IELPO LL.M. – International Economic Law and Policy

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APPLICATION FORM

FOR IELPO PROGRAMME

PERSONAL INFORMATION
SURNAME/ NAME

Surname, Name
TITLE Mr Mrs Miss
Select a title
FORENAME
DATE OF BIRTH / DD / MM YYYY
SEX male female
EMAIL ADDRESS
Phone
Fax
PERMANENT HOME ADDRESS
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
CORRESPONDENCE ADDRESS
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
NATIONALITY
COUNTRY OF PERMANENT RESIDENCE

since 1 January 2003
COUNTRY OF BIRTH
ACADEMIC INFORMATION
DEGREE PROGRAMMES FROM WHICH YOU HAVE ALREADY GRADUATED

For each degree: Name of university and country - Dates attendd - Title of degree awarded - Date awarded
QUALIFICATIONS PENDING

Name of university and country - Dates attended - Title of degree awarded - Date awarded -
CURRENT COURSES BEING STUDIED
LANGUAGE SKILLS
MOTHER TONGUE/S
LANGUAGE OF INSTRUCTION FOR YOUR DEGREE
Speaking English
Reading English
Writing English
WORKING EXPERIENCE
Dates - Work and position held - Name and contact address of employer -
REFEREES
First Academic Referee

Name and contact address – telephone number or email address is compulsory
Second Academic Referee

Name and contact address –telephone number or email address is compulsory
FINANCIAL ASPECTS
How would you finance the IELPO programme? Self Family Employer Scholarship
If Scholarship: - Name of Scholarship(s) - Scholarship(s) obtained to date
OTHER INFORMATION
ACADEMIC INTERESTS AND PURPOSE OF STUDY
LIST OF ACADEMIC HONORS OR PRIZES YOU HAVE RECEIVED (IF ANY) AND DATES
LIST OF PUBLICATIONS (IF ANY)

Title - Date of Publication - Name of Publisher -
HOW DID YOU HEAR ABOUT IELPO PROGRAMME? IELPO Prospectus Met an IELPO Lecturer/ Representative Advice from teacher Internet ELSA website/ event Other ...
C.V. UPLOAD

Secretaria del Estado de Turismo y Comercio

Departament Economia i Finances de la Generalitat de Catalunya

Partners

APPLICATION FORM

PERSONAL INFORMATION

ACADEMIC INFORMATION

LANGUAGE SKILLS

WORKING EXPERIENCE

REFEREES

FINANCIAL ASPECTS

OTHER INFORMATION