EMBASSY OF FRANCE IN SOUTH AFRICA Application Form for Master s Scholarships 2017-2018 Required documents (to accompany this form): Fully completed and signed application form Motivation letter (no longer than two pages) Curriculum vitae (no longer than two pages) Copy of passport (if you do not have a valid passport, a copy of your identity document. Should you be awarded a bursary, it remains your responsibility to obtain a passport on time) Copy of all degree certificates and academic transcripts (both for complete and incomplete qualifications) Acceptance letter from university in France (if you have already been accepted) or proof that you have commenced the application process to at least two universities. Online link to your all chosen course(s) (clear information on language of study) E-mail complete application folder (6 attachments in PDF only) to pretoria.bourses@campusfrance.org in required format (see accompanying Master s scholarship) information document). 1. PERSONAL DETAILS Surname (as it appears in your passport) First name(s) (as it appears in your passport) Sex (mark with X) Male Female Nationality (please inform in case of dual nationality) Date of birth (dd/mm/yyyy) Place (city) of birth Country of birth Marital status (mark with X) Single Married / Civil Union Other Page 1 of 7
2. CONTACT DETAILS Cellphone number E-mail address Other telephone number (if relevant) Residential address: Street Residential area City Postal code 3. SECONDARY SCHOOL EDUCATION Name of school City, Province Attended from (mm/yyyy) to (mm/yyyy) Date of receipt of senior certificate 4. HIGHER / TERTIARY EDUCATION (University or degree-awarding institution) your qualifications obtained in chronological order (from first to last), and attach certificates and transcripts in the same order. University Attended from year (i.e. 2001) Year completed (state if incomplete or year to be completed, in latter case attach proof of registration ) Degree / Diploma (as appears on certificate or proof of registration) Major subjects Page 2 of 7
5. APPLICATIONS TO INSTITUTIONS IN FRANCE (Indicate a minimum of two) Institution Choice 1 (i.e. University of ) Full title of Master programme Specialization (if relevant) Total cost of tuition fees & administration fees for the academic year (mandatory) Contact person: Have you initiated the enrolment process at this institution? Name, surname: Position: E-mail: Why have you chosen this particular programme and institution? Institution Choice 2 Full title of Master programme Specialization (if relevant) Page 3 of 7
Total cost of tuition fees & administration fees for the academic year (mandatory) Contact person: Have you initiated the enrolment process at this institution? Name, surname: Position: E-mail: Why have you chosen this particular programme and institution? Institution Choice 3 (i.e. University of ) Full title of Master programme Specialization (if relevant) Total cost of tuition fees & administration fees for the academic year (mandatory) Contact person: Have you initiated the enrolment process at this institution? Name, surname: Position: E-mail: Why have you chosen this particular programme and institution? Page 4 of 7
6. LANGUAGE SKILLS Have you ever taken French language classes? (note that you do not need any prior French language learning to apply for this scholarship, this is purely for informational purposes) Since when? Where? Other languages 7. PREVIOUS VISITS ABROAD (visit, work, study) Country / City From To Purpose of visit (vacation, work, study, etc.) 8. PRACTICAL OR WORK EXPERIENCE (DURING STUDIES OR POST-QUALIFICATION) Company / Organisation City / Country From To Position (Title) Page 5 of 7
9. CAREER EXPECTATIONS What professional career do you envisage? In your opinion, how will your studies in France support your future career? 10. FINANCIAL ASSISTANCE Have you received any scholarship from the French government before? year, programme: Have you received any other international scholarship before? year, programme: Are you currently applying for any other scholarship? Do you have any other sources of funding available to support your stay in France? (Please note that partial bursaries may also be awarded to allow for as many students as possible to obtain funding. If a student is able to obtain additional funding and declares this openly and honestly, it may improve the student s chances of obtaining funding through this program). Co-funding from private companies are particularly welcome. programme: source (personal savings, parents, loan, etc.) estimated amount (in Rand) Page 6 of 7
DECLARATION I, the undersigned (SURNAME, Name) commit myself to the general conditions of the bursary and to be willing to declare all supplementary documentation that would facilitate the evaluation of my candidacy. I affirm the information contained herein and hereto attached to be true and correct to the best of my knowledge. Signed at (place) on Signature Page 7 of 7