EMBASSY OF FRANCE IN SOUTH AFRICA Application Form for Master s Scholarships 2018 2019 Documents required for a complete application: 1. Fully completed and signed application form. 2. Certified copy of passport. 3. Certified copies of all degree certificates and academic transcripts, chronological according to date of completion (both for complete and incomplete qualifications). 4. Curriculum vitae (no longer than two pages). 5. Motivation letter (no longer than two pages). 6. Acceptance letters from 3 academic institutions in France (if you have not yet been accepted, proof of correspondence with the institutions will be required indicating that you have commenced the application process). 7. The internet links of the three academic institutions indicating the tuition fees of the three selected courses. o Maximum academic fees (administration and tuition fees combined) financed with a full scholarship: 5000. o For academic fees higher than 5000 co-financing options must be provided (personal savings and/or enterprise sponsorship). E-mail complete application folder (7 attachments in PDF format only) to pretoria.bourses@campusfrance.org See accompanying Master s scholarship information sheet) document. Page 1 of 7
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 indicate if you have 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 2. CONTACT DETAILS Cellphone number E-mail address Next of kin telephone number to be used when you are in France Current residential address: Street Residential area City Postal code Page 2 of 7
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) Please state 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 3 of 7
5. APPLICATIONS TO INSTITUTIONS IN FRANCE (Indicate three for a complete application) Institution Choice 1 (i.e. University of ) Full title of Master program Master level (mark with x) Master 1 (M1) Master 2 (M2) Total cost of tuition fees & administration fees for the academic year with link Contact information indication your initiation for enrolment of this Master program Tuition fees Admin fees Online link of the institution indicating the tuition fees Online application platform link Contact person (Name and email address) Admission to the Master program Already admitted Admission closing date Admission response date Why have you chosen this particular program and institution? Institution Choice 2 (i.e. University of ) Full title of Master program Master level (mark with x) Master 1 (M1) Master 2 (M2) Total cost of tuition fees & administration fees for the academic year with link Contact information indication your initiation for enrolment of this Master program Tuition fees Admin fees Online link of the institution indicating the tuition fees Online application platform link Contact person (Name and email address) Admission to the Master program Already admitted Admission closing date Admission response date Why have you chosen this particular program and institution? Page 4 of 7
Institution Choice 3 (i.e. University of ) Full title of Master program Master level (mark with x) Master 1 (M1) Master 2 (M2) Total cost of tuition fees & administration fees for the academic year with link Contact information indication your initiation for enrolment of this Master program Tuition fees Admin fees Online link of the institution indicating the tuition fees Online application platform link Contact person (Name and email address) Admission to the Master program Already admitted Admission closing date Admission response date Why have you chosen this particular program and institution? 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 spoken 7. PREVIOUS VISITS ABROAD Country / City Date / Time period Purpose of visit (vacation, work, study, etc.) Page 5 of 7
8. PRACTICAL OR WORK EXPERIENCE (during studies or post-qualification) Company / Organisation City / Country Date / Time period Position (Title) 9. CAREER EXPECTATIONS What professional career plans? In your opinion, how will your studies in France support your future career? Page 6 of 7
10. FINANCIAL ASSISTANCE Have you received a scholarship from the French government before? Have you received any other international scholarship before? Are you currently applying for any other scholarship? If please state the year and program If please state the year and program If please state the year and program 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. Please state estimated amount (in Rand) Please state source (personal savings, parents, loan, etc.) 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 application. I affirm the information contained herein and hereto attached to be true and correct to the best of my knowledge. Signed at (place) on (date) Signature Page 7 of 7