AUSTRIAN APPLICATION FORM China Scholarship Council – Austrian Science Fund Scholarship Program Personal Information Surname Click here to enter your text. First name Click here to enter your text. Date and place of birth Click here to enter your text. Sex female ☐ Nationality male ☐ Click here to enter your text. Click here to enter your text. Address Email / phone Click here to enter your text. Field of study Click here to enter your text. Completed University Degrees Purpose of stay (choose one) Click here to enter your text. PhD Studies ☐ Planned duration of stay in Austria Post-Doc Research ☐ Click here to enter your text. Is it planned to complete the PhD in Austria? Yes ☐ Home institution in China University Click here to enter your text Faculty/Department Click here to enter your text. Research Group Leader Click here to enter your text Austrian host institution University Click here to enter your text. Faculty/Department Click here to enter your text. Research Group Leader Click here to enter your text. 1 No ☐ The Austrian Science Fund (FWF) holds information about everyone who applies for a scholarship within the CSC-FWF Scholarship Program. We use the information you provide on your scholarship application form to administer your scholarship application together with CSC and the Austrian host institution. An eligible application for a CSC-FWF scholarship consists of this form accompanied by the supporting documentation to assess your qualification and has to be sent directly to the FWF. Upon receipt the FWF forwards your application to the respective host institution. For the specific requirements and the supporting documentation necessary to complete the application please refer directly to the contact person at the respective Austrian host institution. Please note that your stay in Austria is financed by CSC for a maximum duration of 1 year. An extension of your stay in Austria is financed by the Austrian host institution and is depending on a positive assessment of your performance. I confirm that I wish to be considered for the China Scholarship Council – Austrian Science Fund Scholarship Program. Applicant’s signature Date and place Click here to enter your text einzugeben. Please send your complete application (this form, motivation letter, CV and any other supporting documentation required by the Austrian host institution) by email to Ms. Feng Xie (email: feng.xie@fwf.ac.at, phone +43 1 5056740 8704) by 6 December 2013 at the latest. For the supporting documentation we ask you to use PDF attachments to ensure readability. 2