22 Dec 2013 ... Scholarship Application Form - ICCR Scholarships 2014/2015. You should
submit the following items with this application form in sealed ...
c Department of Higher Education Ministry of Education Male’, Republic of Maldives
Scholarship Application Form - ICCR Scholarships 2014/2015 You should submit the following items with this application form in sealed envelope. 1. 2.
Attested originals of all qualifications stated in paragraph 3 (you may attest your copies of qualifications from a government office where you work OR from Department of Public Examination) Curriculum Vitae (CV)
(WRITE CLEARLY IN BLOCK LETTERS) 1. Personal Name Permanent Address (including Atoll/Island) Current Address
Sex
Mobile number Age
Date of Birth (D/M/Y)
M F
(recent PP photo) years
E-mail Address: Govt. Record Card No. Marital Status
ID No.
SINGLE MARRIED DIVORCED
Number of Children
Their ages
2. Employment Date Empl.
Post
Office
Tel
Present Employment First Empl. in Gov’t 3. Educational Qualification GCE O/Level & SSC Subject Grade 1. DHIVEHI 2. ISLAM 3. ENGLISH 4. MATH 5. 6. 7. Institute / Country
Subject 1. DHIVEHI 2. ISLAM 3. 4. 5. 6. 7. From To
SSC & GCE O/LEVEL (GR. 10)
Grade
Year
Funding Scheme ---
Course / training currently being undertaken Institute
Programme
Level
Duration Date started/End
Funding Scheme
4. Desired Course Course name
Advertisement / Notice ref. & date
(IUL)166-schol/166/2013/87 (22nd December 2013)
Level
Bachelors Degree
Country of Study
India
Scheme
ICCR Scholarship 2014/2015
Tick one of the following schemes:
Aid to Maldives Scheme General Cultural Scholarship Scheme Commonwealth Scholarship Scheme Page 1 of 2
5. Employment History Post & Office
6. Service Bond Records Nature of Bond (studies / training course / paid leave)
From
Bond Duration
To
Date Began Service
7. Other Applications to Scholarships in 2013 Course (including level) Office
Field of work
Date of Bond Completion
Country
Status (completed / deferred / serving)
Funding Scheme
Date Applied
Status: (selected** pending / rejected)
* * A p p l i c a n t wi l l b e d i s q u a l i f i e d i f i n f o r ma t i o n i s wi t h h e l d . 8. Parent / Guardian / Spouse Name & Address of Responsible Parent
OR
Guardian
OR
Spouse Tel
9. Applicant’s Declaration I ................................................ certify that to the best of my knowledge, all information provided in this application is accurate and complete. I understand that false, misleading, incomplete or omitted information could lead to the invalidation of my application. If my application is accepted, I undertake to abide by the regulations of the Government. Furthermore, rejection of the course after selection (without any valid reason) could black list me with the condition that I may not get any chance to receive a government scholarship for a certain period by the Department of Higher Education.
Signature of the Applicant:
Date:
Please submit the completed form, with supporting documents, in a sealed envelope addressed to: Department of Higher Education Ministry of Education Velaanaage (2nd Floor) Deadline for submission: 29th December 2013 Our Telephone number is: 3341371
Please double check if your application is complete. Are the following documents included? Attested originals of all qualifications stated in paragraph 3…………………………..… Curriculum Vitae (CV)..................................................................................................
Yes Yes
No No
NOTE 1: You should enclose the application and other documents in a sealed envelope with your Name, Address and Applied Course and Scheme clearly written on the envelope. NOTE 2: Please ensure you obtain a receipt on handover of the documents and note the reference number on the receipt.
