中丹联合培养博士生项目申请表英文JOINTDOCTORAL

JOINTDOCTORALPROMOTIONPROGRAMME(DPP)

REGISTRATIONFORM

PersonalInformation

AttachPhoto

Miss/Ms/Mrs/Mr

Registrationnumber(pleaseleaveblank)

Surname(FamilyName),FirstName(GivenName)

Nationality

Gender

MaritalStatus

DateofBirth(day,month,year)

Male

Single

Female

Married

PlaceofBirth

Numberof

Children:____

CorrespondenceAddress

Addresstowhichallcorrespondencewillbesent

PermanentHomeAddress

(ifdifferentfromcorrespondenceaddress)

Address

Telephone

Fax(ifapplicable)

Email

AcademicHistory

Highereducationinstitutesattended(university,polytechniccollegeorother)

Dates

(mm/yy–mm/yy)

NameofInstitution/Place/Country

PrincipalSubject(s)

DegreesawardedorexpectedbeforejoiningtheDPP

DateofAward

(day/month/year)

ExactDegreeTitle

(BSc,MSc,Diplomaetc.)

Subject

Score(Marks,Points)

Obtained

Max.*

Min.*

*Maximumscore(marks,points)thatcanbeobtained,**Minimumscore(marks,points)requiredtopass

Honours,Scholarships,Prizes

Listanyhonours,prizesandawardsyouhavereceivedrelevanttothisapplication,withdatesandshortdescription

Thesis

TitleofyourMasterorDiplomathesis,alsoindicatethenameofyoursupervisor

ListofPublications,Patentsetc

References

FirstReferee

SecondReferee

Name:

Occupation:

Address:

Phone:

Fax:

Email:

LanguageSkills

Language

native

verygood

good

fair

poor

English

Danish

English

Score(s)

Date

IELTS

TOEFL

Other(pleasespecify)

OtherinformationprovingEnglishproficiency:

OtherRelevantInformationOrRemarks

ResearchProposal

1) ProposalforcandidatesWithsubjectforPh.D.thesisandPh.D. supervisorinChina

TitleofyourPh.D.thesis

Ph.D.Supervisor

Name:

Position:

Address:

Phone:

Fax:

Email:

Nameofuniversityyouwouldliketogoto/thatfityourscientificinterest:

a)

Name:

Supervisor:

Address:

Phone:

Fax:

Email:

b)

Name:

Supervisor:

address:

Phone:

Fax:

Email:

c)

Name:

Supervisor:

address:

Phone:

Fax:

Email:

Writeashortresearchproposalonthescientificworkyouwouldliketodoifyouhadtherelevantresourcesandequipment.Youarewelcometodevelopyourownideas.Alternativelyyoumaylookuprecentpublicationsofrelevantmembersoffacultyasastartingpoint.

FamilyInformation

ThesedetailsareneededincaseyourfamilywilljoinyouduringyourstayinDenmark

DoyouwantyourfamilytojoinyouduringyourstayinDenmark?

Yes

No

Spouse:

Surname(FamilyName),FirstName(GivenName)

DateofBirth

PlaceofBirth

Children:

Surname(FamilyName),FirstName(GivenName)

DateofBirth

PlaceofBirth

Surname(FamilyName),FirstName(GivenName)

DateofBirth

PlaceofBirth

NotesforGuidance

Beforecompletingthisregistrationform,pleasereadthefollowinginformationcarefully.

PleaseuseA4sizepaperonlyanddonotstaple.

Pleaseeithertypeorcompletethisformbyusingblockcapitalsthroughout.Completeallsectionsoftheregistrationasfullyaspossible.IfasectiondoesnotapplytoyoupleaseindicatethiswithN/Afornotapplicable.

Pleasedonotaddanyoriginalcertificates.

Statement

Icertifythattheinformationprovidedinthisregistrationformisaccuratetothebestofmyknowledge.Iamawaret