ARTS Program

Summary form

Title of Project:

Call for applications concerned:

Application for ARTS Program

Have you ever applied with the DPF before?

If yes, under what program?*Your email address

Start of grant requested / / Total duration Months

Candidate

■ ■Civil status

Surname (as in passport)

First name (as in passport)

Date of birth / /

Country of residence

Nationality

Mobile telephone number:

■ ■Masters or equivalent

Type of diplomaYear awarded (yyyy)

Exact title of diploma

Awarding establishment

■ ■Doctorate awarded

Year of 1st registration (yyyy/yyyy) /

Exact title

Establishment of registration

Host teams’s summary

■ ■Host team 1

Name of laboratory/team

Host establishment

Total duration of planned visits months

■ ■Host team 2

Name of laboratory/team

Host establishment

Total duration of planned visits months

■ ■Host team 3

Name of laboratory/team

Host establishment

Total duration of planned visits months

Scientific project

Unit code of IRD research partnerNo.

IRD Department (if applicable)

IRD CoordinatorSurname

First name

E-mail

Mobile Tel. Number

Thesis tutorSurname

First name

Project title

Education program

Subject code (see appendix)

IRD subject priorities

If other, please specify

■ ■Project summary (maximum 1500 characters including spaces)

ARTS Program

Form

Scientific project

Title

Key words

Subject code (see appendix)

Unit code of IRD research partnerNo.

IRD Department(if applicable)

IRD Project CoordinatorSurname

First name

Accreditation to supervise research (HDR) No Yes Pending

Number of students currently supervised

■ ■Doctorate awarded or in preparation

Year of 1st registration (yyyy/yyyy) / No. of doctoral establishment if French

Education program

Exact title of diploma

Name of education establishment

Country of education establishment

Thesis tutorSurname

First name

Co-supervision establishment (if applicable)

Country of this establishment No. of doctoral establishment if French

Exact title of diploma

Thesis co-tutorSurname

First name

■ ■Schedule in the different host countries

Host team / Country / Town/City / No. months / from / to
/ / /
/ / /
/ / /
/ / /
/ / /
/ / / /

■ ■Acquired co-financing (if applicable) No Yes Application in progress

Name of backer

Amount of the bursary(or equivalent):

Amount of the travel expenses:

Other expenses (activity and amount):

Candidate

■ ■Civil status

Family name at birth

Surname (as in passport)

First name (as in passport)

Date of birth / /

Country of birth

Nationality

Mobile Tel.Number:

■ ■Masters level diploma

Type of diplomaYear awarded (yyyy)

Education program

Exact title of diploma

Awarding establishmentName

Country

■ ■Professional information*

Professional status

Job title

Establishment of affiliation

Name of laboratory/team

Date of recruitment / / Date of assumption of duties / /

■ ■Contact details for follow-up of application

E-mail address

Telephone

Postal addresshomework

Number and street

Details

PO Box

PostcodeTown/City

Country

■ ■Permanent contact details (if different from above)

E-mail address

Telephone

Postal addresshomework

Number and street

Details

PO Box

PostcodeTown/City

Country

Since the bursary cannot be combined with any other remuneration, employed candidates are requested to attach authorisation of assignment from their employer.

Northresearch institution 1

■ ■Identification

Code (if applicable)Subject code (see appendix)

IRD Department(if applicable)

Acronym (if applicable)

Full name

Supervising establishment 1

Supervising establishment 2 (if applicable)

Institution manager Surname

First name

Postal address/Number and street

Postal address

PO BoxTown/City

PostcodeCountry

■ ■Host team 1

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Host team 2 (if applicable)

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Description of North research institution 1 (for large institutions, the description should primarily relate to the team(s) that are directly involved in the planned thesis)

Principal research area Secondary research area

(Please refer to the enclosed codes)

Research in progress

Current national and international collaborations

Contracts in progress

Most significant publications from the last two years; maximum 10 publications

(Please write in bold those that relate to the planned thesis)

Education activity, coordinating research, expertise

Expertise relating to planned thesis

Noteworthy equipment relating to planned thesis

Northresearch institution 2

■ ■Identification

Code (if applicable)Subject code (see appendix)

IRD Department(if applicable)

Acronym (if applicable)

Full name

Supervising establishment 1

Supervising establishment 2 (if applicable)

