,

Republic of Serbia
Ministry of Education, Science and Technological Development

2016
2016/2017
/2017.
ACADEMIC YEAR 2016
2016-2017
-2017

APPLICATION FORM

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Please type or complete in block letters.

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FILLED BY AUTHORIZED PERSON FROM DIPLOMATIC & CONSULAR MISSIONS
OF THE REPUBLIC OF SERBIA
R S ( 6 )
Diplomatic & Consular Missions of the Republic of Serbia

Photo
, (not older than 6 months)
Full name, signature and seal of an authorized person
At the reverse side write full
name

, E-mail
Country Postal address Telephone, Fax and E-mail

/ PERSONAL DATA

Family name First name(s)

Male/Female
Date and place
of birth

Please turn the next page

1

Citizenship Marital status

:
Passport No. Passport
expires:
-
E-mail
Home address /
Telephone/Fax

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Name and address of person to be notified in case of
emergency

/ EDUCATION
/ / - ()
School / University / Faculty From - to (years) /

Degree/diploma/
other certificate

Secondary
Education

(
)
Higher education
(undergraduate
level)

(
)
Higher education
(postgraduate level)

Other education

/ LANGUAGE PROFICIENCY
( ): - -
Skills (please indicate the appropriate level): fair - good - excellent


Languages
Understanding Reading Speaking Writing

English

Serbian
( )
Other languages (fill in which language)

Please turn the next page

2
 / . , ,
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Previous study / research stays abroad. Please specify the year, place, field of study/research and length of stay.

(, )
. .
Preferred faculty and study level (BSc, MSc or Phd) after preparational year. Please specify study program for
master and Phd studies.

1)

2)

:
.
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Documents to be submitted:
Please attach the following documents in duplicate.
All documents must be written or translated into Serbian or English.

1.
Curriculum vitae

2. / -
Certified transcript(s) of records - diploma

3.
Copy of passport

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, /, / .
I the undersigned hereby confirm that I have been informed of the terms of the scholarship.

, /, / .
I the undersigned hereby certify that the information given in this application is true and complete to the best of my
knowledge.

, /, / /
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I the undersigned hereby agree that my personal data provided in this application form and attachments hereto will
be processed in order to attend to my application for the award of scholarship given by the Government of the
Republic of Serbia.

/ Place and Country / Date / Signature

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