Formulari vàlid per les opcions «Registre de sol·licituds identificant-me amb

usuari i contrasenya UdL» i «Registre de sol·licituds identificant-me amb

targeta UdL o DNI electrònic» de la instància genèrica de la seu electrònica

Formulario válido para las opciones «Registro de solicitudes identificándome

con usuario y contraseña UdL» y «Registro de solicitudes identificándome con

tarjeta UdL o DNI electrónico» de la instancia genérica de la sede electrónica

NOTA

Ompli aquest formulari amb Acrobat Reader.

NOTA

Rellene este formulario con Acrobat Reader.

Valid application form for the options «Application form submitted by user id and password of UdL» and «Application form submitted by an UdL card or

electronic DNI» of the general enquiries "instancia genérica de la sede

electrónica"

NOTICE

Fill out the form with Acrobat Reader.

APPENDIX 1 Application form for admission on the call for places on the Serra Húnter Programme (SHP)

PERSONAL DETAILS

Surname and Name ________________________________________________________________

ID card/Passport/NIE:_____________________Address:__________________________________

Town/city:________________________ PC: _________ Country: _________________________

Email: ____________________________________ Telephone no:____________________

DETAILS OF THE PLACE PUT OUT TO TENDER

Code:____________________ Category __________________________________________

Profile:_________________________________________________________________________

Date of the resolution of the call: _______________________

DOCUMENTATION SENT, in pdf format, through the attaching tool of the next page:

□ Copy of the receipt of payment of the registration fees

Tick the option that applies:

□ The documentation has already been submitted to the Serra Húnter Programme

□ I am submitting updated documents (please specify)

□ I have not submitted any documentation to the Serra Húnter Programme(in which case you must send the documentation specified in rule 3.2 of the call)

I AM APPLYING:

The admission to the above place put out to tender

The exemption from accrediting the Catalan language level (C1) and/or the Spanish language level (C1)

within a maximum deadline of 2 year, from signing the contract, to accredit them

DECLARATION OF RESPONSIBILITY FOR THE VERACITY OF THE SUBMITTED DOCUMENTS

I HEREBY DECLARE:1. That the documents I am submitting in this process are true copies of the original documents.2. That I take responsibility for the veracity of the mentioned copies.3. That I have been informed that I may need to show the originals so that the submitted copies can be checked againstthem in the event of any doubts arising from the copies or when the relevance of the document to the process so requires

de 2018 Lleida, on

Interested party or legal representative

Signed,

THE RECTOR OF THE UNIVERSITY OF LLEIDA.

4. That I meet all the call requirements and all other general requirements to be able to take part in the selectionprocesses to gain access to the job category of associate professor.

Adjunció d’altres documents complementaris a

aquest formulari

Adjunción de otros documentos complementarios a

este formulario

Attach the suplementary documents to this application form