Placed reserved to scholarship holders of foreign states	
		
SELF DECLARATION TO APPLY TO PhD PROGRAMME IN	
(fill the name of the PhD programme for which you are applying)	39th cycle (a.y. 2023/24)	
I	
Last name	(fill the last name)	Name	(fill the name)	
Born at	(fill place of birth)	on	(fill date of birth in dd/mm/yyyy format)	
Declare	
to be in possession of a foreign State scholarship awarded by	(fill the name of the company)	
from date	(fill the date of possession in dd/mm/yyyy format)	
or	
that I will be in possession of a foreign State scholarship awarded by	(fill the name of the company)	
in date (not after than enrolled date)	(fill the date of possession in dd/mm/yyyy format)	
Duration	(Fill the duration in mounths)	Total Amount	(Fill the total amount of Scholarship)	
Signature	(your signature)	Date	(fill date in dd/mm/yyyy format)