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ANEXA 1

AGENȚIA ROMÂNĂ PENTRU INVESTIȚII ȘI COMERȚ EXTERIOR

AGENCE ROUMAINE POUR LES INVESTISSEMENTS ET LE COMMERCE EXTERIEUR


ROMANIAN AGENCY FOR INVESTMENT AND FOREIGN TRADE

CERERE DE BURSĂ PENTRU STUDII ÎN ROMÂNIA

DEMANDE DE BOURSE D’ETUDES EN ROUMANIE

APPLICATION FORM FOR SCHOLARSHIP IN ROMANIA

ANUL ACADEMIC / ANNÉE UNIVERSITAIRE /ACADEMIC YEAR /

2024 - 2025

TIPUL DE BURSĂ / TYPE DE BOURSE /SCHOLARSHIP TYPE

 Studii universitare de licență / Etudes universitaires de licence / Bachelor’s degree studies


 Studii de master / Etudes de master / Master studies
 Studii de doctorat / Etudes de doctorat / PhD studies
 Studii postuniversitare/de rezidențiat / Etudes postuniversitaires/de résidence / Post university
studies/residency

OPŢIUNI PENTRU INSTITUŢIA DE ÎNVĂŢĂMÂNT SUPERIOR (2 opţiuni -OBLIGATORIU)


OPTIONS POUR L’ÉTABLISSEMENT D’ENSEIGNEMENT SUPÉRIEUR (2 options -
OBLIGATOIRE)
OPTIONS FOR UNIVERSITIES (2 options - COMPULSORY)

Opțiunea/ Oraş/ Universitate/ Université Facultate / Specializare /


Option/ Ville/ /University *) Faculté/ Spécialisation
Option
City Faculty Specialization profile
1 Bucharest University of Bucharest Computer science Various disciplines

2 Timisoara West University of Timisoara Computer science Various disciplines

*) Numai instituții de stat acreditate de Ministerul Educației din România/ Seules les établissements
d'enseignement supérieur publics accréditées par le Ministère de l'Éducation de la Roumanie / Only state
universities accredited by the Romanian Ministry of Education /

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I. IDENTITATEA CANDIDATULUI / L’IDENTITÉ DU CANDIDAT / APPLICANT’S
IDENTITY

Numele / Nom / Surname…………………………………………………………………………………


Al-Hamoudi
Numele înainte de căsătorie/Nom de jeune fille/Maiden name…………………………………………..

Prenume / Prénom / Name ………………………………………………………………………………..


Ammar Yasin Ahmed Saleh
Data naşterii / Date de naissance / Date of birth ........................................................................................
25/12/2005

Locul naşterii (oraş, departament, ţara) / Lieu de naissance (ville, département, pays) / Place of birth

(city, department, country) .........................................................................................................................


Sana'a, Amant Al-Asmiah, Yemen
Telefon / Téléphone / Telephone: .......................
+9677809807 Fax / Télécopie / Fax: ..................................................
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E-mail / Adresse électronique / E-mail: ........................................................
ammaralhamoudi6@gmail.com

Persoana de contact / Personne de contact / Contact person:

Nume / Nom / Name: .................................................................................................................................


Yasin Ahmed Al-Hamoudi
Adresa / Adresse / Address: .......................................................................................................................
113 Al-Tahrir streetSana'a, Amant Al-
Asmiah, Yemen
Telefon / Téléphone / Telephone: .......................
+967771036668 Fax / Télécopie / Fax: ..................................................

E-mail / Adresse électronique / E-mail: ........................................................


yaseen1982ahmed@gmail.com

Cunoştinţe lingvistice / Langues étrangères / Foreign languages:

Lb. română / le roumain / Romanian nivel / niveau / level ....................................


Beginner
Lb. engleză / l’anglais / English nivel / niveau / level ....................................
Advance
Alte limbi / d’autres / others nivel / niveau / level ....................................
Arabic Advance
Limba de predare pe perioada studiilor în România este româna
La langue d’ensignement pendant les études en Roumanie est le roumain
The working language while studying in Romania is Romanian

2
Solicit curs pregătitor de limba română / Je sollicite l’inscription à un cours préparatoire de

langue roumaine / I would like to attend Romanian classes before the beginning of my study in

Romania:

Da / Oui / Yes Nu / Non / No

II. ACTIVITATEA PROFESIONALĂ DESFĂŞURATĂ ȘI STUDII EFECTUATE /


ACTIVITÉ PROFESSIONELLE ET ÉTUDES EFFECTUÉES / PROFESSIONAL
ACTIVITY AND EDUCATION

Activitatea profesională desfăşurată până în prezent (loc de muncă, funcţie, domeniu) /


Activité professionelle effectuée jusqu’à présent (lieu de travail, fonction detenue, domaine d’activité) /
Professional experience until present ( jobs, position, field of work):
1. I am working at Yasin Company as a Marketing
………………………………………………………………………………………………………………
employee

………………………………………………………………………………………………………………
2. I used to work as a teacher assistant in YALI
institute
………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

…………………………………………………………………………………………………

Alte burse şi stagii de specializare efectuate /


Autres bourses de spécialisation antérieurement effectués/
Other scholarships and specialization trainings:

………………………………………………………………………………………………………………

……………………………Nothing……………………………………………………………………………
……

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

……………………………………………………………………………………………….

