BOLETIM DE CANDIDATURA

Fotografia
(APPLICATION FORM) (photo)

______/_______

Cursos Mestrados/Doutoramentos/Estudos Avançados:

(Master’s degree/P-hD/Advanced Studies in):_________________________________________________________

1 - IDENTIFICAÇÃO DO CANDIDATO (IDENTIFICATION)

Nome (Full Name): _____________________________________________________________
Filiação (Parents): ______________________________________________________________
e (and)_______________________________________________________________________
Data de Nascimento (Date of Birth): ____/_____/_____
Nacionalidade (Nationality): ______________________________________________________
Natural de (Place of Birth): _______________________________________________________
Estado Civil (Civil Status): _______________________________________________________
B.I. n.º (Identity card/ passport nr.): ______________________________________________
Emitido em (Emission) ______/_______/______ Arquivo de (Country) ____________________
N.º de Contribuinte (Tax number): _________________________________________________
Morada (residência) (Address): ____________________________________________________
_____________________________________________________________________________
Código Postal (Postal code) _____________________________________________________
Telefone (Telephone): ___________________________________________________________
Telemóvel (cell phone): __________________________________________________________
E-MAIL (Legível ):

Fax (Fax nr.): __________________________________________________________________

Outro Contacto (Another contact’s nr): ______________________________________________
2 - SITUAÇÃO PROFISSIONAL (PROFESSIONAL STATUS) (EMPLOYMENT):
Profissão (Profession): ________________________Empresa (Company): _________________
Endereço (Company Address): ____________________________________________________
Código Postal (Postal/ Post code): _________________Telefone (Telephone nr): ____________
E-mail: _______________________________________________________________________
Fax (Fax Nr): __________________________________________________________________
3 - HABILITAÇÕES ACADÉMICAS (ACADEMIC QUALIFICATIONS / EDUCATION):
Grau Académico (Academic degree): _______________________________________________
Universidade (University): _______________________________________________________
Ano de Conclusão (Year of conclusion): _____________________________________________
Classificação Final (Final Grade): _________________________________________________

4 - FORMAÇÃO COMPLEMENTAR (ADDITIONAL TRAINING):

Cursos de Pós-Graduação e/ou Mestrados Obtidos (Masters degrees or post-graduation Courses):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

4.1 - CONHECIMENTOS DE LÍNGUAS ESTRANGEIRAS (OTHER LANGUAGES)

(assinale com um X) (Mark with an X)

Bom (good) Médio (medium) Fraco (weak)

Escrito Falado Escrito Falado Escrito Falado
(Written) (Spoken) (Written) (Spoken) (Written) (Spoken)
Português (Portuguese)
Inglês (English)
Francês (French)
Outra (other)

5 - DOCUMENTAÇÃO ENTREGUE (DELIVERED DOCUMENTS) (PROFESSIONAL):

Curriculum Vitae: Profissional/Académico (Academic/Professional)
Certificado de Habilitações (Academic degree Certificate)
Fotocópia do B.I., (Passport copy)
NIF (Tax number)
NIB: _______________________________________ (Para o caso do Curso não se realizar, deverá solicitar, por escrito,
ao Presidente do Conselho Directivo para requerer o reembolso da taxa de candidatura, anexando o recibo original.)

IBAN: _____________________________________ (to refund, in case the Master’s Degree won’t take place)
SWIFT Code: _______________________________ (to refund, in case the Master’s Degree won’t take place )

Taxa de Candidatura (Application Tax): _____, ____ €

Lisboa, _____/_____/_____

O Candidato (The Candidate/ Full Name): ___________________________________________

_____________________________________________________________________________

A Funcionária: ________________________ Data: _______/_________/_________