Ambassade de France en Iran

Fellowships

Year 2015

Last Name: / Requested Fellowship
First Name:: / Joint supervision of a thesis (Cotutelle) / o
Codirection of a thesis / o
Master in human sciences / o

File contents

1.  Application form

2.  Copy of

a.  Birth certificate

b.  CV (French or English)

c.  Diplomas and grade sheets

d.  Awards

e.  List of publications

f.  Description of the thesis (not longer than a single A4 page)

3.  Letters

3.1. PHD candidates

3.1.1. Letter of motivation (in French for applicants in human sciences)

3.1.2 .Letter of acceptance from the Iranian professor

3.1.3. Letter of acceptance from the French professor

3.1.4 Agreement of work in the French laboratory or preregistration in the French university

3.1.5 If possible University agreement of international joint supervision of the thesis (cotutelle)

3.2. Master candidates (Social and Human Science)

3.2.1. Letter of motivation (in French)

3.2.2. Master’s acknowledgement letter issued by French university and if possible preregistration in the French university

The application must be completed and sent to the French embassy before :

April 15th, 2015

Nota:

All the documents can be sent in English or with a translation in French if they are written in Farsi.

1. The applicant

11. Civil status

Name / photography
First name
Date of birth
Birth place
Nationality
Personal status
Military obligations done (Y/N)

12. Address

Home address / Work address
Mailing address / Institution
Street / Department
Town / Address
Zip code / Street
Country / Town
Home phone / Zip code
Mobile phone / Country
Email / Tel

13. Current situation

Student (level) / University / City / Start
(mm/yyyy) / End
(mm/yyyy)

If there is no current university registration, please specify the job situation

14. Academic background since the entrance to the university

Academic degree / Institution / Start
(mm/yyyy) / End
(mm/yyyy)

Nota Bene: Please attach a copy of your diplomas and grade sheets (in English).

Please also indicate the diploma you are currently studying for.

15. Publications and patents

Please attach a copy of the list of your publications and patents

16. Professional experience

Position / Organization / Start
(month/year) / End
(month/year)

17. Previous scholarships & grants

Title / Organization / Academic degree / Start
(month/year) / End
(month/year)

18. References

Name / Title / Organization / Tel / email

19. Knowledge of languages

Language / Reading / Writing / Comprehension

Nota Bene : Please indicate your level: basic, medium, fluent ;

Please attach a copy of the results of your language test (French and/or English)

2. Project

21. Subject

Field:
Subfield:
Project Title:

Example: Field: Mathematics, Subfield: Topological Dynamics, Project Title: the Topological Rokhlin Property

22. Universities

Iranian university / French university
Expected diploma / Expected diploma
Expected date of delivery / Expected date of delivery
Iranian institution / French institution
Department / Department
Supervisor / Supervisor
Position / Position
Tel / Tel
Email / Email

Nota Bene : Please attach the letter of agreement from the French laboratory

23. Organization

Enter a few lines below the division of timetable between the Iranian and French universities.

In the case of enrollment in an Iranian university, thank you to indicate accurately the minimum duration of studies in France for the Iranian degree can be validated.

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

24. Description of the thesis

Please attach a copy of the description of the research project not longer than a single A4 page.

I declare that all the above information is correct.

Place: Applicant’s Signature:

Date: