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1. First Name (Required.)

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2. Last Name (Required.)

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3. Gender (Required.)

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4. Email address (Required.)

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5. What is your Nationality? (Limited to African or European nationals only) (Required.)

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6. Are you an African diaspora in Europe? (Required.)

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7. Are you currently based in Europe or Africa? (Required.)

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8. Date of Birth (Required.)

Date
Academic Information

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9. What is the name of your university or institution? (Required.)

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10. PhD / Post-Doctoral Programme / Field of Study (Required.)

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11. What is your current year in the PhD program? (Required.)

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12. Which country are you pursuing your PhD in, or did you complete your PhD programme? (Required.)

Research & Motivation

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13. Research Abstract (200 words max or 2000 characters) (Required.)

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14. Statement of Commitment to Africa-Europe collaboration (how do you plan to
contribute with research background?) – (200 words max or 2000 characters) (Required.)

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15. Potential impact of your research on local communities and wider society (200
words max or 2000 characters) (Required.)

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16. How does your academic research align with the AU-EU Innovation
Agenda and the short-, medium-, and long-term actions under Capacities for
Science under the Agenda (200 words max or 2000 characters) (Required.)

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17. Describe any experience you have in cross-continental collaboration (Required.)

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18. Upload CV/Resume (Required.)

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19. Additional Comments

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