(fill out this self-declaration if you are applying for a MSCA Global Fellowship)

RESEARCHER’S DECLARATION – GLOBAL FELLOWSHIPS
Self-declaration pursuant to art. 46 And 47 D.P.R. No. 445/2000

I, the undersigned [name and surname], born on [date of birth] in [place of birth], currently residing in [country, city, address], aware of the consequences of making false statements, falsehood of acts and use of false facts, punishable by law according to art. 76 D.P.R. n. 445/2000 and art. 496 of the Italian Penal Code, under my own responsibility

DECLARE

-	to be a EU or AC citizen / a EU or AC long-term resident / an extra-EU citizen [delete as appropriate]
-	to have obtained my PhD degree on [date] / to have successfully defended my PhD thesis on [date] and no further requirements or corrections need to be addressed [delete as appropriate]
-	not to have more than 8 years full time research experience
-	to intend to apply to a Global Fellowship in the framework of the MSCA-PF-2025 call
-	that my supervisor at Sapienza is [name of the supervisor at Sapienza] from the Department of [name of the department]
-	to intend to carry out the outgoing phase at [name of the ougoing phase host institution] under the co-supervision of [name of the outgoing phase co-supervisor]
-	not to have resided or carried out my main activity in [insert the country of the outgoing phase host institution] for more than 12 months in the 3 years prior to the call deadline

In receiving assistance by Sapienza University of Rome for the purpose of participation to the MSCA-PF-2025 call, I commit not to disclose neither partially nor entirely the supporting material provided by the Grant Office for the implementation of my application.

TO BE FILLED OUT ONLY IF YOU OBTAINED YOUR PHD BEFORE 10 SEPTEMBER 2017:

I spent [n.] days in maternity leave / [n.] days in paternity leave / [n.] days in long-term sick leave / I had [n.] days of career break / I spent [n.] days doing research in [insert the name of the third country] / I spent [n.] days not working in research because I was employed as [insert the name of the position covered]

(Be aware that you must be able to provide documentation/proof for any deductable periods)	

Date    ………………………                                        Signature  ………………………………..