APPLICATION FORM. Master of European Legal Studies. Master en études européennes Spécialité Droit de la construction européenne

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1 APPLICATION FORM Master of European Legal Studies Master en études européennes Spécialité Droit de la construction européenne European Institute of Public Administration European Centre for Judges and Lawyers Luxembourg, Grand Duchy of Luxembourg Please return this form before 17 September 2012 to: Please attach two passport photographs Fabienne Zacharia Programme Organiser Tel.: Fax: European Centre for Judges and Lawyers European Institute of Public Administration (EIPA) Antenna Luxembourg Circuit de la Foire Internationale 2 L LUXEMBOURG 1. Personal Data (Please enclose a photocopy of your passport or ID card) Surname:... Maiden name (if applicable):... First name(s):... Male Female Date of birth:... Place of birth:... Nationality:... Passport / ID card number:... 1

2 2. Permanent Address Address:... Postal code:... City:... Country:... Tel. no:... Mobile no: Person to be notified in case of an emergency (next of kin):... Address:... Postal code:... City:... Country:... Tel. no:... Mobile no: Professional Address and Information Current position:. Organisation:... Address:... Postal code:... City:... Country:... Tel. no:... Fax no: Please state any relevant facts concerning your current or past employment: 4. University Education (Please include photocopies of your diplomas and / or degrees) UNIVERSITIES DEGREES / DIPLOMAS DATES

3 Please give details of any previous legal studies you may have undertaken: 5. Language Skills English French Speaking Listening Reading Writing Speaking Listening Reading Writing Excellent Good Fair Poor 6. Personal statement Describe your academic interests and reasons for applying, particularly with regard to your career objectives. Continue on a separate sheet if required. 3

4 7. Additional Information Please provide any additional information you would like the Board of Admission to consider which you feel is not sufficiently reflected in this application 8. Knowledge of EIPA Where did you learn about the Master on European Legal Studies / Master en études européennes Spécialité Droit de la construction européenne? Letter of invitation by post Announcement by EIPA website Announcement in EIPASCOPE Informed by a colleague Website announcements (Please indicate):... Newspaper announcements (Please indicate):... Other (Please indicate): Payment Students will receive an invoice for the payment of the tuition fee. The tuition fee of EUR 4,875 for the first course year is due at time of registration. Registration will not be processed without payment. In case of registration and payment before 17 August 2012, the tuition fee for each year will be reduced by EUR 350, i.e. EUR 4,525 per year. 10% Special discount for civil servants EIPA offers its members a discount of 10% of the tuition fee for the Master programme of European Legal Studies. This discount is available to all civil servants working for one of EIPA's member countries 4

5 Civil Servants coming from the following EIPA Member Countries are entitled to get the discount: Austria Belgium Bulgaria Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Lithuania Luxembourg Malta Netherlands Poland Portugal Spain Sweden United Kingdom Please note - DISCOUNTS CANNOT BE ACCUMULATED! Cancellations: Upon cancellation before 31 August 2012, a fee of EUR 150 will be charged. Upon cancellation before 26 September 2012, a fee of EUR 500 will be charged. Upon cancellation before 29 October 2012, 30% of the costs for the first course year will be refunded. Cancellations received after 29 October 2012 will result in forfeiture of the tuition fee. Cancellations must be received in the form of a registered letter. 10. Applicants declaration I certify that all the information on this application is accurate and complete. Signature:... Place and Date:... Admission decisions will be taken on the basis of the quality of the application. The number of students is restricted to ca. 30 in order to encourage an interactive working atmosphere. 5

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