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International Pharmaceutical Students` Federation (IPSF)
Joint Research Project Application Form
Applicant Information
Local Group
Home Address
Study Address
Zipcode
City Zipcode
State City
Country State
E-Mail Country
Nationality (ies)
Educational Background
Current Education
Current University
Did you graduate? yes no If no, please indicate current year of study
Please list any other higher education institute you attended in your CV section.
Language Skills
Please name all the languages you are in command of. Please note that English is mandatory.
Native
Fluent
Good
Basic
Please indicate whether you have legal skills in the following areas, ranked as follows:
N = None, G = General, A = Advanced
N G A
Health Law
Human Rights
Administrative Law
Competition Law
Community Pharmacy
Pharmacy Law
By completing this application form, the applicant accepts the following conditions:
In case that the applicant has, intentionally or with gross negligence given false or inaccurate information ELSA and
IPSF reserve the right to cancel the application.
2. I will provide ELSA and/or IPSF with all necessary documentation to check the validity of the information
provided.
3. I will attend the traineeship provided for, according to the terms and conditions agreed upon..
Both ELSA and IPSF are not responsible for any costs related to the traineeship, neither compensation nor
transportation fees.
Date:
Signature:
The full application form must be submitted electronically to the relevant persons listed below no later than
31st May 2011 at 23:59 CET: