Global Scholarship Programme for Research Excellence (Inbound) 2017-18

Application Form for Visiting PhD Students

If you encounter any problems when filling in this form, please contact mobilityscheme@cuhk.edu.hk.

Section 1. Personal Particulars
Title (Dr./Miss/Mr./Ms.) *
Name Name * First Last
Date of Birth Date of Birth * / MM / DD YYYY
Email *
Contact Phone No *
Mailing Address *
Nationality *
Passport Number *
Home Institution
(In alphabetical order of country and home institution) *

*Member universities of the Worldwide Universities Network (WUN) to which CUHK belongs.
Home Department/Study Programme *
Home Thesis Supervisor
Title (Dr./Miss/Mr./Ms./Prof.) *
Home Thesis Supervisor Name Home Thesis Supervisor Name * First Last
Home Thesis Supervisor Position *
Admission Date Admission Date * / MM / DD YYYY
Normative End Date Normative End Date * / MM / DD YYYY

Th research visit should be carried out and completed prior to the submission of final thesis and the normative end date of study.
Year of Attendance *
Year of Attendance:
For others, please specify. *
Have you received an award under CUHK’s Global Scholarship Programme for Research Excellence or the PhD Student Exchange Programme before?
(Those who have been awarded twice are not eligible to apply) *

Have you received an award under CUHK’s Global Scholarship Programme for Research Excellence or the PhD Student Exchange Programme before?
(Those who have been awarded twice are not eligible to apply) Yes No
Please indicate your past awarded programme(s) *

Please indicate your past awarded programme(s) Global Scholarship Programme for Research Excellence PhD Student Exchange Programme
Global Scholarship Programme for Research Excellence:
Award Year (e.g. 2016-17) *
Global Scholarship Programme for Research Excellence:
Award Amount *
Global Scholarship Programme for Research Excellence:
Host Institution *
PhD Student Exchange Programme:
Award Year (e.g. 2016-17) *
PhD Student Exchange Programme:
Award Amount *
PhD Student Exchange Programme:
Host Institution *
Section 2. Visit Details at CUHK
Host Department *
Host Supervisor
Title (Dr./Miss/Mr./Ms./Prof.) *
Host Supervisor Name Host Supervisor Name * First Last
Host Supervisor Position *
Proposed Visit Start Date Proposed Visit Start Date * / MM / DD YYYY
Proposed Visit End Date Proposed Visit End Date * / MM / DD YYYY
Proposed Visit Period
No. of Months
(Minimum 1 month) *
Will you receive any financial support for the proposed visit? *

Will you receive any financial support for the proposed visit? Yes (Please attach supporting document, if any.) No
Source of financial support *
Amount of financial support
(e.g. HKD 3,000) *
Section 3. Collaboration Ties
This application is in support of *

This application is in support of Existing collaboration/ties between the host and home supervisors New collaboration/ties between the host and home supervisors My individual research as there is no existing/planned collaboration between the host and home supervisors
Please give details on all previous, current, and proposed collaboration/ties between the host and home supervisors in layman’s terms, including joint research, exchange activities, joint seminars/conferences, publications, etc. *
Maximum of 200 words allowed. Currently Entered: 0 words.
Section 4. Proposed Visit
Title of your research project to be conducted during the proposed visit *
Maximum of 30 words allowed. Currently Entered: 0 words.
Please provide a summary of your research project at CUHK in layman’s terms in point form.
a) Aims: *
Maximum of 50 words allowed. Currently Entered: 0 words.
b) Proposed activities: *
Maximum of 100 words allowed. Currently Entered: 0 words.
c) Potential impacts: *
Maximum of 100 words allowed. Currently Entered: 0 words.
Please provide details of your research project and proposed activities at CUHK, and indicate why it is important to your research in layman's terms. *
Maximum of 500 words allowed. Currently Entered: 0 words.
For application from Worldwide Universities Network (WUN) member institutions, please indicate if your research fall within the WUN Global Challenges
(You may check more than one box.):

For application from Worldwide Universities Network (WUN) member institutions, please indicate if your research fall within the WUN Global Challenges
(You may check more than one box.): Global Higher Education and Research Public Health (Non-Communicable Disease) Responding to Climate Change Understanding Cultures
Declaration by applicant
*

I declare that the statements made and information given in this application are, to the best of my knowledge, true, complete, and correct. I have read and fully understand the “Guidelines for Applicants”. I understand that the personal data provided in this form will be used by the Graduate School Office, the Selection Committee for Faculty and Postgraduate Student Mobility Schemes, and authorised personnel responsible for handling applications for the award.
Section 5. Supporting Documents
(A) Supporting letter from the home thesis supervisor
(in DOC/DOCX/JPG/PDF format) *

Attach Files
(B) All transcripts of academic report of postgraduate studies at home institution (New students should attach the full transcript of previous studies)
(in DOC/DOCX/JPG/PDF format) *

Attach Files
(C) Applicant’s Curriculum Vitae
(in DOC/DOCX/JPG/PDF format) *

Attach Files
(D) Copy of notification of financial support for the proposed visit to CUHK, if any
(in DOC/DOCX/JPG/PDF format)

Attach Files
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Enter Your Email Address *

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Global Scholarship Programme for Research Excellence (Inbound) 2017-18

Section 1. Personal Particulars

Section 2. Visit Details at CUHK

Section 3. Collaboration Ties

Section 4. Proposed Visit

Declaration by applicant

Section 5. Supporting Documents