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Fellowship Proposal 2003
Details of applicant
1Name and title:
First name: Surname:
Initial(s):
Title(s):
Date and place of birth:
Nationality:
Postal address:
Telephone:
Fax:
E-mail:
2Current employment:
University or Institution:
Institution address:
Telephone:
Fax:
E-mail:
3Current position (please also indicate your anticipated future position):
4Host institution:
Name of Institute:
Your contact person:
Address, telephone and e-mail of your contact-person:
What contacts do you have with the Netherlands host institute?
RESEARCH PROPOSAL AND PROJECT CONTENT
5Please state the title of your research proposal:
6Please give a summary of your research proposal:
(max. 300 words, plus keywords):
Keywords:
7Field of Science:
8Description of the proposed research:
(max. 1500 words on max. 3 pages, excl. literature references)
a.Research topic:
b.Approach:
c.Plan of work:
d.Proposed division of time between work in your home country and the host institute:
e.Literature references:
f. Funds requested (please give an estimate):
CURRICULUM VITAE
9First degree
University/College of Higher Education:
Date:
Main subject:
10Master's
University/College of Higher Education:
Date:
Main subject:
11Doctorate
University/College of Higher Education:
Date:
Supervisor:
Title of thesis:
12Work experience since graduating
13Brief summary of research over last five years
(max. 250 words)
14International activities
15Other academic activities
16Scholarships and prizes
17Knowledge of English, please indicate:
Excellent / Good / Reasonable / PoorWriting
Reading
Conversation
LIST OF PUBLICATIONS
18List of publications:
International (refereed) journals (indicate the language)
National (refereed) journals
Books, or contributions to books
Presentations at conferences
Other
PREVIOUS GRANTS
19Have you been granted a fellowship or grant in the past?
If yes, please list details:
OTHER RELEVANT INFORMATION
20If you have any other relevant information on your project, you can enter it here:
LETTER OF INVITATION
21Please enclose a letter of invitation by the host institute.
If you have not yet found a host institute please indicate what steps you have taken so far.
Please describe your future intentions and indicate how NWO might help you locate a
host institute.
LETTER OF REFERENCE
22Please enclose letters of reference from two professors in support of your application
Date:
.……………………
.……………………
Signature of applicant
Please note: Friday, May 16 deadline for submission of your proposal.
Contact information and address:
Contact person: Laura Apostol – Head of the Research Funding Department of NURC
Tel: 00 40 21 307 19 30
Fax: 00 40 21 307 19 39
Email:
Adress: Bucharest, 1 Schitu Magureanu, 3 floor, sector 5, cod 76626, Romania
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