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Name
Birth Date
Gender Select Male Female
Address
City
Province/Region
Country
Mobile phone
E-mail address
Belonging to protected categories (Law n.68/1999) Select None Physical Disability Psychic Disability Visual Disability - Blind Hearing Disability - Deaf Work Invalidity Civil Invalidity Invalidity of War
Qualification Already Achieved Select High School Diploma Bachelor Degree Master Degree PhD / Master
Qualification Date
Course of study Select Chemistry Engineering Informatics Material Sciences Physics Other
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University of origin
Further studies in progress? Select Yes No
If yes please specify
Message
Reason of your application Select Thesis Internship Full Time Work
Attach your curriculum in pdf (European format required)
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