Registration form
Family name / Surname (*)
Given name(s) (*)
Date of birth (dd-mm-yyyy) (*)
Address (*)
Email (*)
Nationality (*)
Male/Female (*) Male Female
Family status (*) Single Married
Number of children
Desired type of registration (*) PhD student
Proposed research
Project title (*)
Research theme (*) 4D-EARTH Acquisition and quality of geo-spatial information (ACQUAL) Forest Agriculture and Environment in the Spatial Sciences (FORAGES) People, Land and Urban Systems (PLUS) Spatio-temporal analytics, maps and processing (STAMP) Water Cycle and Climate (WCC)
Research theme
Research theme leader(s) and/or secretary: ,
Start date (dd-mm-yyyy)
Duration
Application(s) Name of provider(s) to whom you have applied/will apply
Awarded Name of provider who has granted award, duration, amount, etc.
MSc degree (*) ITC MSc Other university/institute MSc
Year graduated (*)
ITC Student number
MSc course
Final mark
Uploads (Mind: File sizes of uploaded files should not exceed 2 MB. Please remove spaces from file names before uploading.)
CV (*) (PDF or Word)
Outline research proposal (*) (1-2 pages, PDF or Word please)
Scan of information page(s) of passport (JPG or PDF)
Scan of fellowship award (JPG or PDF)
Other uploads
Scan of BSc diploma (*) + transcripts (JPG or PDF)
Scan of MSc diploma (*) + transcipts (JPG or PDF)
Scan of IELTS test certificate (if studies were not in English) (JPG or PDF)
I declare that the information above is accurate. I agree to provide upon request all necessary documents, transcripts and letters to substantiate the answers. (*) Yes No
Please enter the numeric equivalent (1, 2, 3, etc.) of the following validation code.
Validation code: fortyone
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Last modified: 30 November 2011
