PhD project

I apply to the following NUMERICS PhD project(s):

Please report below the title(s) and reference number(s) –SL-XXX-21-XXXX - of the PhD project(s) as indicated on the NUMERICS Website.

Reference: SL- -21-	Title:

Reference: SL- -21-	Title:

Reference: SL- -21-	Title:

Personal Data

Surname/Family name:

Given name(s)/First name(s):

Gender	Female	Male

Birth date (yyyy/mm/dd):	Cliquez ou appuyez ici pour entrer une date.

Birthplace – Town:

Country of birth:

First citizenship:

Second citizenship:

Full contact (current) address:

E-mail:

Phone number:

Qualifications, certificates

Highest University degree

Degree (ex: Bachelor in Sciences):

University/country:

Speciality:

Date of award:	Cliquez ou appuyez ici pour entrer une date.

Degree in progress

Master’s degree:	Yes	No (please specify: )

University/country:

Speciality:

Planned date of graduation:	Cliquez ou appuyez ici pour entrer une date.

Research internship (Master’s degree or equivalent)

Subject:

Laboratory (address):

Duration:

Tutor’s name/title:

References

Please give the names and e-mail contacts of two scientists who can be contacted by NUMERICS to provide a letter of recommendation.

Scientist 1:	Name / Title:	e-mail:

Scientist 2:	Name / Title:	e-mail:

Language skills

English:

French:

Other language:	Level:

Assessment of the MSCA mobility conditions

Please indicate below your place(s) of residence during the period of May 1st 2018 – 30 April 2021:

Consequently, during this period, my residence in France is months.

Please download this form, fill it in and mail it in pdf format to numerics@cea.fr together with:

A detailed CV (maximum 2 pages)

A cover letter

Copy of your academic records in the different certifications passed at University

The administrative page of your passport

If you consider it may help your application: any document showing achievements during academic and private training, especially during internships in academic and/or industrial laboratories

Before May 1st 2021 – 00:00