o Please enable JavaScript in your browser to complete this form.First nameLast nameDNI-NIE(for applicants from Spain) or passport number (for applicants from other countries)Home AddressStreet AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsPhoneEmail *Previous ParticipationIf you received mobility grants under Erasmus Mundus consortia, Erasmus Mundus Joint Masters or Erasmus+ (KA103 or KA107), indicate country, university and duration of mobility in months. Previous ParticipationMobility for which you are applying nowType of MobilityPhDSending InstitutionUniversidad Autónoma de MadridUniversidad Carlos III de MadridUniversitat Autònoma de BarcelonaUniversitat Pompeu FabraUniversity of BotswanaBotswana International University of Science and TechnologyUniversity of NamibiaNamibia University of Science and TechnologyUniversity of PretoriaUniversity of the WitwatersrandStellenbosch UniversityUniversity of Cape TownUniversity of Western CapeUniversity of the Free StateUniversity of NairobiKenyatta UniversityAddis Ababa UniversityWolaita Sodo UniversityEcole Nationale Superieure de Statistique et d'Economie AppliquéeLomonosov Moscow State UniversityHigher School of EconomicsRANEPANorth-West Institute of Management, Branch of RANEPA (St. Petersburg)Russian State University for the HumanitiesSt. Petersburg State Polytechnic UniversityMoscow Power Engineering InstituteSouthern Federal UniversityJawaharlal Nehru University, DelhiIndian Institute of Science of BangaloreIndian Institute of Technology, MadrasIndian Institute of Technology of DelhiIndian Institute of Technology, BombaySymbiosis International University, PuneUniversitas IndonesiaInstitute of Technology of BandungUniversitas Gadjah MadaUniversitas AirlanggaBINUS UniversityTelkom UniversityUniversitas Muhammadiyah YogyakartaUniversity of MalayaUniversiti Teknologi MalaysiaUniversiti Putra MalaysiaUniversiti Sains MalaysiaVietnam National University in Ho Chi Minh CityVietnam National University in HanoiHanoi University of Science and TechnologyRMIT VietnamUniversity of HanoiChulalongkorn UniversityMahidol UniversityThammasat UniversityKhon Kaen UniversityUniversity of TehranAllameh Tabataba'i UniversityAmirkabir University of TechnologyIsfahan University of TechnologyFaculty and/or DepartmentReceiving InstitutionUniversidad Autónoma de MadridUniversidad Carlos III de MadridUniversitat Autònoma de BarcelonaUniversitat Pompeu FabraUniversity of BotswanaBotswana International University of Science and TechnologyUniversity of NamibiaNamibia University of Science and TechnologyUniversity of PretoriaUniversity of the WitwatersrandStellenbosch UniversityUniversity of Cape TownUniversity of Western CapeUniversity of the Free StateUniversity of NairobiKenyatta UniversityEcole Nationale Superieure de Statistique et d'Economie AppliquéeUniversity of TehranAllameh Tabataba'i UniversityAmirkabir University of TechnologyIsfahan University of TechnologyJawaharlal Nehru University, DelhiIndian Institute of Science of BangaloreIndian Institute of Technology, MadrasIndian Institute of Technology of DelhiIndian Institute of Technology, BombaySymbiosis International University, PuneUniversitas IndonesiaInstitute of Technology of BandungUniversitas Gadjah MadaUniversitas AirlanggaBINUS UniversityTelkom UniversityUniversitas Muhammadiyah YogyakartaUniversity of MalayaUniversiti Teknologi MalaysiaUniversiti Putra MalaysiaUniversiti Sains MalaysiaReceiving Faculty and/or DepartmentMobility start dateMobility end date Disadvantaged backgroundA4U supports inclusiveness. If you come from a disadvantaged background, please indicate in the field below. The definition of "disadvantaged background" can be checked in Erasmus+ guide, see p. 10, available on https://alliance4universities.eu/en/mobility-scholarships/. The disadvantaged background status has to be documented by the applicant to their sending institution, which in turn will confirm it to A4U.Disadvantaged backgroundDocuments to attachLearning Agreement Click or drag a file to this area to upload. CV Click or drag a file to this area to upload. Certification of disadvantaged background if applying for a top-up grant Click or drag a file to this area to upload. Please ask your referee to send your recommendation letter directly to coordinacion@a-4u.eu with "Recommendation letter" in the subject field by the application deadline.Privacy statement *I agree for my personal data to be transferred to ASOCIACIÓN ALIANZA 4 UNIVERSIDADES C/Madrid, 126, Getafe, España, CIF G85674653, for the purpose of processing applications for and managing Erasmus+ International Credit mobility grants.Submit