Application Online Modules on Governance
and Political Science

* = required information


1. PERSONAL DATA

Family name*
Official first name(s)*
Gender* Female Male

Date of birth*
(dd/mm/yyyy)
Place of birth*
Country of birth*
Nationality*

Correspondence address
In order to facilitate communication, please provide as much information as possible.

Street & house no.*
Town*
Zip code
Country*
Telephone number
E-mail*


2. EDUCATION
Please list the college, university, or other institution of higher education you have attended. Mention only the highest degree.

Master degree*
e.g. MA, MSc
Institution*
City/country*
Field*
Graduation year*
(dd/mm/yyyy)

Bachelor degree*
e.g. BA, BSc
Institution*
City/country*
Field*
Graduation year*
(dd/mm/yyyy)

3. CURRENT EMPLOYMENT
Please provide information about your current employer, your position and most relevant duties. If you are currently not employed or studying fulltime, please mention this in the first field.

Company name*
Address
City
Country
Current position

4. COURSE REGISTRATION*

Governance in Theory and Practice
Basic course enrolment - 250 euros

Governance in Theory and Practice
Certified course enrolment - 300 euros

Governance in Theory and Practice
Accredited course enrolment - 400 euros

Introduction to Political Science
Basic course enrolment - 250 euros

Introduction to Political Science
Certified course enrolment - 300 euros

Introduction to Political Science
Accredited course enrolment - 400 euros


We would like to receive the following documents in support of your registration:
- curriculum vitae
- copy of your passport
- official passport picture


5. PAYMENT

Please tranfer the total amount of money (module and course materials) to the following bank account:

Bank account no. 65.76.18.705
IBAN NL05 INGB 0657 618705
Swift or BIC code INGBNL2A
Beneficiary Maastricht University
Bank name ING Business Banking
Bank address P.O. Box 90153
5600 RE Eindhoven
The Netherlands
Payment specification your last name and 38.10.00.02N


UNU-MERIT / MGSoG Newsletter

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(Contact webmaster in case of problems concerning the application)