丹麦奖学金申请表.doc

Ans?gningsskema vedr?rende statsstipendier Application form for Government Scholarships L?ngerevarende stipendium/ Longterm scholarship Sommersprogkursus for danskere/Language summer courses for Danish students only Foreigners have to fill in a special application form for a summer language course in Denmark L?s venligst vejledningen p? side 4, inden skemaet udfyldesPlease read carefully the information provided on page 4 before filling in the application form Ufuldst?ndige ans?gninger vil ikke blive taget i betragtningIncomplete applications will not be considered 1. ?nsket land/Country desired 2. Periode. Studieopholdet skal finde sted i det akade-miske ?r 2007-2008. Period. The study visit must take place in the academic year 2007-2008 (September-June) 3. Fornavn(e)/First name(s) Efternavn/Surname F?dselsdato/Date of birth Nationalitet/Nationality K?n/Sex F M Adresse/Address Postnummer/Postal code By/Town Land/Country Telefon/Telefax/E-mail Telephone/Telefax/E-mail 4. Uddannelse/ Educational background Universitet/University Fag/Subjects Varighed/Duration Fra/From Til/To Opn?ede eksaminer/ Awarded diplomas 5. Nuv?rende besk?ftigelse eller studier/ Present occupation or studies 6. Sprogkundskaber/ Knowledge of languages Udfyldes kun af danskere/To be filled in by Danish applicants only excellent good average poor English French German Spanish Others Foreigners: Please complete the enclosed language certificate