Fellowship application form

Fellowship Application Form for the ITLOS - Nippon Foundation Capacity-Building and Training Programme (2020-2021)

The data provided with this application will be maintained purely for the purpose of evaluating the application and will not be transferred to third parties.

Preliminary Questions

Have you previously applied for an internship with the Tribunal?
yes no
If yes, when did you apply:

Have you previously applied for a fellowship with the Tribunal?
yes no
If yes, when did you apply:

Have you previously received a scholarship from the Nippon Foundation?
yes no
If yes, which scholarship did you receive and when did you receive the scholarship?:

First Name
Family Name or Surname
Middle Initial(s)
Gender
Marital Status
Date of Birth
Place of Birth
Nationality
Residential Address

Telephone No.:
E-Mail:
Professional Address

Office Telephone No.:
Office Fax No.:
Office E-Mail:
Knowledge of Languages

Mother tongue:
  readwritespeakunderstand
Language easilynot easily easilynot easily easilynot easily easilynot easily
 
English
French
other(s)
Education (University or equivalent): Give full details – Please give exact titles of degrees in original language and do not translate or equate to other degrees
Institution - Name, Place and Country Please give compelete address Attended from month/year Attended to month/year Degrees and academic distinctions obtained Main course of study

Residence in foreign countries in relation to the candidate’s professional or study interests
YearCountryLength of Stay
List Membership in professional societies and activities in civic, public or international affairs
List any significant publications you have written, including full publication reference(s)(do not attach)
Employment record:
starting with your present post, it is important to give complete information. For each post give details of your duties and responsibilities.

Present Post
From
Month/Year
to
Month/Year
Exact Title of your Post
Name of Employer:
Type of Business:
Address of Employer
Name of Supervisor
Supervisor Contact Information
E-mail: Fax No.:
Description of your Duties (as they relate to ocean affairs and Law of the Sea or related areas)
Previous Post
From
Month/Year
to
Month/Year
Exact Title of your Post
Name of Employer:
Type of Business:
Address of Employer
Name of Supervisor
Supervisor Contact Information
E-mail: Fax No.:
Description of your Duties (as they relate to ocean affairs and Law of the Sea or related areas)
Proposed title of research/studies in Law of the Sea
Detailed description of proposed research/studies
Description of the practical use you will make of the research/study upon completion of the Fellowship Programme in relation to the responsibilities you expect to assume, and the conditions existing in your country in the field of your interests
Give details of any fellowship or scholarships previously awarded to you, or for which you are a candidate
I certify that the statements made by me in reply to the foregoing questions are true, complete and correct to the best of my knowledge and belief. If selected as a participant by the Selection Committee, I confirm that I understand and will accept the following obligations during the Programme:
(1) To conduct myself at all times in a manner compatible with my responsibilities as a participant of The International Tribunal for the Law of the Sea – The Nippon Foundation Capacity-Building and Training Programme on Dispute Settlement under the United Nations Convention on the Law of the Sea;
(2) To refrain during the period of the Programme from engaging in political, commercial and any activities other than those governed by the Programme;
(3) To not use my office, knowledge or confidential information gained from the Programme for private gain, financial or otherwise, or for the private gain of any third party, including family, friends and those I favour. Nor to use the above-mentioned information for personal reasons to prejudice the position of those I do not favour;
(4) To provide all necessary information in a timely manner to the host institution and institutions to be visited so as to ensure the normal administration of the Programme;
(5) To carry out my research and studies in the manner, and within the period, prescribed by the Programme;
(6) To comply with the reporting requirements as stipulated by the Programme;
(7) To follow travel and payment instructions issued by the Programme;
(8) To bear the cost of all medical expenses for which the insurance company will not assume specific responsibility;
(9) To return to my home country or home institution at the end of the Programme.



Supporting Documents
Please upload your supporting documents

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