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POSTGRADUATE IN ASTRONOMY
VALONGO OBSERVATORY (CCMN/UFRJ)

APPLICATION FORM
REGISTRATION N.: _________________ MASTERS ( ) DOCTORATE ( ) DIRECT DOCTORATE ( )

Full name:_________________________________________________________________
Social Name: ___________________________________________________________________

Affiliation:______________________________________________________________________________
Birth: ___ /___ /______ Birthplace:____________________________ State: _________

CPF: _________________________ Marital Status: ( )Single ( )Married ( )Other

Identity:_________________ Issue:___/___/_____ Body Exp.:__________ State: Voter ID: _____

____________________ Zone: ______ Section:________ UF: ________

Military Dispensation Certificate: ___________________ Organ: _______________ UF: ______

Military Certificate: ___________________ Category: __________ Organization: ________ UF: ____

Address:_______________________________________________________________________
Neighborhood:_______________
ZIP Code:___________ City/State:_________________________
Telephone: (___) ______________________ email:_____________________________________

Candidate options YES NO Requirements

To fill in
1 Do you choose an Affirmative Action position? self-declaration and presenting documents
described in the notice

Do you choose to present the results obtained in the Present the

2 Unified Postgraduate Exam in Physics (EUF)? results. *(read the notice carefully
about this theme)

Do you request exemption from the foreign To present

3
language test? proof required

4 Request a bag? -

Do you choose to take the exams in English?

5

Recommend a mentor? *required for doctorate Present the letter of agreement from the
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intended advisor

Do you request that the tests be carried out in **Responsible Teacher/email:

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another location?

**The candidate must indicate a professor from another Higher Education Institution who is responsible for the
application of written tests, according to the notice. This professor must contact the Postgraduate Coordination of the Valongo
Observatory.

By submitting my application, I declare that I am aware of the Notice regulating the selection process, which
expresses the necessary requirements for enrollment in the Program, in case of approval.
______________________, _____ of ____________of 2023.

___________________________________________(Signature)

Ladeira Pedro Antônio, 43 — Rio de Janeiro, RJ 20080-090, Brazil

Tel: +55 21 2263-0685 R. 211 Fax: +55 21 2203-1076
pg@astro.ufrj.br