Planning for Sustainable Urban Development

Application Form

PhD & Master Course

- Planning for Sustainable Urban Development

Nordic Centre, Fudan University, Shanghai, 16-23 March 2009

Doctoral Candidates and Master students at a Nordic Centre Member University ( are hereby invited to apply to the above course. Please complete this form and send it electronically or by fax

For a Chinese Doctoral Candidate/Master student Applicant :

Nordic Center/ Assistant Pre-Course Coordinator (fax + 86 21 6564 8633),

e-mail:

Deadline: February 20th,2009

For a Nordic Doctoral Candidate/Master student Applicant.

KTH/ Course-coordinator Lars Orrskog, Associate Professor (fax + 46 8 790 67 61), e-mail

Deadline: February 10th,2009

Forms reached after the deadline cannot be considered.

1 Doctoral Candidate/ Master student

Family name (surname) First name(s) Nationality M / F

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Year-month-day of birth Country and place of birth Passport no

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Academic Institution

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Faculty/Department/School/Division/Unit/and/or other

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Postal Address at above academic institution

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Phone:Office (+area code & no); Home (+area code & no); Fax (+area code & no)

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E-mail

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2 Background

1 Academic Qualifications

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2 Relevant professional experience

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3 Publications / Projects

List your significant publications /texts /research projects /planning projects

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4 Language Ability

First language

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As the Course will only be delivered in the English medium, please rate your English language

Spoken EnglishUnderstanding Written English

1 2 3 4 51 2 3 4 51 2 3 4 5

5 DissertationTopic/ Master thesis topic

Title

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Problem Field

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6 Personal Statement

Why are you applying for this Course? What do you hope to gain from it ?

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7 Endorsement

Your application cannot be considered unless this section is correctly filled in by your Supervisor/ Teacher in endorsing your application. I, the undersigned,

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Name Title or Position

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Academic Institution

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Phone:Office (+ area code & no); Home (+ area code & no); Fax (+ area code & no)

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Office Postal Address, if other than that of the applying Doctoral Candidate

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E-mail

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Endorse the application of the Doctoral Candidate/ Master Student applying for this course (write name of the Candidate):

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NB. By signing, below, I vouch that my institution will ensure that the Doctoral Candidate Applicant/ Master Student Applicant, if accepted, will be fully ensured in case of accident or ill health (in the case of a Nordic Applicant to permit repatriation if necessary) and will have enough funds to attend the course, i.e. funds to cover: travel to and from Shanghai; accommodation if to be arranged by the Nordic Centre at about 80-140 RMB per night or those for possible other accommodation; Course fee of RMB 500 for Chinese Applicant and RMB 1000 for Nordic Applicant, and those for personal expenditures:

……………………………………………………………………………………………………………………………………………………………………………Signature of the Applying Doctoral Candidate’s/ Master Student’s Supervisor/ Teacher Date

Stamp of institution

8 Doctoral Candidate's/ Master Student’s Statement

I declare that the above information is true and correct:

……………………………………………………………………………………………………………………………………………………………………………Applying Doctoral Candidate’s/ Master Student’s signature Date

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