Institution manager Surname

First name

Postal address/Number and street

Postal address

PO BoxTown/City

PostcodeCountry

■ ■Host team 1

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Host team 2 (if applicable)

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Description of North research institution 2 (for large institutions, the description should primarily relate to the team(s) that are directly involved in the planned thesis)

Principal research area Secondary research area

(Please refer to the enclosed codes)

Research in progress

Current national and international collaborations

Contracts in progress

Most significant publications from the last two years; maximum 10 publications

(Please write in bold those that relate to the planned thesis)

Education activity, coordinating research, expertise

Expertise relating to planned thesis

Noteworthy equipment relating to planned thesis

South research institution 1

■ ■Identification

Code (if applicable)Subject code (see appendix)

IRD Department(if applicable)

Acronym (if applicable)

Full name

Supervising establishment 1

Supervising establishment 2 (if applicable)

Institution manager Surname

First name

Postal address/Number and street

Postal address

PO BoxTown/City

PostcodeCountry

■ ■Host team 1

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Host team 2 (if applicable)

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Description of South research institution 1 (for large institutions, the description should primarily relate to the team(s) that are directly involved in the planned thesis)

Principal research area Secondary research area

(Please refer to the enclosed codes)

Research in progress

Current national and international collaborations

Contracts in progress

Most significant publications from the last two years; maximum 10 publications

(Please write in bold those that relate to the planned thesis)

Education activity, coordinating research, expertise

Expertise relating to planned thesis

Noteworthy equipment relating to planned thesis

South research institution 2

■ ■Identification

Code (if applicable)Subject code (see appendix)

IRD Department(if applicable)

Acronym (if applicable)

Full name

Supervising establishment 1

Supervising establishment 2 (if applicable)

Institution manager Surname

First name

Postal address/Number and street

Postal address

PO BoxTown/City

PostcodeCountry

■ ■Host team 1

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Host team 2 (if applicable)

■Site

Name of laboratory/team

Acronym (if applicable)

Host establishment

■PhD student's scientific coordinator

E-mail address

SurnameFirst Name

Establishment of affiliation

Professional status

Job title

Subject code (see appendix)

Telephone

■ ■Description of South research institution 2 (for large institutions, the description should primarily relate to the team(s) that are directly involved in the planned thesis)

Principal research area Secondary research area

(Please refer to the enclosed codes)

Research in progress

Current national and international collaborations

Contracts in progress

Most significant publications from the last two years; maximum 10 publications

(Please write in bold those that relate to the planned thesis)

Education activity, coordinating research, expertise

Expertise relating to planned thesis

Noteworthy equipment relating to planned thesis

ARTS Program – Application form 20141

The applicant’s Curriculum Vitae

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The applicant’s covering letter

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Where the PhD has already started, the covering letter should be backed up with a progress report.

Copy of the master's degree or equivalent or, failing that, proof that it was obtained

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Thesis Project

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Detailed thesis plan, approved by the project coordinator (10 pages maximum, including in particular a precise current status report, the objectives, methodology, partnerships, expected results and consequences, an accurate work schedule and detailed bibliography) and if possible, the thesis committee composition

Progress report on the thesis

If the thesis has begun, a progress point is requested.

For applicants receiving joint funding, letter-headed document from the backer stating the terms, amounts and duration. The possibility of cumulating several grants

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Reasoned opinion on letter-headed paper from the project coordinator

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The coordinator is one of the joint scientific supervisors, a researcher from an IRD supervised or jointly supervised unit, or from a team running a project made eligible by the call for proposals, and is the contact point with the DPF (department of research and training programs).

The project coordinator’s Curriculum Vitae

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A supporting letter from the IRD head unit* (IRD deputy unit head for a joint research unit)

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*If the project coordinator is not the unit head

The thesis supervisor(s) reasoned opinions

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The reasoned opinion will describe the benefit of the thesis topic for the home research unit or institution, the way it is organised, the agreement about the work program and details of the planned study periods away from home (the dates for the first year are fixed and cannot be altered).

Reasoned opinion scientific team leaders for each of the other host teams

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The reasoned opinion will describe the benefit of the thesis topic for the home research unit or institution, the way it is organised, the agreement about the work program and details of the planned study periods away from home (the dates for the first year are fixed and cannot be altered).

ARTS Program – Application form 20141