PH Application Form, simple (PhD 2024 11 GP: ClinFO, Shared care to prevent infections and fractures in patients with liver cirrhosis)

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Personal
First name*
Last name*
Address*
Postal code*
City*
Country*
Email* (only one)
Telephone (private)
Phone (mobile)
Citizenship*
Gender*
CV*
Consent*
Academic background
Education
- title*
- inst. country*
- institution*
- level*
- status*
- date of completion*
- grade point average*
Diploma and
transcripts of records*
Language skills
- proof
Additional information
If previous PhD enrolment:
  enter institution and country
Admission
Applying for*
Starting date
Credit transfer on top of admission level(months)*
- reason for transfer
If part time:
- hours/week & main reason
- details(*)
If industrial PhD:
 enter company
Financing
Scholarship type*
Upload Financial
Statement
Financing additional info
Study
Study additional info
Project
Project title
- abstract
(1000 keystrokes)

- summary
(5000 keystrokes)

- description
Initial PhD plan
Masters study plan(*)
Main supervisor*
- position*
- institution*
- email*
Co-supervisor 1
- position(*)
- institution(*)
- email(*)
Co-supervisor 2
- position(*)
- institution(*)
- email(*)
Co-supervisor 3
- position(*)
- institution(*)
- email(*)
Pre-assessors
Pre-assessor 1*
- position*
- email*
Pre-assessor 2*
- position*
- email*
Referees
Referee 1
- position(*)
- institution(*)
- email(*)
- recommendation
Referee 2
- position(*)
- institution(*)
- email(*)
- recommendation
Referee 3
- position(*)
- institution(*)
- email(*)
- recommendation
Additional application material
Motivation*
Other information to consider
How did this call come to your attention?
Source*
Financing add inf
Study add inf
R1s
R2s
R3s
Data usage
Vacancy type
Team name