DAAD General Required Information

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    GERLS Call 2015/2016

    General Required Information

    Full Name

    1. General Data

    Age

    General Specialty:

    Specific Specialty:

    Category: that you wish yourapplication to be evaluated under

    Home University (Working Place)

    or Institution/Company

    Faculty

    Department

    Type of scholarship

    Employment Status

    National ID

    Passport number

    Title of the proposal

    Mohamed Elsayed Hasan Abdelaal

    26

    Electrical Engineering

    Automatic Control

    Engineering

    Other

    Cairo University

    Faculty of Engineering

    Electrical Power and Machines

    Full PhD

    Public University Staff

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    2. Host Information

    Host Institution:

    Name

    Faculty

    Telephone

    E-mail

    Mailing Address

    WebsiteHost Professor:

    Name

    Title

    Telephone

    E-mail

    Mailing Address

    How contact was established withthe host professor?

    3. German Language Status

    Do you think your language permitsyou to attend a placement test?

    Yes

    No

    If yes, we urge you to undergo the online placement test available on the following website: http://www.goethe.de/cgi-bin/einstufungstest/einstufungstest.pl and attach a screen shot from the result tothe application under "miscellaneous".

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    4. GERLS Information

    4.1. Is your wife/husband currentlyon a GERLS, GERSS or anEgyptian Ministry scholarship?

    Yes

    No

    If yes, please state the following information:

    Name of Spouse

    Name of Program

    Hosted University

    Hosted Professor

    Awarded Year

    4.2. Which academic referees have submitted a letter of recommendation fo r th isapplication?

    First recommendation letter

    Name

    University

    Department

    Mobile

    E-mail

    Second recommendation l etter

    Name

    University

    Department

    Mobile

    E-mail

    4.3 Have you applied for one of the following scholarships before (ParOwn/GERSS/GERLS/DAAD)?

    Applied Yes/No Yes

    No

    If yes, please state the following information:

    Name of the program:

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    User ID

    Call for application/Cycle:

    Duration

    Hosted University

    Host Professor

    Topic of Research

    Country

    Result

    Name of the program:

    User ID

    Call for application/Cycle:

    Duration

    Hosted University

    Host Professor

    Topic of Research

    Country

    Result

    f you have applied for one of theabove mentioned programs, pleaselist here the changes/alterationssince your previous application

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    Please state your study motivationat one of the German universities?

    5. Type of scho larship sought

    Expected date of PhD defense

    Duration of Scholarship Required

    For Channel & Specialization:

    Name of Egyptian PhD Supervisor

    Date of PhD registration in Egypt

    PhD registered at which University

    Registered PhD title

    Please state if the Egyptian and German professors are in contact with each other and how?

    Eg/Gr Prof. Contact Yes

    No

    Have you registered for PhDprogram in Egypt or any othercountry under another title?

    Yes

    No

    If yes, please state the following:PhD Title

    Name of the supervisor

    Name of the university

    Registration date

    For applicants from fi eld of Medicine:

    Is there a degree expected to begranted by the host university?

    YesNo

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    If yes, please state the type ofdegree

    6. Lab costs

    Will the host university be able to

    cover the lab costs?

    Yes

    Not applicable in this fieldNo

    If it will not be covered, pleasestate the expected budget.