PLEASE READ CAREFULLY
The IAEA requires two completed copies of this form for each applicant nominated. Please type or print in ink.
Section A (1-10): To be completed by the applicant and supervisor.
Section A (11): To be completed by the designated certifying official of the nominating Government.
Section B: To be completed by the Government official responsible for atomic energy matters in the country concerned.
Section C: To be completed by a registered medical practitioner.
Section D: To be completed by a qualified language teacher.
Paragraph 6 and 8 from section A should be completed in English. If a visit to a French or Spanish-speaking host country is requested, an additional translation in the respective language should be provided by the applicant.
A complete transcript of the academic record is required for each applicant, including the following information about undergraduate or post-graduate courses:
• Number of semesters or academic years of study:
• Subjects studies in each semester or academic year;
• Grade (such as fair, good, very good, excellent or any other code system) for each of the above mentioned subjects; and
• Degree obtained upon graduation.
A certified translation of this transcript is required if it is issued in a language other than that of the requested training programme.
BEFORE SIGNING, PLEASE BE SURE THAT ALL QUESTIONS HAVE BEEN ANSWERED. COMPLETE FORMS CAN BE PROCESSED MORE RAPIDLY THAN INCOMPLETE ONES.
The IAEA application forms for fellowships must be submitted to the IAEA
through governmental channels
and priority is given to requests associated with projects of direct benefit to the Member States.
The IAEA may consider your requirements are better met by a scientific visit. To qualify for a scientific visit, the candidate must have worked for at least five years in the field in which the visit is requested, and should hold an appropriate advisory or management position; the duration of the visit should be up to a maximum of four weeks, with not more than two weeks at any one institute