, please list in reverse order.
In Column C, please give exact titles of degrees in original language.
In Column D and E, please translate titles of degrees and final dissertation in English (if necessary).

12. University or equivalent

A B C D E
DEGREES AND FINAL GRADE AND
ATTENDED FROM/TO DEGREES AND ACADEMIC
UNIVERSITY NAME, PLACE AND ACADEMIC TITLE OF FINAL
DISTINCTIONS
COUNTRY DISTINCTIONS DISSERTATION
(IN ORIGINAL LANGUAGE)
mm/yyyy mm/yyyy (IN ENGLISH) (IN ENGLISH)

/ /

/ /

/ /

Application Form 2-7

LL.M. in Cybercrime, Cybersecurity and International Law 2023-24
13. Specialized courses or other formal training (i.e. technical school or apprenticeship)

UNIVERSITY/INSTITUTE NAME, PLACE ATTENDED FROM/TO CERTIFICATES OR DIPLOMAS

TYPE
AND COUNTRY OBTAINED
(IN ENGLISH)
mm/yyyy mm/yyyy (IN ENGLISH)

/ /

/ /

/ /

14. List professional societies of which you are a member and activities in civic, public or international affairs, membership to
Bar Associations or other professional associations.

15. List any significant publications you have written (DO NOT ATTACH).

Application Form 3-7

LL.M. in Cybercrime, Cybersecurity and International Law 2023-24
D. PROFESSIONAL EXPERIENCE
Please list any relevant present/previous work experiences (internship positions included) in reverse order.

16. Employment record

16.a - PRESENT POST (last post if not presently in employment)
FROM TO EXACT TITLE OF YOUR POST: EMPLOYMENT TYPE:
(mm/yyyy) (mm/yyyy)
/ / Permanent Temporary Consultant Other
EMPLOYER (Name and Address) AND TYPE OF BUSINESS: FIELD OF WORK:

DESCRIPTION OF YOUR DUTIES

16.b - PREVIOUS POST

FROM TO EXACT TITLE OF YOUR POST: EMPLOYMENT TYPE:
(mm/yyyy) (mm/yyyy)
/ / Permanent Temporary Consultant Other
EMPLOYER (Name and Address) AND TYPE OF BUSINESS: FIELD OF WORK:

DESCRIPTION OF YOUR DUTIES

16.c - PREVIOUS POST

FROM TO EXACT TITLE OF YOUR POST: EMPLOYMENT TYPE:
(mm/yyyy) (mm/yyyy)
/ / Permanent Temporary Consultant Other
EMPLOYER (Name and Address) AND TYPE OF BUSINESS: FIELD OF WORK:

DESCRIPTION OF YOUR DUTIES

16.d - PREVIOUS POST

FROM TO EXACT TITLE OF YOUR POST: EMPLOYMENT TYPE:
(mm/yyyy) (mm/yyyy)
/ / Permanent Temporary Consultant Other
EMPLOYER (Name and Address) AND TYPE OF BUSINESS: FIELD OF WORK:

DESCRIPTION OF YOUR DUTIES

16.e OTHERS and/or additional work experiences

Application Form 4-7

LL.M. in Cybercrime, Cybersecurity and International Law 2023-24
E. ADDITIONAL INFORMATION

17. How did you first hear about the LL.M.?

You can tick a maximum of three options

UNICRI website UPeace students/alumni

UPeace website UNICRI emailing
UNICRI Social Networks Forum on postgraduate education (i.e. MasterStudies,
FindAMasters, LLMGuide, StudyPortal, etc.), please specify:
UPeace Social Networks
UNICRI students/alumni Other (please specify):

18. Other relevant information you would like to include. For example, information regarding relevant experience abroad, disability
and/or special need.

19. Have you ever been arrested, indicted or summoned into court as a defendant in a criminal proceeding, or convicted, fined or
imprisoned for the violation of any lawn (excluding minor traffic violation)?
YES: NO:

If ‘yes’, give full particulars of each case in an attached statement:

Application Form 5-7

LL.M. in Cybercrime, Cybersecurity and International Law 2023-24
F. VISA REQUIREMENTS
In case you will be attending the Workshop in-person and you would require an entry visa into the country, please note that the visa
process may take up to 90 working days. The Organizers will provide you with an acceptance letter in support of your visa application.

20. Do you require a visa in order to enter Italy?

YES: NO:
If answer is YES, give the following information

21. Full name as it appears in the passport

22. Passport number

23. Passport expiration date (dd/mm/yyyy) / /

24. To which Embassy/Consulate you will be applying for the visa?

G. COMPUTER PROFICIENCY

25. In regard to my computer proficiency, I declare that:

I do possess the knowledge to operate standard software applications

H. CHECKLIST

26. Supporting documents to be attached to the application form

The application form and all supporting documents must be received in electronic copy via E-mail by 3 September 2023.
Incomplete applications and/or applications and supporting documents received after the deadlines indicated above will not be considered.
Documents attached, please tick:

1) Motivation letter: a letter (in English, not exceeded one page) explaining the reasons for wanting to attend the LL.M.

2) Curriculum Vitae in English

3) Scanned copy of the Passport (only the pages with picture and personal data)

4) Official English certificate (if available, see item n. 11)

5) Certified copy of the Bachelor’s (or higher) degree certificate(s) in original language issued by the competent University

6) Certified official translation of the above certificate(s) into English if the original document(s) is not issued in that language

7) Certified copy of the university transcript(s) of records of all University education studies completed or ongoing in the original
language, issued by the competent University(ies)
8) Certified official translation of the above transcript(s) of records into English (only if the original document(s) is not issued in
English language)

I. ACKNOLEDGMENTS AND PRIVACY WAIVER

a) By ticking this box I certify that the statements made by me in answering the foregoing questions are true, complete
and correct to the best of my knowledge and belief.

Date: / /

b) By ticking this box I certify that I understand that this application will be valid only for the 2023-2024 edition of the
and that offers may not be deferred to subsequent editions of the programme.

Date: / /

N.B. You will be requested to supply the documentary evidence supporting the statements made above. Do not, however, send any
documentary evidence until you have been asked to do so. In any event, do not submit the original texts of references or testimonials unless
they have been obtained for the sole use of applying to the LL.M.

By ticking this box I understand that my data will be processed and protected according to Italian Law n. 196 of June 30, 2003 and to
EC Directives n. 95/46 and 2002/58 (protection of persons and others in the processing of personal data). I may at any moment request
their updating, verification or cancellation by writing an E-mail to unicri.llmcyber@un.org
Date: / /

Cancellation policy
The Organizers reserve the right to cancel the programme due to low enrollment or unforeseen circumstances. Participants will be notified
by 22 September 2023 of any change to the programme. If the Organizers must cancel the programme, all participants will be reimbursed
Application Form 6-7
LL.M. in Cybercrime, Cybersecurity and International Law 2023-24
for the programme fees. The Organizers will not be liable for any loss, including travel and accommodation costs suffered by or on behalf of
any person who wished to attend the programme.

By ticking this box I have taken note of the cancellation policy and I accept these conditions. I certify that the statements made
by me in answering the foregoing questions are true, complete and correct to the best of my knowledge and belief. I am available
to provide relevant documentation upon request.
Date: / /

Application Form 7-7

LL.M. in Cybercrime, Cybersecurity and International Law 2023-24