Application from: Europe Asia
Program Applied for: Post-Doctoral
Please explore FUSION site ( www.fusion-edu.eu
) before you fill this form
Nationality:
Your Preferred Hosting Universities with project reference number (priority basis):
(Visit here , for Partner Universities)
1.
2.
3.
Insert colored photograph
(passport size) in jpeg format (with shortest possible size)
Personal Information
Full Name (IN BLOCK LETTER)
Contact Address
Date of Birth
Gender
Passport Number (if any)
Email Address
Skype ID (if any)
Mobile Contact Number (with country code)
Have you stayed 12 months or more in any
EU countries? If yes where and reasons for your stay (this is for the Asia applicants only)
Current Status and Institution
Research area with four keywords:
Title of the Doctoral Thesis:
Year of completion of the Doctoral degree:
Language used for your Doctoral thesis:
Present position:
Present Job description:
Expire Date

How this fellowship helps your career and your country (max 10 sentences):
List of Master’s thesis supervised (if any):
List of PhD thesis supervised (if any):
List of patents (if any):
Past Academic result
PhD(Institution attended, GPA/ Class, Grade points or marks in major subject/
Thesis)*
Masters (Institution attended, GPA/ Class, Grade points or marks in major subjects/Thesis)*

Title of Masters Project or Thesis (if applicable)
Undergraduate/ tertiary level (Institution attended, GPA / Class, Grade points or marks in major subjects)*

Title of Undergraduate Project or Thesis (if applicable)
College Final/ HSC/ A Level/ Equivalent Exam (Institution attended, GPA/Class,
Grade points or marks in major subjects)*
School Final/ O level/ SSC/ GCSE/ Equivalent Exam (Institution attended,
GPA/Class, Grade points or marks in major subjects)*
Language Proficiency (English/ French/ German/ others)
IELTS/TOEFL score
(if available)*
Grade point/marks earned in Language courses in Undergraduate Program/ tertiary level
Grade point or marks earned in Language courses in College Final/HSC/A
Level/Equivalent Exam

Grade point or marks earned in Language courses in School Final/O level/SSC/GCSE/Equivalent Exam
Other Language test scores
(if any)
Scholarship:
Give a list of scholarships you have obtained for your academic performance.
Research Publications in Last Five Years:
Only include last five years publications published in international workshops/conferences and in international journals (if any).
Other Achievements:
List any other achievements other than academic ones.
Extra Curricular Activities:
List extra-curricular and voluntary/social activities in which you think your contribution is significant.
Social Status/Vulnerability:
Please mention succinctly (with proof) if you have any sorts of physically challenged situation or you have come from a minority ethnic/ indigenous group.
Research Proposal:
Provide your research proposal during your study at the hosting university. (Please state clearly what the aims, rationale, methods, outcomes of the project are. Demonstrate clearly that the proposed research is: innovative, timely, and will lead to clearly defined research output)

Acceptance of Courses/Research carried out in the Hosting University:
If you are selected you have to provide a certificate from the head of the institution you are currently attending that they will accept the courses/research you will carry out in the designated Hosting University under the FUSION program. Also if you are selected y ou need to provide a testimonial from your university mentioning that you have not done or participated in any activities related to violating university rules.
DECLARATIONS

I hereby attest that if I am nominated for scholarship under the FUSION project, I will be bound by the rules and regulations of the conditions set forth in the offer

I also attest that if I falsify/ withhold any information requested in this application form, I will not be eligible for any scholarship

I allow FUSION authority to verify the authenticity of the above information by contacting the institutions referred by me in the application.
Signature of the Applicant
Date:
* Please add evidences at the end of the application
** Please provide supporting papers (mark sheets, language test score etc.)
N.B: After this page (scan and add supporting papers and prepare a single pdf file)