Application form for donation-scholarship for 2016/2017 Faculty: Samhällsvetenskaplig fakulteten (Social science) Institution: Nationalekonomiska (Economics) Name: Address: Telephone: Place of Birth: Admission Year: 2015 for Graduate Studies at Nationalekonomiska inst. Supervisor: Peter Thoursie I am applying for Scholarship within the faculty that I am qualified to apply for and first: W Bagge och EJ Ljungbergs This is to certify that this form contains information that is correct. ...................................................................................................................................................... Signature Add this application form to your application to the Graduate Program, February 1, 2016.