Abteilung

Abteilung Forschung und Wissenschaftsförderung Nachwuchsförderung - Lz.432 -Binne Sörine KrügerMittelweg 177, D-20148 Hamburg stipendium@verw.uni-hamburg.de

Eingang der Bewerbung:

Amtliche Vermerke:

Application for funding extension in accordance with the HmbNFG

1. Personal information

Ms Mr Citizenship:

Last Name:

First Name:

Marital Status:

Number of Children:

Address: Tel:

Email:

Bank:

IBAN: BIC:

2. I am applying for an extension of doctoral funding

starting 1 April starting 1 October Other starting date:

3. Information regarding doctoral study

Area of Doctoral Study: Department (Institute): Dissertation Topic: Start of work on the dissertation: Date of (expected) completion:

4. Doctoral advisor

Name: University/Institution: Contact:

5. Second evaluation for this application is from

Name: University/Institution: Contact:

The following documentation is included with my application:

project report – signed in the original – regarding the progress of the work to date

project plan and schedule for remaining work

evaluations from school staffs

certificate of enrollment I herewith confirm that:

the information in the calculation sheet provided to the University has not changed.

the information in the calculation sheet provided to the University has changed and I am enclosing new documentation regarding my income level and financial resources.

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