International Doctorate in Economic Analysis s1

Master in Economics and Business Administration

Application Form

Personal Information

Surname : Name : (family name) (first name) Date of birth: Place of birth: Nationality: DNI/Passport: Mother language:

Present Address

Street and number: City: Postal code: Country: Telephone: e-mail:

Permanent Address

Street and number: City: Postal code: Country: Telephone:

Education

List in chronological order all colleges and universities attended, including professional schools starting with the most recent (add more boxes if needed)

Name & Location of institution : Month & year of attendance Degrees earned

MEBA – Facultat d’Economia i Empresa – Edifici B – Universitat Autònoma de Barcelona – 08193 Bellaterra - SPAIN Employment (Start with the most recent) (add more boxes if needed)

Employer : Occupation/title Month/year

Languages

Please indicate in each case whether knowledge level is Poor, Average or Very Good

Written Read Spoken English

Spanish

Other:

Additional Information

Please indicate which of the two optional modules you would be most interested in:

Finance

Public Policies

MEBA – Facultat d’Economia i Empresa – Edifici B – Universitat Autònoma de Barcelona – 08193 Bellaterra - SPAIN Optional Information

Please indicate the names of three professors who would be willing to support your application Name Position Institution Address

Name Position Institution Address

Signature: Date:

MEBA – Facultat d’Economia i Empresa – Edifici B – Universitat Autònoma de Barcelona – 08193 Bellaterra - SPAIN