第1页共29页编号:时间:2021年x月x日书山有路勤为径,学海无涯苦作舟页码:第1页共29页ANEXA1.2MINISTRYOFFOREIGNAFFAIRSDEPARTMENTOFCULTURAL,EDUCATIONALANDSCIENTIFICRELATIONSPhotoAPPLICATIONFORMFORSCHOLARSHIPSINROMANIA(tobefilledincapitalletters)ACADEMICYEAR2008/2009SCHOLARSHIPTYPE:Bachelor’sdegreestudies□Specializationcourses□Masterstudies□PhDstudies□OPTIONSFORUNIVERSITIESPlease,indicatetwooptionsfortwoRomanianuniversities(also,pleasereadcarefullythepointIIIonthelastpageoftheapplicationform):(city/university/faculty/specializationprofile)………………………………….../…………………………………/………………………………………../………………………………..……………………………………/…………………………………/………………………………………../………………………………..APPLICANT’SIDENTITYSurname:…………………………………………………..………………………………………………………..Maidenname:………………………………………………………………………………………………………Name:……………………………………………………………………………………………………………….Gender:M□F□Maritalstatus:Single□Married□Divorced□Nationality………………………………………………….…Dateofbirth…………………………………….Placeofbirth(city,department,country)…………………………………….………………………………….第2页共29页第1页共29页编号:时间:2021年x月x日书山有路勤为径,学海无涯苦作舟页码:第2页共29页Address:(permanentaddress)……………………………………………………………………………………Postcode:…………………City:…………………………Country:……………………………………Telephone:……………………………..Fax:……………………….E-mail:………………………………….Contactperson:Name……………………………………………………………………………………………Address:…………………………………………………………………………………………………………….Telephone:…………………………….Fax:………………………..E-mail:……………………………………Knowledgeoflanguages:Romanian□level.……………………………..English□level………………………………Others□level………………………………TheworkinglanguagewhilestudyinginRomania:Romanian□English□other□(please,mention…………………………..)IwouldliketoattendRomanianclassesbeforethebeginningofmystudyinRomania:Yes□No□EDUCATIONALBACKGROUNDTypeofstudiesEducationInstitutionPeriodDiplomasResults,onacademicyearsUndergraduatestudiesUniversitystudies(please,detailonacademicyears)Postuniversitystudies(please,detailonacademicyears)Professionalexperienceuntilthepresentmoment(jobs,position,fieldofwork):第3页共29页第2页共29页编号:时间:2021年x月x日书山有路勤为径,学海无涯苦作舟页码:第3页共29页……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………Otherscholarshipsandspecializationtrainings:…………………………………………………….…………………..………………………………………………………...