scholarship form

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INDIAN Hkkjrh; Hkkjrh; COUNCIL FOR lkaLdfrd ` lkaLdfrd ` CULTURAL lEca/k lEca/k RELATIONS ifj"kn~ ifj"kn~ SCHOLARSHIPS FOR FOREIGN NATIONALS Name of Scholarship Scheme AZAD BHAVAN, INDRAPRASTHA ESTATE, NEW DELHI-110 002 TEL: 23379309, 23379310, 23379315, Fax: 00-91-11-23378783, 23378639, 23378647, 23370732 Website : http://www.iccrindia.org Email: [email protected] - 1 -

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Page 1: Scholarship Form

INDIAN Hkkjrh;Hkkjrh; COUNCIL FOR lkaLdfrd `lkaLdfrd `

CULTURAL lEca/k lEca/k RELATIONS ifj"kn~ifj"kn~

SCHOLARSHIPS FOR FOREIGN NATIONALS

Name of Scholarship Scheme

AZAD BHAVAN, INDRAPRASTHA ESTATE, NEW DELHI-110 002 TEL: 23379309, 23379310, 23379315,

Fax: 00-91-11-23378783, 23378639, 23378647, 23370732 Website : http://www.iccrindia.org

Email: [email protected]

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Page 2: Scholarship Form

GENERAL INSTRUCTIONS TO APPLICANTS

1) Five complete sets of application forms are to be submitted to the Indian Mission.

2) Candidate should clearly mention the course and university to which he/she is seeking admission.The applicants are advised to go through the “Universities Handbook” available withour Mission before giving these details.

ICCR would not be able to entertain a subsequent change in course of study or University onceadmission of a scholar is confirmed and the scholar has arrived to join the course.

3) Certified copies of all documents should be accompanied with English translations.

A syllabus of the last qualifying exam application.

NOTE:

a) Students applying for doctoral/post doctoral courses or architecture should include a synopsisof the proposed area of research.

b) Students wishing to study performing arts should, if possible, enclose Video/audiocassettes of their recorded performances.

4) Candidates must pass English Proficiency Test conducted by Indian Mission.

5) ICCR will not entertain applications which are sent to ICCR directly by the students or whichare sent by local Embassy/High Commissions in New Delhi.

6) Priority will be given to students who have never studied in India before.

7) No application will be accepted for admission to courses in medicine or dentistry.

8) Candidates may note that Indian universities/educational institutions are autonomous andindependent and hence have their own eligibility criteria. Forwarding of applications isthus not a guarantee of admission. A scholarship is awarded only when admissionis confirmed by ICCR.

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9) Students must carry a proper visa. Scholars for structured undergraduate and postgraduatecourses should carry full term “Student Visas” while for Ph.D. students “Research Visas”for a specific period of 4-5 years is required. Students should ensure that they get the correctvisa from the Indian Embassy/High Commission. Govt. of India guidelines stipulate that ifa scholar arrives without proper visa and his actual admission at the University/Institutedoes not materialize, he/she will be deported to his/her country.

In the case of students who require Research Visas, an additional application forthe Research Visa has to be filled and submitted in six copies alongwith sixphotographs & synopsis. Applicants may note that clearance of Research Visa can takeas long as six to eight months.

Page 3: Scholarship Form

10) Before departing for India the scholars should seek a full briefing from the Indian Diplomatic Mission in their country about living conditions in India/the details of scholarship/the type and duration of the course to which he/she is admitted. Scholars should inform the Indian Embassy/High Commission of their travel schedule well in advance so that ICCR can make reception and other arrangements for them.

11) Hostel accommodation is not guaranteed and is an exception rather that an assured facility. The accommodation allowance that ICCR gives, allows 2 to 3 students to “chum up”, and share a small flat.

12) Scholars are advised to carry some money to meet some incidental expenditure on arrival.

13) All intending candidates should in their own interest obtain a certificate that they are free from AIDS prior to their departure for India. Even in India, the applicant would have to go for AIDS test before the admission is finally given to overseas scholars. In case any of the nominees is found to be HIV positive in India the scholar will be repatriated immediately and the Council would not bear any expenses on this account.

14) The scholars who are awarded scholarships should bring with them all documents relating to their qualifications in original for verification by the respective college/university at the time of admissions.

15) This application form contains a ‘tear-out’ sheet at Appendix-7 titled “Joining Report of the Scholar”. This form should not be submitted alongwith the main application. Instead, the ‘Joining Report’ form should be removed and submitted to ICCR by the scholar in the event the scholar has been granted scholarship and only after the scholar has joined an educational institute in India. This form should be submitted with the required stamp & signature of the Institute authorities.

