Karl Ziegler Young Polymer Scientists Scholarship – Declaration of honour

Name

First

Last

Degree programme

Declaration regarding employment - Click on the applicable statement(s)

I am not employed by Martin Luther University Halle-Wittenberg (MLU) and I do not hold a position as a student assistant (studentische Hilfskraft), research assistant (wissenschaftliche Hilfskraft) or other employee of MLU during the scholarship period (from January 01 to December 31, 2027).
I am employed outside MLU during the scholarship period (from January 01 to December 31, 2027).

If applicable - Name and adress of employer

Position / job title

Employment period and contractual working hours (pro week or pro month)

Brief description of the duties

Declaration regarding other scholarships or financial support - Click on the applicable statement(s)

I am not receiving any other scholarship during the scholarship period (from January 01 to December 31, 2027).
I am receiving / have applied for another scholarship or financial support during the scholarship period (from January 01 to December 31, 2027).

If applicable - Name of scholarship / funding programme and funding institution

Funding period

or duties applicable

I hereby undertake to inform the responsible MLU office without undue delay of any change concerning my eligibility for or entitlement to the scholarship (registration in the international Master course "Polymer Materials Science", employment or self-employment, scholarship or financial support) - Click on the applicable statement

I hereby declare on my honour that the information provided in this form is complete and accurate to the best of my knowledge and belief.

Name, Place, Date

Coordinating Office

Editorial

Contact