1. Personal Data
Family name:
First names:
Date of birth/Place of birth:
Nationality/Passport no.:
Valid until:
Date of issue/Date of expiry:
Country of citizenship:
Gender:
Marital status:
2. Permanent address
Permanent address:
Postal code:
City:
Telephone nr.:
Fax nr.:
E-mail:
3. Present address
If different to 2. or business address where you can be contacted anytime.
Address:
Postal code:
City:
Telephone nr.:
Fax nr.:
4. University Education
List of colleges, universities, graduate and professional schools attended in chronological order. Include all part-time attendance. Please forward certified transcripts from all law schools which you are currently attending or have attended.
Attach separate sheet if necessary.
Please fill in:
name of institution and address | period | main subject and degree | language of course
5. Extracurricular activities
List law school extracurricular activities. (Attach separate sheet if necessary.)
6. Substantial employment
List all substantial employment since you began law school. (Attach separate sheet if necessary.)
Please fill in:
employer and address | hours per week | dates of employment | nature of work
7. Mother tongue
What is your mother tongue?
If English is your mother tongue, go to question 10
8. TOEFL-test
Have you taken the TOEFL/IELTS-test or made arrangement to take so?
If yes, please fill in:
name of examination | date taken | location of testing centre | score
If you plan to present the TOEFL/IELTS-test score as evidence of your competence in English, you must have your official score sent in as soon as possible.
9. Further competence in English
If you have successfully completed a course of study of significant duration in an institution of higher learning in which the primary language of instruction was English please provide details below.(Attach separate sheet if necessary.)
Please fill in:
name institution and address | dates of attendance | credits earned | type of degree
If you plan to present the above as an extra proof of competence in English you must end in an official transcript or certified copy.
10. Financial matters
If you plan to apply for fellowships or bursaries, please identify.
Attach separate sheet if necessary. Names of fellowships:
Names and addresses of institution awarding the fellowships:
Approximate amounts of fellowships per academic year:
Date from which the fellowships will be available:
If you request for a bursary, please send in detailed information about your financial situation.
What is the maximum amount of financing that you or your family can provide, not taking into account any subsidies or fellowships?
11. References
Please give the names, addresses and telephone numbers of two persons whom you have asked to write letters of recommendation, so that we can contact them for further information about academic and/or professional qualification. The recommendations have to be sent directly to the Pallas staff.
Please fill in:
name | address | telephone nr.
12. Motivation
What is your motivation for participating in the Pallas Programme?
13. Additional information
Any relevant additional information
14. Publicity
How did you first learn about the Pallas LL.M. programme?