Motivaţia solicitării bursei de către candidat/


Précisez la motivation de la demande de bourse /
Applicant’s motivation
3
……………………………………………………………………………………………………………
Throughout my academic career, I have consistently demonstrated a high level of commitment, dedication,
and excellence in my studies. I have maintained an exceptional academic record, consistently achieving top
grades in my coursework. This success is a result of my strong work ethic, intellectual curiosity, and the
ability to effectively manage my time and prioritize tasks.
…………………………………………………………………………………………………………
Beyond my academic achievements, I have actively sought out opportunities to broaden my horizons and
develop a well-rounded skill set. I have engaged in various extracurricular activities, such as participating in
student organizations, volunteering for community service projects, and taking part in leadership positions.
………………………………………………………………………………………………………………
These experiences have allowed me to cultivate essential skills such as teamwork, communication, problem-
solving, and adaptability.
………………………………………………………………………………………………………………
One of the reasons I am particularly drawn to [your programs and scholarships ] is its exceptional reputation
for academic excellence and its commitment to fostering a vibrant and inclusive learning environment. I have
………………………………………………………………………………………………………………
thoroughly researched the [Programs in your university] and genuinely believe that it aligns perfectly with
my academic and career aspirations. The opportunity to learn from distinguished faculty members and
…………………………………………………………………………………………………….
collaborate with like-minded peers is something I find incredibly exciting and inspiring.
Furthermore, I am confident that my unique perspective, passion for learning, and strong work ethic will contribute
positively to [the university] community. I am eager to make meaningful contributions through research, projects,
and collaborative initiatives that would not only enhance my own growth but also have a positive impact on the
university and the wider community.
I firmly believe that being a successful student involves more than just academic accomplishments. It requires a
deep sense of curiosity, a hunger for knowledge, and the drive to continually push oneself beyond comfort zones. I
am motivated by the opportunity to challenge myself, embrace new ideas, and develop skills that will not only
benefit me personally but also allow me to make a difference in the world.

Thank you for considering my application. I am confident that my passion, dedication, and strong
Descrierea proiectului de studiu make
academic foundation (în cazul
me an studiilor decandidate
excellent masterat/doctorat) / and scholarships] at [your
for [programs
projet d’études
Présentez le university (seulement pour les etudes de master / de doctorat)
]. I look forward to the opportunity to contribute to and learn from the vibrant
Project’s description
community (only for those
at [your students who apply for a Master/ PhD programme):
university].

………………………………………………………………………………………………………………
Yours sincerely,

[Ammar Yasin Al-Hamoudi]


………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

……………………………………………………………………………………………....

Activitatea ştiinţifică a solicitantului (proiecte de cercetare, lucrări publicate relevante pentru domeniu) /
Activité scientifique du candidat (projets de recherche, études publiées relevantes pour le domaine) /
Scientific activity (research projects, publications relevant for this field of study):

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

4
III. INFORMAŢII SUPLIMENTARE / INFORMATIONS SUPPLÉMENTAIRES /
ADDITIONAL INFORMATION:

Prin semnarea prezentului formular, solicitantul se obligă:

- Să ofere coordonate de contact corecte şi actualizate, necesare unei comunicări corespunzătoare;


- Să completeze, după caz, toate rubricile. Completarea parțială sau incorectă determină statutul de
„dosar incomplet” şi neparticiparea acestuia la concurs;
- În cazul în care candidatul nu menţionează două opţiuni pentru înscrierea la studii şi solicitarea sa nu
poate fi onorată de universitatea specificată, Ministerul Educaţiei îşi rezervă dreptul de a propune
candidatului o altă repartizare la acelaşi profil, conform disponibilităţilor instituţiilor de învăţământ
superior din România. La primirea scrisorii de acceptare/ordinului de înmatriculare la studii cu noua
repartiţie, candidatul este liber să accepte bursa sau să renunţe la ea, putându-se reorienta pentru
continuarea studiilor în România pe cont propriu ;

En signant ce formulaire, le candidat s’engage à :

