Ambassade de France en Iran
Fellowships
Year 2015
Last Name: / Requested FellowshipFirst 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 / photographyFirst name
Date of birth
Birth place
Nationality
Personal status
Military obligations done (Y/N)
12. Address
Home address / Work addressMailing 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 / email19. Knowledge of languages
Language / Reading / Writing / ComprehensionNota 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 universityExpected 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: