IMPRS Registration

Gender*

Given name(s)*

Given name(s), first name(s)

Surname(s)*

Surname(s), family name(s), last name(s)

Date of birth*

Nationality*

Recognised severe disabilities*

Due to German law (SGB IX), persons with recognised severe disabilities have special rights during the application process. If you answer in the affirmative, please provide paper evidence. You do not have to answer the question (select 'No or No answer'). But if you don't answer the question, these special rights do not apply to your application process.

Current affiliation

Institution

Name of university or company

Position

Contact information

City*

Country*

Contact information

E-mail*

Website URL

Website URL (if available)

Diploma or Master Degree

Type of degree*

Field of study*

University*

Year obtained*

Year obtained (yyyy)

Overall GPA*

Bachelor Degree or second Master Degree (if available)

Type of degree

Field of study

University

Year obtained

Overall GPA

Reference I

Recommendation letter*

Given name(s)*

Surname(s)*

Academic title

Prof., Dr. or similar to be put before the name

Affiliation*

E-mail

Reference II

Recommendation letter*

Given name(s)*

Surname(s)*

Academic title

Prof., Dr. or similar to be put before the name

Affiliation*

E-mail

You read about our research clusters and groups. Please specify your preferred research cluster.

Cluster*

Please indicate in which group(s) you would like to do your PhD.

Pref1*

Pref2

Pref3

How did you first become aware of the IMPRS ProEng program?

Source

Please include here any additional information you consider relevant for your application:

Additional information

Check your information before proceeding to upload your *.pdf-file

File*

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