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Capacity Building of African Young Scientists in Precision Agriculture

Through Cross-Regional Academic Mobility for Enhanced Climate-Smart
Agri-Food System (PATH)

Scholarship Application Form

About this Form

This form is for application for PATH Project scholarships (For more information, please visit the website www.path.com).
This form should be sent (together with other required documents, including the student proposal) as a unique PDF
attachment to: mobilitypathb@gmail.com. Please put on Cc to your submission Email: Prof Kwame Agyei:
kfrimpong@ucc.edu.gh and Dr Dompreh Kwadwo: kwadwo.dompreh@ucc.edu.gh. While submitting your application put
in the subject line: PATH_YOUR SURNAME_MSC OR PHD depending on whether you are applying for a credit seeking
MSc or degree seeking PhD.

This call is opened from 30 April to 20 June 2024, mid-night, GMT+1 time.

Please check the relevant boxes below to confirm that you fully understand the
application procedure. Failure to do this can result in the rejection of the application.

I am aware that this is an application form for both Target Group 1 and 2 as
explained in the call for application .
I have read and understood the application procedures as described in the call
I have benefited from an Intra Africa Mobility program in the past Yes No

Target Group (Check the appropriate TG1 TG2

box)
Personal Information
Title (Mr/Mrs/Miss) Family/Surname Name Given Names
(insert information here) (insert information here) (insert information here)

Date and place of Birth Gender

(DD/MM/YY)
(insert information here) Male: Female:
Permanent address: (insert information here)

P.S: this address will be used to send all official documents in case of selection. You
must insert the complete information and the most accurate address. Any problem in
sending documents resulting from erroneous or insufficient information provided in
this section and consequent need to resend the documents will result in the payment,
by the candidate, of the resulting expenses. The address must not be translated.
Nationality Spoken Country of Residence
Language (s)
(insert information here) (insert information (insert information here)
here)
Contact Details
Email:
Alternative Email:
Postal Address:
Telephone (Mobile): Alternative Phone:
Home Institution
Name of Institution Country:

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(insert information here) (insert information here)
City State/Province/Region Zip/Postal code Contact
person
(insert information (insert information here)
here)
Type of Mobility
PhD MSc
Host institution (Should be one of the University of the PATH consortium, visit:
https://www.gbios.echo-mar.com/projects/ for more information)
Official name of Why have you chosen this specific institution, crop and Programme Applied For at the
subject? host university (see list of the
selected host (max 2000 characters with spaces) Programmes on the last page
institution: of call for application
document)

Academic background (Please indicate the most recent academic background/qualifications or training
developed until this moment that are relevant to this application, starting with the most recent ones. Please include only
the academic training achieved in a higher education institution)

Description of current training programme

Most recent academic degree awarded /
training accomplished
Name of Degree/Specialization

Institution

Country

Date of award

Grade obtained

Maximum grade in the grades’ scale of the

institution (e.g. in a scale of 0-20, it is 20)
Employment experience
(Briefly describe the nature of three of your most recent employment experience, particularly the relevant details for your
mobility proposal. If you do not have any employment experience, you do not have to fill this section.)
Name and address of Employer Duration
1.
2.
3.
Publications or any other evidence of research experience (mandatory for MSc, PhD)
(In case you have already published a scientific work or contributed to the publication of any paper please indicate the
most representative ones, maximum five, giving priority to those most related with your mobility proposal. The references
must include: authors, title, publisher, year, city, page number and other relevant bibliographical data.)
If you don't have any publication, you do not have to fill this section
1.
2.
3.
4.
5.

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 Motivation and added value (Please state briefly the main reasons why you wish to participate to this
project, as well as the added value you perceive to be attached to your mobility proposal in your host institution.)

Required Supporting Documentation (Checklist)

1. Cover letter
2. Student research proposal or detailed research
concept note (for PhD and MSc)
3. National ID or Copy of Passport Data page
4. Certificate of previous degree(s) /or a Proof that the
degree(s) has been completed
5. All Transcripts/academic records (Please note that all
selected candidates will receive final admission after
they have provided suitable transcripts)
6. Proof of enrolment or eligibility for enrolment for MSc
degree (that is research component of MSc) from
home institution (for MSc applicants)
7. A support letter from home HEIs (from an authority of
the University, Vice chancellor or Dean or Vice Dean or
Head of Department/School)
8. Two recommendation letters
9. Curriculum Vitae.
10. Certificate of English or French language skills if any
11. Proof of socio-economic vulnerability (if relevant)
attested by an authority of the home HEI. The letter
should be on the HEI letterhead with Email and contact
of the signatory person.
12. Any other supporting documents

(To enable assessment of your application, ensure that you have completed the application form and attached relevant documents in a SINGLE PDF file)
I confirm that I do NOT have a running scholarship at the time of application
I confirm that I have attached all necessary documents along with my completed application form
Further Information
This information is to help PATH to plan support services for students; it will not be used for the purpose of
selection.
Have you any additional requirements that might affect your Yes No
study? If so, please enclose a separate letter giving details
Referees
Name two people that PATH project selection committee can consult about your
application. At least one should be a tutor or other member of the academic staff of the
university or college at which you studied. If your referees know you by another name,
please state it here and indicate whether it Call

1. Name

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Address
Telephone
Fax
Email
Position held
2. Name
Address
Telephone
Fax
Email
Position held
Declaration
By submitting this application, I declare that the information provided in this application and the supporting
documentation is true and complete. I understand that the PATH Project reserves the right to withdraw or cancel any offer
made on the basis of information that proves to be untrue or misleading. I accept that the information I provide on this
form and during my enrolment can be provided, in certain circumstances, to the European Commission (Intra-Africa
Mobility Scheme) and designated authorities, including publishing it on the project website. I understand that the PATH
project will keep all my personal information confidential unless otherwise.
Signature: Date: