MEDRC | MSc Application Form

Personal Information

Given Name(s)*

Family Name*

الرجاء كتابة الاسم باللغة العربية هنا

Date of Birth*

Gender*

Male
Female

Personal Email*

Mobile Country Code*

Mobile No.*

Skype Contact Name

Passport Number

National ID Number*

National ID Type*

Please let us know what the type of ID is (e.g. Driving License).

Address*

Address City ZIP / Postal Code

Country*

Educational Background

Please detail your past academic achievements

Degree Awarded	Field of Study	GPA	Have You Graduated	Year of Graduation	University
						Edit Delete
There are no Education Records.

Maximum number of education records reached.

List any additional academic qualifications, distinctions, awards or scholarships you have received that are relevant to this application:

Have you already completed a MSc degree?*

Work Experience

Employer	Position	Responsibilities / Achievements	From	To
					Edit Delete
There are no Work Experience Records.

Maximum number of work experience records reached.

Do you plan to work during your MEDRC Fellowship*

Program of Intended Study

Why are you applying for funding? Use this section to talk about what you will be studying.

Student ID Number*

University Name*

Department*

Degree*

Have you been accepted to the MSc degree program?*

Full Name of Program*

Title of Proposed Research Thesis*

Program Start Date*

Thesis Supervisor Full Name*

Thesis Supervisor Email*

Thesis Supervisor Telephone Number*

Supporting Documentation

Please upload the below listed documents in order to complete your application. Please ensure that all file names are in English.

National ID*

Please upload a copy of your national ID/Passport

Drop files here or

Statement of Purpose*

Please upload a personal statement, one page maximum, signed by the applicant. List any additional academic qualifications, distinctions, awards or scholarships you have received that are relevant to this application.

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Proof of Enrolment or Offer*

Official document from your university confirming enrolment or admission to MSc program

Drop files here or

Resume / CV*

Please ensure your CV is 4 pages max and fully up to date

Drop files here or

Academic Reference*

At least one reference, up to a max of 3 from a University Professor directly familiar with your academic work

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Letter of Recommendation

1-3 letters of recommendation from for example a University Professor directly familiar with your academic work.

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Academic Transcripts*

The official list of your subjects and corresponding grades from your university. شهادة كشف الدرجات

Drop files here or

Research proposal*

Full research proposal, considering the scope and approach of your research, including budget and research costs, timeline, milestones and deliverables

Drop files here or

Declaration

To the best of my knowledge, the information I have provided in this application along with any attached supporting documents is accurate and complete. I understand that my application is not valid unless all required information and supporting documents are provided to MEDRC.

Signature*

Please enter your name to confirm that you agree to the terms above.

Apply for a MEDRC MSc Fellowship

Personal Information

Educational Background

Work Experience

Program of Intended Study

Supporting Documentation

Declaration

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