16) For information not available in the “Universities Handbook” or from the Indian Missions abroad, applicants are welcome to contact the “ISD Division” at any of the following telephone/email address:-

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1 Director (S) 23370118

2 Programme Director (ISD-I) 23370391

3 Programme Director (ISD-II) 23379364

4 Programme Director (AS) 23370413

5 Programme Officer's (ISD-I & II) 23370784

Email :-

[email protected]

[email protected]

[email protected]

[email protected]

Page 4: Scholarship Form

INSTRUCTIONS TO CANDIDATES FOR FILLING THE APPLICATION FORM

1) All entries except the signature in the application should, as far as possible, be typewritten or in block letters.

2) Five copies of application properly tagged should be submitted.

3) All the five copies of the application should be accompanied by the following documents:

(i) A recent passport size photograph (taken not earlier than a year before the date of the application) should be pasted on the application form in the space provided for the purpose. The name should be written on the photograph for purpose of identification.

(ii) Certified photostat copies of official records in triplicate from Secondary School, Universities or Professional School, etc. attended.

(iii) A certificate of physical fitness in the prescribed form (attached), Appendix-2

(iv) Two certified copies of the syllabi, curricula, etc. of courses covered in schools, colleges, universities attended (except the Senior Cambridge, High Cambridge and London General Certificate of Education examination) will full details. If this information is not supplied, your application will not be considered.

(v) Certified photostat copies of Certificate, Diplomas or Degrees of Examinations passed.

ORIGINALS SHOULD NOT BE SENT AS PAPERS ATTACHED TO THE APPL ICATION AS THESE WILL NOT BE RETURNED TO THE APPLICANT.

(vi) A certificate of “Proficiency in English language” (Appendix-3).

(vii) Certificate copies of relevant pages of candidate’s valid passport.

4) One additional photograph not pasted to any form.

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Page 5: Scholarship Form

IMPORTANT INSTRUCTIONS FOR FILLING UP OF THE FORM

1. Fill 1 letter per box and 1 box must be left empty between words. Only capital letters must be used while filling information in the boxes. For Example:

J A B H A T T

2. Important : The name of the scholarship scheme should be mentioned by the student at the front page of the application form.

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Page 6: Scholarship Form

APPLICATION FORM

1. Full Name (IN BLOCK LETTERS)(Mr./Mrs./Miss)

2. Sex (F/M)

3. Postal Address (IN BLOCK LETTERS)

4. Permanent Home Address (IN BLOCK LETTERS)

5. Date of Birth (a) Nationality

6. Country of Residence

7. Passport No.

a. Date of Issue b. Date of Expiry

D D M M YYD D M M YY

D D M M YY

Paste your photograph

Here

c. Place of Issue

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Page 7: Scholarship Form

8. Details about Father/Guardian (a) Name

(b) Relation (F/G)

(c) Occupation

(d) Nationality

(e) Address of Permanent Residence of Father/Guardian

9. Previous educational qualifications (See attached Sheet)

10. Knowledge of proficiency in English

Written Good ( )

Good ( )

Fair ( ) Poor ( )

Spoken Fair ( ) Poor ( )

Specify level of examination passed in English and grades obtained.

11. Knowledge of any other language

Written GoodGoodGood

Fair PoorSpoken Understand

FairFair

PoorPoor

12. Give details, if any (a) Proficiency acquired in games, sports & athletics and (b) Part taken in other extra-curricular or social activities

13. State in Order of preference the courses which you would like to study in India;* Name of courses etc. (Candidate should be very specific and 1 clear about his course of study, which 2 he/she wishes to pursue in India. 3 Scholarships are not available for multiple studies).

14. The course which the scholar would like to pursue in India

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Page 8: Scholarship Form

15. State in order of preference, the Universities/Institutes 1 in India in which you seek admission* 2 (this column must be filled in by the candidate) 3

Please see list at Appendix. - 5 * Please refer to “Universities Handbook of India” available with the Indian Diplomatic Mission in your country. However there is no guarantee for admission in the choice of “University/Institution. In case of non-availability of a particular course in a particular Institution, the Council will forward the application to other Universities/Institutions where such courses are available. The Council would try to accommodate the candidates as per their choice of course/institute but they must be prepared to join other institutes also if they are not found suitable in the institution chosen by them.

