PhD project

I apply to the following NUMERICS PhD project(s) :
Please report below the title(s) and reference number(s) SL-XXX-18-XXXX of the PhD project(s) as indicated on the NUMERICS website.
Reference : SL- Title :
Reference : SL- Title :
Reference : SL- Title :

Personal Data

Surname :
Given names :
Gender :	Female Male
Birth date (yyyy/mm/dd) :
Place of birth, Town :
Place of birth, Country :
First nationality :
Second nationality :
Full contact (current) address :
E-mail :
Phone Number :

Qualifications, certificates

1 – Highest University degree
Degree (ex: Bachelor in Sciences) :
University/Country :
Specialty :
Date of award :

2 – Degree in progress
Master’s degree : Yes No, please specify :
University :
Specialty :
Tentative date of completion :

3 – Research intership (Master’s degree or equivalent)
Subject :
Laboratory (address) :
Duration :
Tutor’s name :

4– References
Please give the names and email addresses of two scientists that can be contacted by NUMERICS to provide a letter of recommendation.
Scientist 1 (name, title, email) : Scientist 2 (name, title, email) :

5 - Languages
English :
French :
Other : Level :

6 – Assessment of the MSCA mobility conditions
Please indicate below your residence during the period 1 May 2015 – 30 April 2018 :
As a consequence, during this period, my residence in France is months.

This form should be downloaded, completed and sent by mail in pdf format accompanied by:

A detailed C.V. (max. 2 pages)

A cover letter

Copies of academic records in the different exams passed at University

Any document showing achievements during academic and private training, especially during interships in academic and/or industrial laboratories

A copy of the administrative pages of the passport

To the following address: numerics@cea.fr

Before May 1st, 2018, 00:00