APPLICATION FORM
International Master
Fluids Engineering for Industrial Processes
I am applying to:
- Master 1 (first year)
- Master 2 (second year)
Personal data
Family name (in block capitals):................................................................................................................
First name(s): .............................................................................................................................................
Date of birth (D/M/Y): ..............................................................................................................................
Place of birth: City: ..................................................... Country: .......................................................
Gender:
M
F
Citizenship: ...............................................................................................................................................
Current address: ....................................................................................................................................
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City: ................................................................................ Postal code: .................................................
Country: ....................................................................................................................................................
Phone: ............................................................................. Fax: .............................................................
E-mail: ..................................................... This address is valid until: .....................................................
Permanent address (where you can be reached at all times): ...............................................................
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Tel: .....................................Fax: .................................... E-mail: .........................................................
Person to contact in home country (in case of emergency):
Name: .............................................................................. Tel: ...............................................................................
Academic record
Home institution (Full name): ............
Number of study years in higher education: .............................................................................................
Field of study: ...........................................................................................................................................
Degree(s) obtained: ........................................................................... Year: ......................................
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Degree in preparation:.................................................. .........................................................................
Expected date of graduation:......................................................................................................................
Description of your main previous university courses (course titles related to this application)
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Languages
Mother tongue: ..........................................................................................................................................
Language used in higher education: ..........................................................................................................
Proficiency in English: Beginner
Intermediate Advanced
Excellent
Proficiency in French:
Beginner
Intermediate Advanced
Excellent
Non native English or French speakers are requested to submit a certificate of proficiency, issued by a recognized institute.
Professional experiences and internships
Do not send any original documents
Documents to be attached
All copies must be translated into English or French by an accredited translator.
- 2 passport-size photos
- Photocopy of passport or ID card
- Results of English language test (if your native language is not English): TOEIC (750) or TOEFL (550)
- Certified academic transcripts
- Certified copies of academic diplomas
- Curriculum Vitae in English or French (max. 2 pages)
- Short statement of motivation in English
Accommodation: please precise which kind of accommodation you would prefer:
Room in a student hall of residence (depending on availability)
Private accommodation*
* We regret we cannot assist students in finding private accommodation
Financial resources
How do you intend to finance your stay in France (fees, living expenses, )? .....................................
How did you hear about this Master course?
Statement
I hereby declare that I have answered the above questions truthfully.
Date: ................................................................................
Signature: ....................................................
This application form and the required documents should be sent by April, 15th to:
Institut de Mcanique des Fluides de Toulouse
Eric CLIMENT
1, Alle du Professeur Camille Soula
F - 31400 Toulouse France
or directly by e-mail(including supplementary electronic documents) to:
e-mail: climent@imft.fr
Tel : +33 (0)5 61 28 58 86 - Fax : +33 (0)5 61 28 59 94
