THIS DOCUMENT IS ONLY FOR STUDENTS APPLYING TO WOP‐P MASTER &PROGRAMME OR PARTNER COUNTRYEMJMD SCHOLARSHIS / GRANTS[1]

From December 5, 2016 (24 hours UTC/CUT +1), and for a period of three months, student candidates are applying not only to the WOP‐P Master Programme but also to EMJMD scholarships (Erasmus+). If your application is received after the deadline (March 5, 2017, 24 hours UTC/CUT +1), it will not be considered as an application for the EMJMD scholarships (Erasmus+). From 6 March 2016 student applications will be only considered for the WOP‐P Master Programme and not for the EMJMD scholarships (Erasmus+).

(It must be signed by the applicant and up‐loaded at the end of the on‐line application form)

I confirm that the information provided on this application form is true, complete and accurate, and that no information requested or other material information has been omitted. I give my consent for the Partner Universities to use the information I have provided to create my applicant record.

I declare, under my own responsibility, that I fulfill the eligibility criteria for the EMJMD scholarship programme. Therefore, I declare that I did not enjoya EMJMD scholarshiporan Erasmus Mundus Master Course/JointDoctoratescholarship in thepast; I declarethat I willnotbenefitfromanother EU fundedscholarshipschemeif I receivedthe EMJMD forthe WOP-P Master; and I declarethat Iapplyin lessthanfour different joint programmes for the current call of EMJMD scholarships.

I agree that this application and accompanying documents shall remain with the WOP‐P Programme Consortium.

I understand that incomplete information will delay the application process and I accept that incorrect information will render the application invalid.

I agree that, in case it is decided by the WOP Consortium, my Results of Selection can be made public in the web page of the WOP Programme by using my passport or any of my identification numbers which I have provided in this application.

I commit to participate full‐time in the WOP‐P Master for the 2 years of the programme.

I agree that the WOP‐P Consortium provides my contact data to the Insurance Company hired by WOP‐P Consortium which will supply the insurance services.

I understand that, if admitted to the WOP programme, and if my funds should at any time during my course prove to be inadequate, the WOP programme will not be able to provide financial assistance either by grant or by remission of fees.

I’m aware about the formal questions regarding my previous University Degree or Diploma and Marks or Transcripts in Psychology and therefore I am aware that I will not be able to register in any of the WOP‐P Consortium Universities unless I provide them with the proper copies of these both documents according to the formal requirements of both Home (first mobility) and Host (second mobility) Universities and before deadline.

Please, from the following statements, you can only choose one option according to your situation:

I confirm that I’m applying for the WOP‐P Master as student and for Partner Country EMJMD scholarships (Erasmus+) and therefore, I hereby declare that I am resident of a partner country: Afghanistan, Albania, Algeria, Andorra, Angola , Antigua and Barbuda, Argentina, Armenia, Australia, Azerbaijan, Bahamas, Bahrain, Bangladesh, Barbados, Belarus, Belize, Benin, Bhutan, Bolivia, Bosnia and Herzegovina , Botswana, Brazil, Brunei, Burkina Faso, Burundi, Cambodia, Cameroon, Canada, Cape Verde, Central African Republic, Chad, Chile, China, Colombia, Comoros, Congo (Brazzaville), Congo (Kinshasa), Cook Islands, , Costa Rica, Côte d'Ivoire, Cuba, Djibouti, Dominica, Dominican Republic, DPR Korea, East Timor, Ecuador, Egypt, El Salvador, Equatorial Guinea, Eritrea, Ethiopia, Fiji, Gabon, Gambia, Georgia, Ghana, Grenada, Guatemala, Guinea-Bissau, Guyana, Haiti, Honduras, Hong Kong, India, Indonesia, Iran, Iraq, Israel, Jamaica, Japan, Jordan, Kazakstan, Kenya, Kiribati, Kosovo, Kuwait, Kyrgyzstan, Laos, Lebanon, Lesotho, Liberia, Libya, Macao, Madagascar, Malawi, Malaysia, Maldives, Mali, Marshall Islands, Mauritania, Mauritius, Mexico, Micronesia, Moldova, Monaco, Mongolia, Montenegro, Morocco, Mozambique, Myanmar, Namibia, Nauru, Nepal, New Guinea, New Zealand, Nicaragua, Niger, Nigeria, Niue, Oman, Pakistan, Palau, Palestine, Panama, Papua, Paraguay, Peru, Philippines, Qatar, Republic of Guinea, Republic of Korea, Rwanda, Samoa, San Marino, Sao Tome and Principe, Saudi Arabia, Senegal, Serbia, Seychelles, Sierra Leone, Singapore, Solomon Islands, Somalia, South Africa, South Sudan, Sri Lanka, St. Kitts and Nevis, St. Lucia, St. Vincent and the Grenadines, Sudan, Suriname, Swaziland, Switzerland, Syria, Taiwan, Tajikistan, Tanzania, Territory of Russia as recognized by international law, Territory of Ukraine as recognized by international law, Thailand , Togo, Tonga, Trinidad and Tobago, Tunisia, Turkmenistan, Tuvalu, Uganda, United Arab Emirates, United States of America, Uruguay, Uzbekistan, Vanuatu, Vatican City State, Venezuela, Vietnam, Yemen, Zambia, Zimbabwe. This declaration can only be made by students applying to Partner Country EMJMD scholarships (Erasmus+).

I confirm that I’m applying for the WOP‐P Master as student and for Programme Country EMJMD scholarships (Erasmus+) and therefore, I hereby declare that I am resident of a programme country or I can demonstrate a residence permit in one of the Porgramme Countries for at least 12 months during the 5 years before the application deadline for WOP-P EMJMD Scholarships: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, former Yugoslav, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of Macedonia, Romania, Slovakia, Slovenia, Spain, Sweden, Turkey, United Kingdom. This declaration can only be made by students applying to Programme Country EMJMD scholarships (Erasmus+).

In………………… (Place), on …………….. (Date: dd/mm/yyyy)

(Your signature)

Signed by ……………………………………………… (Name and surname)

From December 5, 2016 (24 hours UTC/CUT +1), and for a period of three months, student candidates are applying not only to the WOP‐P Master Programme but also to EMJMD scholarships (Erasmus+). If your application is received after the deadline (March 5, 2017, 24 hours UTC/CUT +1), it will not be considered as an application for the EMJMD scholarships (Erasmus+). From 6 March 2016 student applications will be only considered for the WOP‐P Master Programme and not for the EMJMD scholarships (Erasmus+).