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APPLICATION FORM
CONACYT-IICA SCHOLARSHIP PROGRAM

The following form allows you to generate a profile to apply for a CONACYT scholarship program.
• Only completed forms will be considered for the scholarship process.
• The application program IICA-CONACYT scholarship is an ongoing process, you can apply at any time.
• The evaluation committee will review requests monthly, those candidates admitted to the program will be notified by mail and will have a period of 10 months to continue with the process.
• IICA endorse candidates as potential receivers of the scholarship, the final award is conditional on being accepted by a Mexican university that is in the list IICA.
• The Mexican postgraduates have two periods of January and August start the admission process can take up to 3 months after receiving the letter from the IICA is important to start the paperwork with the university as soon as possible.
•The information provided must be true and verifiable discrepancies if the candidate will be removed from the process.

Request Profile (*) Required Field.

1. PERSONAL INFORMATION

1.2 Candidate

Name *

Surname *

Marital status * singlemarrieddivorcedother

Gender *

Birth date *

Nationality *

Address of residence *

Passport number *

Country *

City *

State *

Tel.(home)

Tel.(office)

Mobile

Electronic mail *

Workplace

Address of your workplace

In case of emergency, notify

Relationship

Address

Telephone

Inter-American Institute for Cooperation on Agriculture • Information Technologies and Communications Unit
CONACYT
2011