法国工程师联盟项目a申请表.docVIP

FRANCE MUNDUS Bridging Programme for engineering studies PHOTO D’IDENTITé Attach firmly a recent passport-size photograph of yourself here DOSSIER DE CANDIDATURE / APPLICATION FORM BJTU Spring session for Year : 2015 NOM/Surname ………………………………………………………………….. Prénom/First name(s) …………………………………………………………… Sexe/sex ? masculin/male ? féminin/female Date de naissance/Date of birth?: ……….. / ……….. / ……….. Day Month Year Ville de naissance /Place of Birth …………………………………. Pays/Country………………… Nationalité/nationality …………………………….. Adresse personnelle/home address ………..…………………………………………………….. ……………….……………………………………………………………………………………… …….………………………………………………………………………………………………… Ville/Town ……………………………………….. Code postal/postal code …………………….. Pays/Country ………………………………………………………………………………………. Tél/Tel ……………………………………………………………………………………………… E-mail ……...………………………………………………………………………………………. Spécialité demandée?/ Requested major Un choix par colonne / Only one ??X?? per column Ecoles School Spécialités Speciality 1er choix 1st choice 2ème choix 2nd choice 3ème choix 3rd choice Grenoble Geotechnics Electronics/Informatics Risks Materials Informatics, Networks and Multimedia Information Technology for Health Marseille Industrial Systems Engineering Computing Civil Engineering Mechanics and Energetics Materials Informatics Biotechnology Biomedical Engineering Microelectronics Telecommunications Montpellier Informatics and Management Information Systems Electronics / Informatics Industrielle Energetics and Renewable Energies Water Science Engineering Food Science Engineering Mechanical Engineering and Interaction Materials Nice Sophia Electronics Water Engineering Applied Maths and Modelisation Informatics VOTRE SITUATION ACTUELLE / YOUR CURRENT SITUATION Dipl?me de fin d’études secondaires.?Diploma or certificate in sec