Erasmus Mundus - Action 2 - Strand 1
Partnerships Programme
ELARCH PROJECT
DECLARATION OF HONOUR
APPLICANT’S PERSONAL DATA
Family name: ………………………………………
Date of birth: ………………………………………
Sex: …M/F….
Place of birth:………………………………………
e-mail address:………………………………………
Current address: …………………………………..
………………………………………………………...
………………………………………………………...
…………………………………………………………
Current address is valid until: ……………….….
Tel. no (incl. country code nr.): …………………
First name (s): ………………………………….
………………………………………………………
Nationality1………………………………………
………………………………………………………
Permanent address (if different): …………
………………………………………………………
………………………………………………………
…………………………………………………….
………………………………………………………
Tel: ………………………………………………
I declare that:
- I have not received an Erasmus Mundus- Action 2- scholarship for the same purposes.
- I am not resident and I have not carried out any study or worked for more than a total of 12 months
over the last five years in any of the eligible European Countries at the time of submitting the
application to the partnership.
Date ________________
Signature of the applicant
___________________________________
1 Candidate with multiple nationality must choose under which one nationality would apply. A specific proof is requested to TG3 students and it must be enclosed to this
application.