PARIS SCHLOARSHIP PROGRAM APPLICATION FILE

Mairie de Paris, CPU, France-Terre-d sile, Ghson Zeitoun

FOR SYRIAN STUDENTS
To be returned before July 5, 2017

PERSON L INFORM TION

Miss/Mrs Mr
Name (s):

First Name (s):

Date of Birth: / /


Place of birth:



Nationality:




Initial address in Syria:

Current residency (full address): .

Present status (Refugee, Asylum seeker, other): .

Since: / /
UNHCR or other asylum seeker certificate number/Proof of registration n

CONT CTS

Fixed Phone : Mobile Phone : email : .

F MILY SITU TION

Single Married Other:

If married, name of husband/wife:

Children number and names:

 PRESENT CTIVITY

Student Please detail: Not student Please detail: .

. .....





C DEMIC B CKGROUND

Diplomas :
Level type of diploma University/ Year Grades Honours
/country of diploma Institution
Baccalaurat
/High school
University

University

Current academic studies for the year 2016-2017: .

. .....


Name


and contact of the professor responsible of the studies : .. .


Certificate of French language obtained or in preparation for the year 2016-2017 (if applicable):
. ...


Institution


name and address : . ..




L NGU GE SKILLS





Mother
tongue : .





Other language Understanding Speaking Writing
French VG G AV VG G AV VG G AV
English VG G AV VG G AV VG G AV
Other: VG G AV VG G AV VG G AV
VG = Very Good ; G = Good ; AV = average
 JOB EXPERIENCE

Activity sector Job position Company Place/country From to

/ /
/ /
/ /

PERSON L C DEMIC PROJECT TO BE CHIEVED IN FR NCE

Contemplated diploma:

Specialty: ..

Field:
Human and Social Sciences Exact Sciences and Technologies Engineering
Law, Economics and Management Arts, Literature, Languages Sports Health
Preferred university in Paris region (if any):

I hereby certify the accuracy of all above information

Date: Place: Applicant Signature:

The application file is to be sent to desgz.paris@gmail.com BEFORE July 5, 2017

LISTE DES DOCUMENTS JOINDRE IMPER TIVEMENT U DOSSIER

Copy of passport
Copy of present status documents (asylum, refugee, UNHCR,)
Copy of baccalaureate/high school final exam certificate
Copy of university diploma or yearly certificates
Copy of French language certificate (not mandatory)
Curriculum Vitae
Letter stating the motivation of the applicant for his/her academic and professional project
Applications with missing documentation shall not be considered.