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Page 9: Scholarship Form

16. PREVIOUS EDUCATIONAL QUALIFICATIONS:

CERTIFICATE/ DEGREE

COUNTRY* UNIVERSITY/ BOARD

YEAR PERCENTAGE

SCHOOL (Grade XII) (To be filled by Student) (For Office Use)

______________(To be filled by Student) (For Office Use) _____________

UNDERGRADUATE ___ (Three years course after Grade XII) (To be filled by Student) (For Office Use) ____________________

(To be filled by Student)

(For Office Use)

POSTGRADUATE ____ (Two years ‘Masters’ course after the above mentioned undergraduate or five years’ Masters’ course after grade XII) (To be filled by Student) (For Office Use)

(To be filled by Student)

(For Office Use)

DOCTORAL __________ (After Masters’ Degree) (To be filled by Student) (For Office Use) _______________

______________(To be filled by

Student)

(For Office Use)

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Page 10: Scholarship Form

Note: Details of any course in Indian Universities which the scholar is currently attending or has attended in past may be given below:

Year Name of Institute Course

17. Give below the names of two persons whom you have asked to testify from their

personal knowledge to your character, etc. on the form prescribed for the purpose. (They must not be related to you and should have direct knowledge of your academic pursuits).

(a) Name ____________________________________________ Status ____________________________________________ Address ____________________________________________

(b) Name ____________________________________________ Status ____________________________________________ Address ____________________________________________

18. Name (s) and address (es) of close relative (s) or friends, if any, in India. (Also indicate also relationship) ____________________________________________________________________________________________________________________________________ __________________________________________________________________

19.

20.

Have you travelled or lived in India?

Have your ever availed of ICCR Scholarship? If so, give details.

If so, mention places visited and dates of such visits. ____________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

__________________________________________________________________

__________________________________________________________________

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Page 11: Scholarship Form

21. Any general remarks which you would like to offer (if the space is not sufficient, attach a separate sheet and sign the same). ______________________________________________________________________________________________________________________________________________________________________________________________________ Date

Place Signature of Applicant

I hereby declare that the particulars given above are true to the best of my knowledge and belief, that I have understood the terms and conditions of the Scholarship Scheme and that I undertake to return to my country after completion of my studies in India.

Signature of Applicant

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Page 12: Scholarship Form

Appendix-1 CERTIFICATE TO BE FURNISHED BY THE INDIAN DIPLOMATIC

REPRESENTATIVE

Certified that I am satisfied that Mr./Mrs./Miss __________________________________________

(Name of candidate) is permanently domiciled in __________________________________________ (Name of Country) and on completion of his/her studies in India will return to __________________________________________ (Name of the country of domicile) Certified that the entries in the application form, particulars about examinations passed, marks and divisions obtained, subjects studied and the syllabi covered have been checked with the Original documents and that the application is complete in all respects. Attested copies of certificates, diplomas or degrees of Examination passed are enclosed. Date _____________ Signature ______________ Place _____________ Designation _____________

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Page 13: Scholarship Form

Appendix-2 (CERTIFICATE OF PHYSICAL FITNESS)

(To be filled by a Registered Medical Practitioner in the applicant’s country of normal residence)

Name of Applicant ____________________________________________________ Age ____________________________________________________ Nationality __________________________________________________ Address __________________________________________________ (Street and Number) _________________________________________________ (City) _________________________________________________ (Country) _________________________________________________ 1. HISTORY Check after each disease and symptom with (+) for positive findings and (-) for negative findings:

Scarlet Fever Diphtheria Tuberculosis

Rheumatic Fever Pneumonia Vertigo

Typhoid Malaria Scabies

Small Pox Cholera Spots

Geng Headache Deafness Epistaxis

Ears. tinnitus Obstruction Cough

Nose Chest Pain Haemoptysis

Cardiorespiratory system Short of breath pain Tachycardia

Expectoration Sweat Type

Palpitation Night Sweat AIDS

Give details of any injury, illness or operation during the past five years (be sure to list all illnesses or injuries)

Month & Year Period of disability

Injury or illness from to

from to

Operations. from to

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Page 14: Scholarship Form

II. PHYSICAL EXAMINATION

Medical condition of:- Height ____________________ Weight_____________________

Chest ___________________ __________________________ Describe abnormalities: _______

Head ___________________ Nose _____________________ Lungs _____________________

Eyes ___________________ Pharynx __________________ Heart _____________________

Ears ____________________ Neck _____________________ Reflexes ___________________

III. LUNGS Comment more fully on condition of applicant’s lungs. ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ IV. SUMMARY I believe this applicant IS/IS NOT physically able to carry on a full-course of study, involving long hours of work in a college or university in India. In my opinion the applicant’s health and physical condition in general are: Excellent Good Poor She/he was successfully vaccinated against smallpox on (Date) She/he was successfully inoculated against smallpox on (Date) She/he presents no evidence of communicable disease or of any fatigue and has no physical defects. REMARKS Date _____________ Signature ________________________ Address _________________________

_______________________________ IMPORTANT: As a protective measure, those planning to study in India are strongly advised to get vaccinated against typhoid/cholera before coming to India.

