COMSTECH- Mauritania S&T

Cooperation program

Research Fellowship Program

COMSTECH, the Ministerial Standing Committee on Scientific and Technological Cooperation of the OIC (Organization of
Islamic Cooperation) was established in January 1981. The core mandate of COMSTECH is to strengthen cooperation
among OIC Member States in science and technology (S&T), and enhance their capabilities through training in emerging
areas, undertake follow-up-actions and implementation of the resolutions of the OIC, and to draw up programs and
submit proposals designed to increase the capability of the Muslim countries in science and technology (S&T).
http://www.comstech.org/

Address: COMSTECH Secretariat, 33-Constitution Avenue, G-5/2,

Islamabad
Phone No. : 92 51 9220681-3
Fax : 92 51 9211115, 9220265, 9205264
Email: [email protected]

Instructions:
The application form should be submitted by the candidate and each part should be answered completely and accurately. The information requested
should be either typed or written in ink in block capitals. Where additional space is needed, a separate sheet should be used and attached.
1. Applicant is required to submit, by email to [email protected], the following items:
a. This completed and signed application as a pdf document named “Field-Surmane-App.pdf” Field can be applicant’s specialism
e.g. Biology, Maths, … Surname of applicant. The word ‘App’ helps recognize it as an application form.
b. All supporting documents scanned in high resolution and in ONE single pdf file named “Field-Surname-Supp” as seen. the word
‘Supp’ helps recognize it as supporting documents. The supporting documents required are:
i.Scanned copy of applicant’s valid passport,
ii.CV, maximum five pages, including publications.
iii.Supporting Statement from Head of Home Institution.
iv. Names and contact details of two senior scientists familiar with your work (ask them to emails reference
letters directly to [email protected] with subject line “Field-YourSurname”.
v. M.S. /Ph.D. degrees and relevant university transcripts

2. Closing date for applications is Sunday 10 December at 23:59 GMT

3. After the closing date, COMSTECH and ANRSI will work with host institutions to accommodate as many applicants as possible in their
respective fields of research.
4. Scholarships are for a period of up to 6 months.
5. Host institutions will provide accommodation and access to lab/learning/practice facilities free of charge.
6. COMSTECH will provide return economy class tickets to successful applicants.
7. ANRSI will assist with the cost of living.
8. All research/learning/practice activities are conducted in English.
9. Host institutions are prestigious universities and research institutes in OIC Member States including Pakistan, Malaysia, Indonesia and
Turkey
A. Official presentation

The Institution of .. Agence Nationale de la Recherche Scientifique et de l’Innovation (ANRSI) - Mauritania

presents herewith the candidature of ...........................................................................................................................................................................

for a COMSTECH Scholarship in the field

of .................................................................................................... .................................................................................................... .......................................................................
............................. ....................................................................................................
Photo
for a duration of .............up to 6 months...................................

under Programme and/or project COMSTECH-MAURITANIA FELLOWSHIP PROGRAMME

BY
PRESENTED FOR: :

(seal) ............................................................................................................................................ ANRSI – MAURITANIA

COMSTECH
Fellowship Name and title of responsible officer
Dr Ahmed ELMOUNA
.........................................................................................................................................................
Director General- ANRSI

......................................................................................................................................................... .........................................................................................................................................................
Date Signature

B. Background data concerning the candidate

Family name (surname) First and middle names Nationality Occupation

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Telephone.................................
Permanent address ......................
E-
mail.................................
..................................
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Please attach photo here
Mailing address Telephone (Optional)
........................................................................................................................... ........................................................

(if different
from above) .................................................................................................................................... E-mail...................................................................

Date of birth Country and place of birth Sex

day month year
................. ............................................... ....................................................................................................................... ..................................

Marital status Full name of spouse Number and age of children Name and address of person to notify in case of
accident
........................................ .................................................................. ............................................................................ ...................................................................................................................

Education
Years attended
Name, place and country Degrees, diplomas: Date
of educational establishments Indicate main subjects obtained
from to

Secondary, technical, etc.

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Post-secondary, university, or equivalent

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IMPORTANT: This application is not considered complete unless accompanied by certified copies of diplomas received and academic tran-scripts of courses
followed and grades or marks obtained

Other studies
Mention any other studies undertaken, including training/refresher courses

Fellowships and scholarships

Which of the above studies were undertaken with a fellowship or scholarship? Mention the sponsor of the grant

Visits abroad
List any significant visits abroad not mentioned above

Publications and research

List any significant publications (including publisher and date of publication) and any major research projects undertaken

Languages
Mother tongue:
Understand
Read Speak Write
(spoken)
Other languages
Not Not Not Not
Easily Easily Fluently Easily
easily easily fluently easily
............................Arabic......................................... ........................... ........................... ........................... ........................... ........................... ........................... ........................... ...........................

..................................................................... ........................... ........................... ........................... ........................... ........................... ........................... ........................... ...........................

..................................................................... ........................... ........................... ........................... ........................... ........................... ........................... ........................... ...........................

References
List three persons, not related to the candidate, who can provide information on his/her qualifications. These persons should normally be teachers or supervisors
acquainted with the candidate’s previous academic work

Full name Title and address

................................................................................................................. .................................................................................................................................................................................................................

................................................................................................................. .................................................................................................................................................................................................................

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 Previous professional activities
Dates of service
Employer Responsibilities
From To

Present position
Name and address of employer Current duties
...................................................................................................................................................................

...................................................................................................................................................................

Years of service From To

................................................... .................................................

Exact title of post

...................................................................................................................................................................

...................................................................................................................................................................

Annual salary
...................................................................................................................................................................

Name and title of supervisor

...................................................................................................................................................................

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C. Training objectives
Nature of studies
Indicate field of study and particular areas of specialization Should the studies be directed toward obtaining a diploma, degree
or qualification or should the studies have mainly a practical or
applied orientation?

Should the programme include preparation of a thesis or other piece of research?

Is the purchase of special equipment required?

Place(s) of study
In order of preference, suggest countries of study and list below them any preferences for institutions where the studies could be undertaken

1. 2. 3.
and/or and/or

List of Institutions include: List of Member CCoE institutions

(others)

For what reasons are the institutions listed above being proposed?

Mention any previous contact with these institutions and attach confirmation of admission, if available

IMPORTANT: Any further contact for the fellowship programme should be made only through COMSTECH
 Details of proposed studies
(If additional space is needed, separate sheets should be attached)

Give precise details of studies to be undertaken

Expected results and future assignment

Indicate how it is envisaged to make the best use of the results achieved and specify what position will be taken up at the end of the fellowship with
a description of future responsibilities

Candidate’s statement

If COMSTECH grants me a scholarship I agree to take up after my period of study the position to be assigned to me as described above. I certify
the information I have provided is complete and accurate

Candidate’s signature