APPLICATION FORM

SOCIAL SECTION
ARGENTINA

INTERNATIONAL EXCELLENCE SCHOLARSHIP

2023/2024
MBS FOUNDATION – Committed to making a difference

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 SOCIAL SECTION OF THE APPLICATION
INTERNATIONAL EXCELLENCE SCHOLARSHIP 2024/2025

NAME : ……………………………………………………………………………………
Sofia
FIRST NAME : ……………………………………………………………………………….

01/10/2003
Date of Birth : .......................................... ........

21
Age on December 31, 2024 : …………………………

Argentine
Nationality : .............................................
Azul 770
Permanent address: .............................................................................................................

...............................................................................................................................................

...............................................................................................................................................

Buenos Aires 1407

City: ........................................... Post Code: .................................................................
+54 9 3131-9777
Tel number: ............................................ …………………………………………………..
sofimermi@gmail.com
Email: ...................................................................................................................................

University education section in 2023/2024:

University of Salvador (USAL)
................................................................. ………. ………. .………………………………
Mother, Father and Sister
Family composition :..........................................................................
Lawyer
Father's profession : ………………………………………………………………………
Lawyer
Mother's profession : ……………………………………………………………………

Certified Sincere and Genuine

Date: ............................ Student's signature

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 PRESENTATION OF YOUR UNIVERSITY OF ORIGIN
(to be completed by your university referent if possible)

OPINION OF THE REFERENT/COORDINATOR FROM THE UNIVERSITY

if possible
(on the candidate's ability to follow courses at bac+3 level in english)

Je m’appelle Sofia Mercedes Mieszkowski, et mon avis sur le coordinateur de

l’université est tout á fait cordial. Je suis un étudiant de la carrière juridique dans
l’université du Salvador, et j’en suis á la troisiéme année.

Dans mon expérience les coordinateures de l’université sont très amicaux sur ces
problèmes, ils rechetchent toujours une solution et ils ont de nombreux ateliers
auxquels participier por des échanges et d'autres types d’activités.

DATE: .............

Signature and Stamp of the Coordinator

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 DOCUMENTS TO BE PROVIDED

❖ The present form duly completed and signed

❖ A cover letter in French or in English including your professional project, your

background and your social situation, as well as any other information that you
think may be useful for the selection committee (for example: scholarships, extra-
university activities, salaried job(s), specific social issues, etc.)

❖ Proof of family resources (parents' last 3 pay slips, other documents showing the
family's financial resources)

❖ Copy of your birth certificate

❖ A DELF or TCF certificate for level A2 in French if available (if not available,
please inform us of your level in French: beginner / intermediate / advanced)

❖ Copy of the Baccalaureate/high school diploma, with the overall score obtained.

❖ Copy of Transcript of records for the current year and year N-1

❖ Copy of the School Certificate for the current year

❖ Copy of your passport

These documents should be sent by e-mail to Sophie Gosselin at the following address
s.gosselin@montpellier-bs.com by April 14, 2024 at the latest.