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History and Civilisation
March Bloch Prize in Modern European History (15th -21st centuries)

Participation form:

Please ensure that you have read the rules on eligibility before completing your application. You may submit only one application, therefore please review the application form carefully, ensuring you have all material to complete it.

Personal details
Title
Family name
First name(s)
Date of birth
Citizenship
Second citizenship (if any)


Contact information
E-mail

Please confirm your email address:
Phone
Correspondance Address

Postcode/ZIP
City
Country
   

MA Thesis background

University/Universities where MA obtained

Title of MA Thesis


MA Thesis defence date

MA Thesis abstract
(maximum of 200 words)

MA Thesis grade


MA Thesis Supervisor
Title/Position  
Family name  
First name  
Institution  
Email  
Telephone  
     
 
Second Supervisor (if any)
Title/Position  
Family name  
First name  
Institution  
Email  
Telephone  
     
 

Documents:

Only files of type .PDF are accepted.

 
 
Thesis
Max file size 10 MB



The information I have submitted is true and pertain to me personally. I am the author of this MA thesis.
 

Click on Submit to make your application. This may take some time depending on the size of your documents.
Please check the information you have entered on your application carefully BEFORE you click Submit.
If you experience any problems when trying to submit your form please contact the History Department at MBlochPrize@eui.eu.


Page updated: 6/06/08