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Page 15: Scholarship Form

Appendix-3

CERTIFICATE OF PROFICIENCY IN ENGLISH LANGUAGE Mr./Mrs./Miss. ____________________________________________________________________ is a scholar from ___________________________________________________________________ and has applied for the award of a scholarship under the ___________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ He/She has passed the English Proficiency Test conducted by the Mission.

Place __________________________ Signature _____________________________ Date __________________________ Designation ___________________________ Seal of the Indian Diplomatic Mission _______________________________________________________________

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Page 16: Scholarship Form

Appendix – 4 TYPES OF SCHOLARSHIP SCHEMES

SCHOLARSHIP SCHEMES

1. Commonwealth Scholarship/Fellowship Plan

2. Cultural Exchange Programme Scholarship Scheme

3. General Cultural Scholarship Scheme

4. Bangladesh Scholarship Scheme

5. Sri Lanka Scholarship Scheme

6. Mauritius Scholarship Scheme

7. ICCR Scholarship Scheme for Dance and Music

8. Reciprocal Scholarship Scheme

9. Africa Day Scholarship Scheme

10. Okita Memorial Scholarship Scheme

11. Craft Instructors Scholarship Scheme

12. T.C.S. of Colombo Plan Scholarship Scheme

13. Aneurin Bevan

14. Silver Jubilee Scholarship Scheme

15. SAARC Chair/Fellowship Scheme

16. DADOO NAICKER

17. Meakong Ganga Cooperation

18.

19.

20.

21.

