MPG CAS JOINT DOCTORAL PROMOTION PROGRAMME (DPP)
REGISTRATION FORM
This form is only to be used to register for the joint Max Planck/CAS doctoral promotion program. It does not replace the requirement for full application, which should be directly submitted to a Max Planck Institute or International Max Planck Research School.
The registration form is meant
1) to provide the MPG and CAS with basic information on candidates interested in joining the joint doctoral promotion program as well as
2) to deliver tailored information and guidance to the candidates for their application.
Personal Information
Attach Photo
Miss/Ms/Mrs/Mr
Registration number (please leave blank)
Surname (Family Name), First Name (Given Name)
Nationality
Gender
Marital Status
Date of Birth (day, month, year)
□ Male
□ Single
□ Female
□ Married
Place of Birth
Number of
Children: ____
Correspondence Address
Address to which all correspondence will be sent
Permanent Home Address
(if different from correspondence address)
Address
Telephone
Fax (if applicable)
Email
Please leave blank for internal use (to be completed by cas/mpg)
     

Academic History
Higher education institutes attended (university, polytechnic college or other)
Dates
(mm/yy – mm/yy)
Name of Institution / Place / Country
Principal Subject (s)
Degrees awarded or expected before joining the MPG/CAS DPP
Date of Award
(day/month/year)
Exact Degree Title
(BSc, MSc, Diploma etc.)
Subject
Score (Marks, Points)
Obtained
Max.*
Min. *
* Maximum score (marks, points) that can be obtained, ** Minimum score (marks, points) required to pass
Honours, Scholarships, Prizes
List any honours, prizes and awards you have received relevant to this application, with dates and short description
register for
Thesis
Title of your Master or Diploma thesis, also indicate the name of your supervisor
List of Publications, Patents etc

References
First Referee
Second Referee
Name:
Occupation:
Address:
Phone:
Fax:
Email:
Language Skills
Language
native
very good
good
fair
poor
English
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□
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□
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German
□
□
□
□
□
□
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English
Score(s)
Date
IELTS           
TOEFL           
Other (please specify)   
Other information proving English proficiency:
Other Relevant Information Or Remarks

Research Proposal (two options)
1)    for candidates that have already started their ph.d. work and have a    subject for ph.d. thesis and a ph.d. supervisor in china
Title of your Ph.D. thesis
Ph.D. Supervisor
Name:
Position:
Address:
Phone:
Fax:
Email:
Name three Max Planck Institutes (MPI) or International Max Planck Research Schools (IMPRS) you would like to go to / that fit your scientific interest:
a)
MPI/IMPRS
Name:
Department:
City:
b)
MPI/IMPRS
Name:
Department:
City:
c)
MPI/IMPRS
Name:
Department:
City:

Write a short research proposal on the scientific work you would like to do if you had the relevant resources and equipment. You are welcome to develop your own ideas. Alternatively you may look up recent publications of relevant members of faculty as a starting point.

2)    for candidates that have not yet started their ph.d. work and whose subject    of ph.d. thesis has not yet been defined
Name three Max Planck Institutes (MPI) or International Max Planck Research Schools (IMPRS) you would like to go to / that fit your scientific interest:
a)
MPI/IMPRS
Name:
Department:
City:
b)
MPI/IMPRS
Name:
Department:
City:
c)
MPI/IMPRS
Name:
Department:
City:
Write a short research proposal on the scientific work you would like to do if you had the relevant resources and equipment. You are welcome to develop your own ideas. Alternatively you may look up recent publications of relevant members of faculty as a start
ing point.

Family Information
These details are needed in case your family will join you during your stay in Germany
Do you want your family to join you during your stay in Germany?
□ Yes
□ No

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