Application Form Category B Student Mobility Scholarship Study Period

application form category b student mobility scholarship study period at a sufonama associated partner institution stu

Application Form
Category B Student Mobility Scholarship
Study period at a SUFONAMA Associated Partner Institution
Students who wish to undertake a Study Period must:
*
Step 1: Discuss this with the SUFONAMA Academic Contact person at
their second year Institution and obtain their “in principle”
agreement. Normally this will be done at the start of the second
year of study.
*
Step 2: Contact the Academic Contact at their preferred Associate
Partner University, and obtain their “in principle” agreement.
*
Step 3: Start the detailed planning of the Study Period. Planning
for the Study Period involves the student’s thesis supervisors
(first and second year institutions) as well as the supervisor of
the work that will be done at the Associate Partner. Both Academic
Contacts must be kept informed of this process.
If this procedure is not followed in the correct sequence, the Study
Period may be refused. The Study Period is not agreed until this
contract is signed.
Student Name
 
SUFONAMA Second Year
Institution
 
Associated Partner Institution
 
Contact at Associated Partner Institution
(Name, Department, E-mail)
 
Plan for study period (coursework, supervision, seminars etc.)
 
Study period
Arrival date/ Return date
 
Comments
 
Student signature:
Name:
Date:
Obligatory enclosures:
*
Written consent from SUFONAMA academic contact person at second
year
Institution
*
Written consent from academic contact person at associated partner
Institution
(e.g. E-Mail correspondence or letters)
This form must be received by the SUFONAMA Secretariat no later than
one month before planned departure:
Erasmus Mundus Secretariat
Faculty of Science
University of Copenhagen
Tagensvej 16
DK-2200 Copenhagen N
Denmark
Erasmus Mundus Masters Course – SUFONAMA
Category B Student Mobility Scholarship Contract
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for study period at third-country
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Associate Partner Institution
The SUFONAMA Category B Student Mobility Scholarship Contract for a
study period at SUFONAMA third-country associated partner Institutions
is signed by each recipient of a SUFONAMA mobility scholarship and the
SUFONAMA Co-ordinator. The purpose of the contract is to ensure
transparent and smooth administration of the scholarship. The contract
enters into force upon the date of the last signature below.
Scholarship
The SUFONAMA mobility scholarship of €3,000 is to be used in the
academic year 2014-15. The scholarship is a fixed contribution to
travel, installation and any other type of cost in relation to the
visit to the associate partner institution.
Disbursement of scholarship
The scholarship will be disbursed in one instalment by direct transfer
by the SUFONAMA Secretariat to the recipient’s European bank account.
Please complete the attached Bank Account Form and return it to the
Erasmus Mundus Secretariat.
Scholarship recipient’s contractual obligations
The recipient confirms that s/he will:
1.
Comply with the agreed time schedule.
2.
Comply with all university regulations at the Associate Partner
Institution.
3.
Immediately inform the SUFONAMA Secretariat of circumstances that
necessitate the temporary or permanent termination of the stay. In
case of temporary termination, for instance on the grounds of
health reasons, the recipient and the SUFONAMA Secretariat will
amend this contract on a case by case basis.
4.
Submit the mandatory Activity Report within 1 month of the return
from the Associated Partner institution.
Settlement of disputes and complaints
The SUFONAMA Co-ordinator should immediately be notified of disputes
arising from this contract; and students should direct complaints to
the Co-ordinator. The Co-ordinator will make final and binding
decisions on such disputes and complaints.
Date: Date:
Name (capital letters) SUFONAMA Co-ordinator
Niels Strange
Signature Signature
SUFONAMA
BANK ACCOUNT FORM
Your full name
 
Date of birth
 
Name of Bank
 
Address of local branch
 
IBAN Code
 
SWIFT Code
 
Account number
 
I confirm that the above information is correct and ask the SUFONAMA
Secretariat to use the specified account for the payment of my
scholarship.
Date: ………………. Signature: ………………………………………………………………….
Please fill in the form in block letters and return to
Erasmus Mundus Secretariat
Faculty of Science
University of Copenhagen
Tagensvej 16
DK-2200 Copenhagen N
Denmark
SUFONAMA ACTIVITY REPORT
Student name:  
Host institution:  
Time period:  
Main activities during my stay (courses, seminars, supervision etc.):
 
General evaluation of my stay (academic output and practical
arrangements):  
Any other comments:  
Date: ………………. Signature: ……………..…….……………….
Please return the form to
Erasmus Mundus Secretariat
Faculty of Science
[email protected]