Aid to Maldives

AYUSH Scholarship for Bimstec Member Countries

Post Doctoral Mauritius Scholarship Scheme

Afghan Scholarship Scheme

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Page 17: Scholarship Form

Appendix – 5 LIST OF UNIVERSITIES AND OTHER

INSTITUTIONS OF HIGHER LEARNING

1. University of Hyderabad, Central University P.O. Hyderabad - 500 046 Andhra Pradesh

2. Maulana Azad National Urdu University, Gochibowli Hyderabad - 500 032 Andhra Pradesh

3. Assam University, Silchar - 788 011 Assam

4. Tezpur University, Napaam, Tezpur - 784 028 Distt. Sonitpur Assam

5. University of Delhi, Delhi - 110 007 Delhi

6. Indira Gandhi National Open University, Maidan Garhi New Delhi - 110 068 Delhi

7. Jamia Millia Islamia, Jamia Nagar New Delhi - 110 025 Delhi

8. Jawaharlal Nehru University, New Mehrauli Road New Delhi - 110 067 Delhi

9. Mahatma Gandhi Antarrashtriya Hindi Vishwavidyalaya, Post Box No.16, Panchtila, Umri Village, Arvi

Road Wardha-442 001 Maharashtra

10. Central Agricultural University, Iroisemba Imphal - 795 001 Manipur

11. North Eastern Hill University, P.O. NEHU Campus Mawkynroh Umshing, Shillong - 793 022 Meghalaya

12. Mizoram University, Aizwal - 796 012 Post Box No.910 Mizoram

13. Nagaland University, P.B. 341, H.Q. Lumami Kohima - 797 001 Nagaland

14. Pondicherry University, R Venkataraman Nagar, Kalapet Pondicherry - 605 014 Pondicherry

15. Aligarh Muslim University, Aligarh - 202 002 Uttar Pradesh

16. Babasaheb Bhimrao Ambedkar University, Vidya Vihar Rae Bareli Road Lucknow - 226 025 Uttar

Pradesh

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Page 18: Scholarship Form

17. Banaras Hindu University, Varanasi - 221 005 Uttar Pradesh

18. Visva Bharti, Santinik etan - 731 235 West Bengal

19. Central Institute of English & Foreign Languages, O U Campus, Hyderabad 500 007 Andhra Pradesh

20. Rashtriya Sanskrit Vidyapeetha, Tirupati - 517 507 Andhra Pradesh

21. Sri Sathya Sai Institute of Higher Learning, Prasanthi Nilayam, 515 134 District Anantapur Andhra

Pradesh

22. International Institute of Information Technology, Gachibowli Hyderabad - 500 091 Andhra Pradesh

23. National Institute of Technology, Warangal - 506 004 Andhra Pradesh

24. National Institute of Technology, Silchar - 788 010 Assam

25. Bihar Yoga Bharati, Ganga Darshan Fort Munger Bihar - 811 201 Bihar

26. Punjab Engineering College, Chandigarh Chandigarh

27. Indian Agricultural Research Institute, New Delhi - 110 012 Delhi

28. Jamia Hamdard, Hamdard Nagar New Delhi 110 062 Delhi

29. National Museum Institute of History of Art, Conservation and Museology, Janpath New Delhi - 110 011

30. School of Planning and Architecture, 4, Block - B, Indraprastha Estate New Delhi - 110 002 Delhi

31. Shri Lal Bahadur Shastri Rashtriya Sanskrit Vidyapeeth, Katwaria Sarai, New Mehrauli Road New Delhi -

110 016 Delhi

32. TERI School of Advanced Studies, Darbari Seth Block, Habitate Place Lodi Road, New Delhi - 110 003

Delhi

33. Rashtriya Sanskrit Sansthana, 56, 57, Institutional Area Janakpuri New Delhi - 110 016 Delhi

34. Indian Institute of Foreign Trade, IIFT Bhawan, B-21, Qutab Institutional Area New Delhi - 110 016 Delhi

35. Dharmsinh Desai Institute of Technology, Post Box No 35, College Road Nadiad - 387001 Gujarat

36. Gujarat Vidyapeeth, PO Navjivan, Ashram Road Ahmedabad - 380 014 Gujarat

37. Sardar Vallabhbhai National Institute of Technology, Surat - 395 007 Gujarat

38. National Dairy Research Institute, Karnal - 132 001 Haryana

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Page 19: Scholarship Form

39. National Brain Research Centre, SCO 5, 6 & 7 Sector XV, Part-II Gurgaon - 122 001 Haryana

40. National Institute of Technology, Kurukshetra - 136 119 Haryana

41. National Institute of Technology, Hamirpur - 177 005 Himachal Pradesh

42. National Institute of Technology, Srinagar Srinagar J&K

43. Birla Institute of Technology, Mesra Ranchi - 835 215 Jharkhand

44. Indian School of Mines, Dhanbad - 826 004 Jharkhand

45. National Institute of Technology, Jamshedpur Jharkhand - 831 014 Jharkhand

46. Indian Institute of Science, Bangalore - 560 012 Karnataka

47. Manipal Academy of Higher Education, Madhav Nagar Manipal - 576 119 Distt. Udupi Karnataka

48. National Institute of Mental Health & Neuro Sciences, PB No.2900, Hosur Road Bangalore 560 029

Karnataka

49. Swami Vivekananda Yog Anusandhana Samsthana, No.9, Appajappa Agrahara Chamarajpet Bangalore -

560 018 Karnataka

50. National Institute of Technology Karnataka, Surathkal P.O. Srinivasnagar - 575 025 Karnataka

51. Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur Campus Jakkur Bangalore - 560 064

