APPLICATION FOR ADMISSION TO DOCTORAL STUDIES AT FREIE UNIVERSITÄT BERLIN

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Freie Universität Berlin – China Scholarship Council PhD Program 2016

APPLICATION FOR ADMISSION TO DOCTORAL STUDIES AT FREIE UNIVERSITÄT BERLIN

Please fill in the form and send it together with the other application documents (please refer to to the Beijing Office of Freie Universität Berlin by e-mail (Ms. Juna KUEHN)

Deadline: January 4,2016 (we strongly encourage you to submit your application as early as possible).

This application form is for candidates who intend to apply for a CSC Scholarship in 2016 and would like to conduct their research for a doctoral degree at Freie Universität Berlin, only.

1. WHICH SCHOLARSHIP SCHEME DO YOU APPLY FOR?
(see for details) / Scheme 1 (Full PhD studies at Freie Universität Berlin)
Scheme 2 (Sandwich-type Scholarship)
Intended Length of Research at Freie Universität Berlin (in years)
2.DESIRED OPEN POSITION AT FREIE UNIVERSITÄT BERLIN
(this refers to the list of open positions on our website:
Subject Area
Name of Supervisor
Project Title
3.PERSONAL DETAILS (enter exactly as contained in your passport)
Surname/Family name / In Chinese: / In Pinyin:
First/Given name(s) / In Chinese: / In Pinyin:
Sex / Male / Female
Date of birth (dd.mm.yyyy)
Place of birth
Nationality/Nationalities
4. CORRESPONDENCE ADRESS
In Chinese (incl. Zip code)
In English (incl. Zip code)
Telephone
Mobile Phone
E-Mail
5. HOME ADRESS (if different from 4.)
In Chinese (incl. Zip code)
In Pinyin (incl. Zip code)
Telephone
E-Mail
6. YOUR EDUCATIONAL BACKGROUND
School leaving certificate
(of secondary school) / Date: / Original Name of Certificate:
National Higher Education Entrance Examination (Gaokao) / Date: / Result (with maximum score of your province/city):
Bachelor Studies / From – To:
– / Name of University, details of the study subject(s)
Master Studies / From – To
– / Name of University, details of the study subject(s)
Thesis title:
Name of the supervisor:
Doctoral Studies / From / Name of University, details of the study subject
Thesis title:
Name of the supervisor:
Other Activities up to the Date of Application / From – To / Details
–
–
–
–
7. LANGUAGE PROFICIENCY
7.1 German language skills
Have your ever learnt German? / Yes No
Where? (Name of Institution),Number of hours?
Did you take the TestDaF? / Yes NoResult of all four subtests:
Did you take the DSH? / Yes NoResult:
7.2 English language skills
Did you take the IELTS? / Yes NoResult:
Did you take the TOEFL? / Yes NoResult:
Did you take other English language tests? / Name of the test, result:
8. SPECIFIC REASONS FOR YOUR CHOICE OF FREIE UNIVERSITÄT BERLIN FOR PHD STUDIES
9. ADDITIONAL REMARKS

I confirm that to the best of my knowledge and belief all the information I have given on this form is true, complete andaccurate. I have enclosed the required documents (certificates, supporting documents, etc.). I am aware that intentionally ornegligently giving false information constitutes an administrative offence and may lead to exclusion from the admissionsprocedure or – ifdiscovered at a later date – tothe cancellation of my admission or enrolment. I confirm that I have read theadmissions information.

All entries completed?

Store the file and send it by e-mail (Ms. Juna KUEHN)

The above information will be stored and processed by the Freie Universität Berlin.

They are fully subject to the data protection regulations currently in force.