Application Form 2024 – Rohan Scholarship * Mandatory Personal information Last name*: First name*: Date of birth*: Gender*: Nationality(-ies)*: Telephone number*: Email address*: Project Artistic field* (Literature or translation): Wished dates of stay*...
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Application Form 2024 – Rohan Scholarship * Mandatory Personal information Last name*: First name*: Date of birth*: Gender*: Nationality(-ies)*: Telephone number*: Email address*: Project Artistic field* (Literature or translation): Wished dates of stay* (between November 5 and December 31, 2024 -minimum one month, maximum two months) : ___ / ___ / 2024 - ___ / ___ / 2024 Other scholarships/subsidies Have you ever received a scholarship from the French government?* Yes No Are you receiving subsidies for this project from Austrian structures (city, university, companies, FWF, FFG)?* Yes No (If yes, please specify which ones: _______________________________________________) I certify that the information provided in this application is correct I agree that the French Embassy in Austria may process my personal data for internal use only In __________________________, the ___ / ___ / 2024 Signature:
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