Bilateral Korean-Swiss Science and Technology Programme

APPLICATION FOR YOUNG RESEARCHERS’ EXCHANGE PROGRAMME

BETWEEN Korea AND SWITZERLAND2017

Part A. Personal Details and Home Institution

A1: Personal Details:

Family name:
First name(s):
Title:
Academic degree:
Current position:
Date of birth:
Gender:
Nationality:
Home Institution:
Address at institution:
Postcode, city:
Country:
E-mail:
Phone number:

A2: Educational Background

Field Name of University/Institute (Expected) Date Obtained

Bachelor's degree

Master’s degree

Doctoral degree

A3: Supervisor at home institution

Family name:
First name(s):
Title:
Academic degree:
Institution:
Address:
Postcode, city:
Country:
E-mail:
Phone number:

Note: Please attach a letter of recommendation from your supervisor at the home institution explaining also why an exchange with a specific host researcher in Korea is planned.

A4: Employment Record (if applicable, begin with your most recent employment.)

Name of Institution Period of Employment Position

A5: Language Ability (Evaluate your ability using excellent, good and fair.)

Writing Reading Speaking/Hearing

English

Korean

Part B. Status of Current Research and Research Plan

B1: Project Title:

B2: Subjects and Achievementsof Past Research (Max. 1 page.)

B3: List of Major Publications

Authors (all) Title Journal Vol,No.,pp.-, Month/Year

B4: Academic Awards (Please indicate title and year.)

B5: Research Plan for your stay in Korea (max 5 pages)

・Please include at least the following items: 1) present research, 2) proposed research to be conducted in Korea, 3) expected outcome of the proposed research.

・In describing your proposed research in Korea, please specify necessary equipment, reagents, etc.for conducting the said research.

*Additional sheets may be attached if necessary.

Part C. Host Institution and Research Stay

C1: Details of Proposed Host Researcher and Host Institution:

Family name:
First name(s):
Title:
Academic degree:
Institution:
Address:
Postcode, city:
Country:
E-mail:
Phone number:

Note: Please attach a letter of acceptance/invitation from your proposed host researcher, stating that he/she accepts you at his/her institution.

C2: Past Stay(s) in Korea

Place Duration Purpose

C3: Proposed Stay in Korea:

Project Title:
Keywords:
Priority research area:
Intended start:
Duration (months):
(max. 3 months permitted)

C4: Suggested Reviewers

Please suggest at least three possible reviewers for this proposal (preferably from Switzerland): Please provide their names and current contact information.

D. Final Statement

D1: Mailing Address:

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1) Office:

2) Home:

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1

Tel: Tel:

1

Fax:

E-mail:

Fax:

E-mail:

1

D2: Person to be notified in your home country in case of emergency:

(Be sure to fill out the information requested as it may be needed in the case of an emergency.)

1) Name in full:

2) Address and telephone and/or facsimile number and e-mail address:

3) Relationship to you:

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I certify the above information to be accurate and correct.

Date:

Signature:

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