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

Current affiliation

Name of university or company

Place of residence

Contact information

Website URL (if available)

Bachelor Degree

Year obtained (yyyy)

Further Bachelor or Master degree (if available)

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

In which Master course(s) of the OVGU are you interested in?

Currently, in which research group would you like to do your master (and later on PhD) project?

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

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

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