Karnataka

52. National Institute of Technology, Calicut Kerala - 673 601

53. Lakshmibai National Institute of Physical Education, Shaktinagar, Gwalior - 474002 Madhya Pradesh

54. Maulana Azad National Institute of Technology, Bhopal - 462 007 Madhya Pradesh

55. Indian Institute of Information Technology and Management, Gwalior Gwalior Madhya Pradesh

56. Bharati Vidyapeeth, Lal Bahadur Shastri Marg Pune - 411 030 Maharashtra

57. Central Institure of Fishries Education, PB No. 7392, Kakori Camp Jaiprakash Road Versova Mumbai 400

061 Maharashtra

58. Deccan College Post Graduate and Research Institute, Pune - 411 006 Maharashtra

59. Gokhale Institute of Politics & Economics, 846, Shivajinagar (DG), Pune - 411 004 Maharashtra

60. Indira Gandhi Institute of Development Research, Gen. Vaidya Marg, Santosh Nagar Goregaon (E),

Mumbai - 400 065 Maharashtra

61. Institute of Armament Technology, Girinagar, Pune - 411 025 Maharashtra

62. International Institute For Population Sciences, Govandi Sation Road Deonar Mumbai - 400 088

Maharashtra

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Page 20: Scholarship Form

63. Tata Institute of Social Sciences, Sion - Trombay Road Deonar, Mumbai - 400 088 Maharashtra

64. Tilak Maharashtra Vidyapeeth, Gultekadi, Pune - 411 037 Maharashtra

65. Tata Institute of Fundamental Research, Homi Bhaba Road Mumbai - 400 005 Maharashtra

66. Symbiosis International Education Centre, Senapati Bapat Road Pune 411 004 Maharashtra

67. Padmashree Dr. D.Y. Patil Vidyapeeth, Vidyanagar Sector 7, Nerul Navi Mumbai 400 706 Maharashtra

68. Visvesvaraya National Institute of Technology, Nagpur - 440 011 Maharashtra

69. Dr. D.Y. Patil Vidyapeeth, Pimpri Pune - 411 018 Maharashtra

70. Narsee Monjee Institute of Management Studies, Mumbai - 400 056 Maharashtra

71. National Institute of Technology, Rourkela - 769 008 Orissa

72. Kalinga Insitute of Industrial Technology, Bhubaneshwar Bhubaneshwar Orissa

73. Thapar Institute of Engineering and Technology, P B No.32, Patiala - 147 001 Punjab

74. Dr. B.R. Ambedkar National Institute of Technology, G.T. Road By Pass Jalandhar - 144 004 Punjab

75. Banasthali Vidhyapith, Banasathali -304 022 Rajasthan

76. Birla Institute of Technology & Science, Vidya Vihar Pilani - 333 031 Rajasthan

77. Jain Vishva Bharati Institute, Post Box No.6 Ladnun - 341 306 Distt. Nagaur Rajasthan

78. Institute of Advanced Studies in Education, Gandhi Vidya Mandir Sardarshahr Rajasthan 301 401

Rajasthan

79. Malviya National Institute of Technology, Jaipur - 302 017 Rajasthan

80. Janardan Rai Nagar Rajasthan Vidyapeeth, Udaipur Rajasthan

81. Mody Institute of Technology and Science, Lakshmangarh, Sikar, 332 311 Rajasthan

82. Avinashlingam Institute for Home Science & Higher Education for Women, Coimbatore - 641043 Tamil

Nadu

83. Gandhigram Rural Institute, Gandhigram PO 624 302 Dindigual District T.N. Tamil Nadu

84. Sri Chandrasekharendra Saraswathi Viswa Mahavidyalaya, Enathur, Kanchipuram - 631 561

Kancheepuram District Tamil Nadu

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Page 21: Scholarship Form

85. Sri Ramachandra Medical College and Research Institute, 1, Ramachandra Nagar, Porur Chennai - 600

116 Tamil Nadu

86. Vinayaka Mission's Research Foundation, NH 47,, Sankari Main Road, Ariyanoor, Salem - 636 308 Tamil

Nadu

87. Shanmugha Arts, Science, Technology & Research Academy, Tirumalaisamudram Thanjavur - 613402

Tamil Nadu

88. Vellor Institute of Technology, Ranipet Katpadi Road Vellor 632 014 Tamil Nadu

89. Sathyabama Institute of Science and Technology, Jeppiaar Nagar Old Mamallapuram Road Chennai -

600 119 Tamil Nadu

90. Bharat Institute of Higher Education & Research, 173, Agharam Road Selaiyur Chennai - 600 073 Tamil

Nadu

91. Amrita Vishwa Vidyapeetham, Ettimadai Post Coimbatore - 641 105 Tamil Nadu

92. M.G.R. Educational and Research Institute, 121, G.N. Chetty Road T Nagar Chennai - 600 017 Tamil

Nadu

93. National Institute of Technology, Tiruchirapalli Tamil Nadu

94. Meenakshi Academy of Higher Education and Research, No. 12, Vembuliamman Koil Street

Virugambakkam Tamil Nadu

95. Karunya Instituute of Technology and Sciences, Karunya Nagar, Coimbatore - 641 114 Tamil Nadu

