prospective scholarship holder application form

Conditional scholarship Registration form
Academic Year 2015-2016
PERSONAL DATA
Name and Surname:
Telephone number:
Studies:
NIF/NIE/Passport:
E-mail address:
NIP:
NIA:
SCHOLARSHIP REQUEST:
(1) MECD scholarship
(11) Industrial PhD
(3) FPU
(2, D, E i F) Specific MSP/MSL scholarship
(3) FPI
(5) UPF Scholarship - PIF
(4) FI
(L) Tuition grants for official Master's degree
students (maximum discount of 2.000 € on
enrolled credits).
(6) MAEC - AECID
(G) Carolina Foundation
(K) La Caixa Foundation-UPF scholarship
(PhD students)
(10) Exempt as per agreement
(H) Tuition fee funded with funds for the Promotion
of Master or funds own Department:
(H) Enrolled credits
(B) Maximum discount of 2.000 €
(C) Maximum discount of 1.500 €
I DECLARE (select one of the two options):
That I am applying for the scholarship above selected, and that I am attaching herewith a copy of the application
submitted.
That I will present the scholarship application form above selected, and I will deliver a copy of the application
submitted to the academic secretariat.
I REQUEST:
To be exempted from the payment of the tuition fees until the resolution of the grant or until the end of the academic
year 2015-2016.
I AUTHORIZE:
The University Pompeu Fabra to claim, on my behalf, for my tuition fees to the ministry or the competent institution in
charge of the scholarship.
I COMMIT MYSELF:
To pay the tuition fees not covered by the grant.
Candidate's Signature
Stamp and date
These data will be stored and processed in Universitat Pompeu Fabra files for the purpose of managing the public service of higher education thereof. Consequently, these data will be used for
accomplishing the functions deriving from the relationship of the student with the University, as described in the resolution of creation of the file of academic management (resolution of 27thof
June 2003), and also for disseminating UPF information, products and activities and for keeping institutional relations (resolution of 8th of March 2004). These data may only be disclosed to third
parties when such a disclosure is authorised by a law (Social Security General Treasury), to other administrations for performing like competences or concerning the same matters (Department of
Universities, Research and Information Society; Ministry of Education, Culture and Sports) and whenever necessary to develop the legal relationship with the interested person (banks for managing
the payment of the registration fees, Agency for the Management of University and Research Allowances). The body responible for the University files is the manager. Rights to access, correct,cancel
or object to data in these files may be exercised by applying in writing, including a photocopy of your identity card or equivalent, to: Teaching Area Vicemanager Universitat Pompeu Fabra Plaça de
la Mercè, 10-12 08002 Barcelona.