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

Name of university or company

Contact information

Contact information

Website URL (if available)

Diploma or Master Degree

Year obtained (yyyy)

Bachelor Degree or second Master Degree (if available)

Reference I

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

Reference II

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

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

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

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

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

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