Norwegian University of Science and Technology

Return completed application to the following address:

NTNU, Dept. of Production and Quality Engineering

Professor Marvin Rausand

S.P. Andersens veg 5

N-7491 Trondheim

Norway

Fax: +47 7359 7117 545k102f

For internal use only

Proposal number …………………

Date received …………………

Research area  …………………

Ref  …………………

Applicant

Name:

Date of Birth:

Citizenship: Gender: Male Female

Scientific degree:

Home Institution:

Address:

Telephone:

Fax:

Email:

3. Duration

Intended stay at NTNU: weeks

Estimated date of arrival:

Travel budget

Estimated price for return ticket to Trondheim by Economy Class: €

Research attach additional pages as necessary)

A.    Proposed topic of research (with summary of current state of the art, innovation aspects and need for training)

2. Reasons for applying for this Marie Training Fellowship at NTNU: How does it relate to the focus of the Training Site? Complimentary aspects to Home Institution programme of research:

C. Proposed Training Site courses to be undertaken:

Advisor/Supervisor at home institution

Name:

Address:

Tel:

Fax:

Email:

Signature

I hereby confirm that I have read the guidelines for eligibility criteria , which accompany this application and all other Site-specific criterion, and that I fulfil this eligibility criteria for applying for a pre-doctoral fellowship at the Marie Curie Training Site, detailed in section one above, at NTNU. I also confirm that the information provided is correct and true, and understand that missing or false information may lead to outright rejection of this application or termination of a fellowship at a later date.

Date: ____________ Signature: __________ ______ ____ _____ _______ ______ _________