96. S.R.M Institute of Science and Technology, 2, Veerasamy Street West Mambalam Chennai-600 033

Tamilnadu

97. Allahabad Agricultural Institut e, Allahabad - 211 007 Uttar Pradesh

98. Bhatkhande Music Institute, I- Kaiserabagh Lucknow Uttar Pradesh

99. Central Institute of Higher Tibetan Studies, Sarnath Varanasi - 221 007 Uttar Pradesh

100. Dayalbagh Educational Institute, Dayalbagh Agra - 282 005 Uttar Pradesh

101. Indian Institute of Information Technology, Nehru Science Centre Kamla Nehru Road,

Allahabad – 211002 Uttar Pradesh

102. Indian Veterinary Research Institute, Izatnagar Bareilly - 243 122 Uttar Pradesh

103. Motilal Nehru National Institute of Technology, Allahabad Uttar Pradesh

104. Forest Research Institute, P.O.I.P.E. Kaulagarh Road, Dehradun 248195 Uttaranchal

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Page 22: Scholarship Form

105. Gurukula Kangri Vishwavidyalaya, Hardwar - 249 404 Uttaranchal

106. National Institute of Technology, Durgapur West Bengal

107. Maulana Mazharul Haque Arabic and Persian University, Sandal Nagar, Mahendru, Patna - 800 006

108. Indira Gandhi Krishi Vishwavidyalaya, Raipur 492006

109. Acharya N.G. Ranga Agricultural University, Rajendranagar Hyderabad - 500 030 Andhra Pradesh

110. Andhra University, Waltair Visakhapatnam - 530 003 Andhra Pradesh

111. Dr. B.R. Ambedkar Open University, Prof. G. Ram Reddy Marg Road No.46, Jubilee Hills

Hyderabad - 500 033 Andhra Pradesh

112. Dravidian University, Kuppam - 517 425 Chitoor District A.P. Andhra Pradesh

113. Jawaharla Nehru Technological University, Kukatpally Hyderabad - 500 072 Andhra Pradesh

114. Kakatiya University, Vidyaranyapuri Warangal - 506 009 Andhra Pradesh

115. Nagarjuna University, Nagarjunanagar - 522 510 Andhra Pradesh

116. National Academy of Legal Studies and Research University, NALSAR University of Law, 3-4-761,

Barkatpura Hyderabad 500 027 Andhra Pradesh

117. Osmania University, Hyderabad - 500 007 Andhra Pradesh

118. Potti Sreeramulu Telgu University, Public Gardens, Nampally Hyderabad - 500 004 Andhra Pradesh

119. Sri Krishnadevaraya University, Anantapur - 515 003 Andhra Pradesh

120. Sri Padmavathi Mahila Visvavidyalayam, Tirupati - 517 502 Andhra Pradesh

121. Sri Venkateswara University, Tirupati - 517 502 Andhra Pradesh

122. Andhra Pradesh University of Health Sciences, Vijayawada 500 030 Andhra Pradesh

123. Arunachal University, Rono Hills Itanagar - 791 112 Arunachal Pradesh

124. Assam Agricultural University, Jorhat - 785 013 Assam

125. Dibrugarh University, Dibrugarh - 786 004 Assam

126. Gauhati University, Gopinath Bardoloi Nagar Guwahati - 781 014 Assam

127. Babasaheb Bhimrao Ambedkar Bihar University, Muzaffarpur - 842 001 Bihar

128. Jai Prakash Vishwavidyalaya, Chapra - 841 301 Bihar

129. Kameshwar Singh Darbhanga Sanskrit University, Kameshwar Nagar Darbhnaga - 846 008 Bihar

130. Lalit Narayan Mithila University, Darbhanga - 846 008 Bihar

131. Magadh University, Bodh Gaya - 824 234 Bihar

132. Nalanda Open University, Reshmi Complex, 7th Floor Kidwaipuri Patna - 800 001 Bihar

133. Patna University, Patna - 800 005 Bihar

134. Rajendra Agricultural University, Pusa, Samastipur 848 125 Bihar

135. Tilka Manjhi Bhagalpur University, Bhagalpur - 812 007 Bihar

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Page 23: Scholarship Form

136. Veer Kunwar Singh University, Arrah 802 301 Bihar

137. Vinoba Bhave University, P B No.31 Hazaribagh - 825 301 Bihar

138. Bhupendra Narayan Mandal University, Madhepura 852 113 Bihar

139. Panjab University, Chandigarh - 160 014 Chandigarh

140. Hidayatullah National Law University*, Civil Lines Raipur 492 001 Chhatisgarh

141. Guru Ghasidas University, Bilaspur - 495009 Chhattisgarh

142. Indira Kala Sangeet Vishwavidyalya, Distt. Rajanandgaon Khairagarh - 491 881 Chhattisgarh

143. Pandit Ravishankar Shukla University, Raipur - 492 010 Chhattisgarh

144. Goa University, Sub Post Office Goa University Galeigao Plateau Goa - 403 206 Goa

145. Bhavnagar University, Gaurishanker Lake Road Bhavnagar - 364 002 Gujarat

146. Dr. Babasaheb Ambedkar Open University, Near Dafnala, Shahibaug Ahmedabad - 380 003 Gujarat