- Fournir les données de contact exactes et à jour, nécessaires à une bonne communication ;
- Compléter, le cas échéant, tous les champs du formulaire. Le remplissage partiel ou incorrect du
formulaire détermine le statut de « dossier incomplet » et son élimination du concours ;
- Si le candidat ne mentionne qu’une option et que celle-ci ne peut pas être honorée par l’université
respective, le Ministère de l’Éducation peut proposer au candidat une autre université, avec le même
profile, en fonction des disponibilités de l’enseignement supérieur en Roumanie. Dès la réception de la
lettre d’acceptation/ordre d'enregistrement le candidat est libre d’accepter la bourse ou d’en renoncer,
ayant la possibilité de continuer les études en Roumanie par ses propres moyens ;

Signing the present form, the applicant assumes the responsibility:

- To provide correct and up to date contact details, necessary for a normal communication with the
applicant;
- To fill, as appropriate, in all the headings of the application form. Incomplete or incorrect data entitle
the Commissions to consider that file as disqualified;
- If the applicant mentions only one instead of two options of Romanian universities, and this one is
unavailable, the Ministry of Education would assign another possibility according to the requested
profile and the available places within the Romanian higher education system. Upon the receipt of the
letter of acceptance/registration order to studies with the new assignment, the applicant may accept or
reject the scholarship, and can continue his/her studies in Romania on his own account;

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IV. DECLARAȚIA APLICANTULUI / DECLARATION DU CANDIDAT / STATEMENT BY
THE APPLICANT

Subsemnatul (a).................................................
Ammar Yasin Ahmed Saleh........................................................................................
Al-Hamoudi

Declar pe propria răspundere că:

- Informațiile furnizate sunt exacte și complete;


- Pe perioada bursei voi respecta cu strictețe legislația românească în vigoare;
- Voi respecta termenele și procedurile de aplicare, știind că nerespectarea acestora poate conduce la
respingerea dosarului;
- Am luat cunoștință de condițiile de obținere a unei burse de studiu în România și mă voi conforma
acestora.

Declar că am luat cunoștință de prevederile din Regulamentul (UE) 2016/679 privind protecția persoanelor
fizice în ceea ce privește prelucrarea datelor cu caracter personal și privind libera circulație a acestor date și
declar în mod explicit și îmi dau acordul în vederea prelucrării datelor cu caracter personal în scop
educațional și legal de către Agenția Română pentru Investiții și Comerț Exterior.

Totodată, îmi dau acordul pentru posibila comunicare a acestor date către autorități publice, operatori, terți
sau împuterniciți sau altor categorii de destinatari și de publicare pe site-ul ARICE.

Data: 27.3.2024 Semnătura

Je, le (la) sousigné(e)...................................................................................................................................


Ammar Yasin Ahmed Saleh Al-Hamoudi

J’atteste en pleine responsabilité que :

- Les informations fournies sont exactes et complètes ;


- Pendant la période de bourse, je vais respecter rigoureusement la législation roumaine en vigueur ;
- Je vais respecter les délais et les procédures de candidature, en sachant que dans le cas contraire le
dossier sera rejeté ;
- Je suis en connaissance des conditions d’obtenir une bourse d’études en Roumanie et je vais les
respecter.

Je déclare avoir pris connaissance des dispositions du Règlement UE 2016/679 relatif à la protection des
personnes physiques à l'égard du traitement des données à caractère personnel et à la libre circulation de
ces données et je déclare et accepte explicitement le traitement des données personnelles à des fins
éducatives et juridiques par l’Agence Roumaine pour les Investissements et le Commerce Extérieur.

J'accepte également la communication éventuelle de ces données aux pouvoirs publics, opérateurs, tiers ou
personnes autorisées ou autres catégories de destinataires et la publication sur le site de l’ARICE.

Signé à: 27.3.2024 Signature du candidat

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I, the undersigned........................................................................................................................................
Ammar Yasin Ahmed Saleh Al-Hamoudi

Declare on my own responsibility that:

- The information in this file is correct and complete;


- During the scholarship period, I will observe the Romanian legislation in force;
- I will respect the deadlines and application procedures, knowing that their infringement may lead to the
rejection of the file;
- I take note of the conditions for obtaining a scholarship in Romania and I will respect them.

I hereby declare that I am aware of the provisions of EU Regulation 2016/679 on the protection of natural
persons with regard to the processing of personal data and on the free movement of such data and I explicitly
declare and agree to the processing of personal data for educational and legal purposes by the Romanian
Agency for Investment and Foreign Trade.

I also agree to the possible communication of this data to public authorities, operators, third parties or
authorized persons or other categories of recipients and publication on the ARICE website.

Date: 27.3.2024 Signature


….………………………..

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