QUAI DORSAY - ENTREPRISES

CO-FINANCED SCHOLARSHIP PROGRAMME ORANGE-MAEE 2012-2013 ORANGE SCHOLARSHIP

APPLICATION FORM
Important: Please send this application in digital format (Word) to ashok.charoth@diplomatie.gouv.fr along with the required documents (see details in the paragraph Documents to be attached to the application in the Call for Application). Surname (as appearing in passport) Given Name (as appearing in passport)

Sex Nationality (tick the appropriate (specify in case of holding dual citizenship such candidates are Date of birth not eligible if they hold French nationality) box) M F Permanent Address of the country of origin Telephone Fax E-mail Address in France, if the candidate is already residing there Telephone Current higher studies or internship Name of institution Degree(s) obtained Area of Studies Dates (month and year) from to

Have you obtained an application attestation from the French higher education institution(s) you Yes Course(s) (If which the scholarship has been not, please (If you the applied for more applied to? forso, please attach the attestation; if applied for contacthavedesired institution than one Masters course, please indicate your choice in increasing order of preference.) immediately.) No Master in Sciences and Technology, Information Systems - ESIGELEC

All details regarding your performance, such as grades obtained, class, rank, etc. should be mentioned in your attached curriculum vitae.

1. Master in Sciences and Technology, Electronic Embedded Systems - ESIGELEC

Master in Digital Communications - Telecom ParisTech Master in Digital Radio - Telecom ParisTech Master in Embedded System Design - Telecom ParisTech Master in Networked Computer Systems - Telecom ParisTech Master in Communications and Computer Security - Telecom ParisTech Master in Multimedia Information Technologies - Telecom ParisTech Master in Mobile Communications - Telecom ParisTech

2. MSc Applications in the Communications Environment (ACE) - ISEP 3. MSc System Integration and Project Management (SIPM) - ISEP