Application form - PhD Programme

A.A. 2023/2024

2023-2024

Surname *:

Name *:

Date of Birth *:

Sex *:

Male

Female

Nationality *

Region of Birth *

Province of Birth *

Place of Birth *

Nation of Residence *

Region of Residence *

Province of Residence *

Place of Residence *

Address *

Number *

Postal Code *

Telephone *

Mobile number *

Mobile number 2

Account Skype

Qualifications

Italian qualification *:

Yes

University *

Qualification *

Qualification obtained *:

Yes

Date of Graduation *

Graduation grade *

Expected Date of Graduation *

Avarage grades *

Languages

Levels *:

	Language	Native Speaker	A1	A2	B1	B2	C1	C2
	English

	Chinese
	French
	Portoguese
	Russian
	Spanish
	German

References

Name of first referee *

email of first referee *

Name of second referee *

email of second referee *

submits an application for a PhD position offered by Luiss

citizenship *:

Italian

Other

Enter your E-Mail address

E-mail *

Repeat the E-mail address *

Promptly communicate any changes to be made

Italian Tax number *

Tax code generation

The undersigned acknowledges that:
'- Pursuant to Legislative Decree 445/2000 the issue of false or incomplete declarations constitutes a crime punishable by Law.
- The processing of personal data is carried out by Luiss, in its capacity as Controller, in compliance with the general principles and particular rules provided by the relevant legislation (Reg. Ue / 2016/679), according to the methods and for the purposes outlined in the information sheet available herein '