2021 ECLT Prize Application Form

Name*

Surname*

Nationality*

Date of birth*

Place of birth*

Place of Residence*

Copy of a valid Identity Document (PDF, Word, JPG, PNG) MAX 2 MB*

E-mail*

Repeat E-mail*

Academic Affiliation

AND / OR

Professional activity

Graduation (disciplinary field and title of final dissertation thesis)*

PhD*

Y
N

If Y, dissertation thesis argument

PhD Student*

Y
N

If Y, research issue

How did you get the information about the 2019 LAW & TECH ECLT PRIZE?*

Motivation (max 1000 characters)*

APPLICATION

PROJECT TITLE*

SECTION A

Project summary – (max 2000 characters)*

SECTION B
EXECUTIVE SUMMARY (MAX 16000 characters, spaces included)

Guideline
•State of the art / Background and objectives of the research project
•Project description. Please describe the work/activities you will undertake in your project
•Methodology
•Expected results and perspectives. Identify the problems that the project will address, and articulate the specific opportunity that the project presents.
•Total estimated cost and timing
•Partnerships (if applicable) and possible funding institutions

**

SECTION C

CANDIDATE SCIENTIFIC CURRICULUM (Max. 10.000 characters with spaces)*

Terms and Conditions*

I, the undersigned, apply for the selection for the 2019 LAW & TECH ECLT PRIZE Technological Innovation, Artificial Intelligence and Law and I declare, under my own responsibility.
I agree