147. Gujarat Agricultural Uiversity, Sardar Krushinagar Dantiwada Campus (Distt. Banaskantha) - 385 506

Gujarat

148. Gujarat Ayurved University, Jamnagar 361008 Gujarat

149. Gujarat University, PB No.4010, Navrangpura Ahmedabad 380 009 Gujarat

150. Maharaja Sayajirao University of Baroda, Fatehganj Vadodara - 390 002 Gujarat

151. Hemchandracharya North Gujarat University, PB No. 21 University Road Patan - 384 265 Gujarat

152. Sardar Patel University, Vallabh Vidyanagar - 388 120 Gujarat

153. Saurashtra University, Univer sity Road Rajkot 360 005 Gujarat

154. South Gujarat University, University Campus Udhna Magdalla Road Surat - 395 007 Gujarat

155. Nirma University of Science & Technology, Sarkhej, Gandhinagar Highway, Village-Chharodi

Ahmedabad-382481 Gujarat

156. Ch. Charan Singh Haryana Agricultural University, Hissar - 125 004 Haryana

157. Guru Jambeshwar University, Hisar - 125 001 Haryana

158. Kurukshetra University, Kurukshetra - 136 119 Haryana

159. Maharshi Dayanand University, Rohtak - 124 001 Haryana

160. Chaudhary Devi Lal University, Sirsa Haryana

161. Dr. Y.S. Parmar University of Horticulture & Forestry, Nauni - 173 230 Distt. Solan Himachal Pradesh

Himachal Pradesh

162. Chaudhary Sarwan Kumar Himachal Pradesh Krishi Vishwavidyalaya, Palampur - 176 062 Himachal

Pradesh

163. Himachal Pradesh University, Summer Hills Shimla - 171 005 Himachal Pradesh

164. Jaypee University of Information Technology, Waknaghat, P.O. Dumehar Kandaghat District-Solan-

173 215 Himachal Pradesh

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165. Shri Mata Vaishno Devi University, Camp Office: 27 A/D, Gandhinagar, Jammu-180004 Jammu

166. University of Jammu, Babasaheb Ambedkar Road New Campus, Jammu (Tawi) - 180 006 Jammu

and Kashmir

167. University of Kashmir, Hazbartbal Srinagar - 190 006 (J&K) Jammu and Kashmir

168. Sher-e-Kashmir University of Agricultural Sciences And Technology, Shalimar Campus, PB No.262

GPO Srinagar Srinagar 190 121 (J&K) Cam Office : Railway Road Jammu - 180 004 Jammu And

Kas hmir

169. Birsa Agricultural University, Kanka Ranchi - 834006 Jharkhand

170. Ranchi University, Ranchi - 834 008 Jharkhand

171. Siddu Kanhu University, Santal Parganas, Dumka 814 101 Jharkhand

172. Kachchh University, CS-60 Jubilee Ground Bhuj 370 001 Kachchh

173. University of Agricultural Sciences, G.K.V.K. Campus Bangalore - 560 065 Karnataka

174. University of Agricultural Sciences, Krishinagar Dharwad - 580 005 Karnataka

175. Bangalore University, Jnana Bharathi Bangalore - 560 056 Karnataka

176. Gulbarga University, Jnana Ganga Gulbarga - 585 106 Karnataka

177. Kannada University, Hampi, Vidyaranya Hospet Taluk - 583 276 Bellary Distt. Karnataka

178. Karnataka State Open University, Kanasagangotri Mysore - 570 006 Karnataka

179. Karnataka University, Pavat Nagar Dharwad - 580 003 Karnataka

180. Kuvempu University, Gnana Sahyadri Shankaraghatta - 577 451 Shimoga Distt. Karnataka

181. Mangalore University, New Administrative Building Mangalagangothri Mangalore 574 199 Karnataka

182. University of Mysore, Crawfird Hall Mysore - 570 005 Karnataka

183. National Law School of India University, Nagarbhavi, PB No.7201 Bangalore - 560 072 Karnataka

184. Rajiv Gandhi University of Health Sciences, 4th 'T' Block, Jayanagar Bangalore - 560 041 Karnataka

185. Visveswaraiah Technological University, K L E Hospital Campus Nehru Nagar, Belgaum 590 010

Karnataka

186. Karnataka State Women University, Bijapur 586 101 Karnataka

187. University of Calicut, Calicut University P.O. Malappuram Distt. 673 635 Kerala State, PIN 673 635

Kerala

188. Cochin University of Science & Technology, Kochi 682 022 Kerala

189. Kannur University, P.O. Kalliasseri Kannur - 670 002 Kerala

190. University of Kerala, Thruvananthapuram - 695 034 Kerala

191. Kerala Agricultural Univesity, Vellanikkara Thrissur - 6880 654 Kerala

192. Sree Sankaracharya University of Sanskrit*, Sree Sankarapuram, PB No.14, Kalady - 683574

District Ernakulam, Kerala

193. Awadhesh Pratap Singh University, Rewa - 486 003 Madhya Pradesh

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194. Barkatullah Vishwavidyalaya, Hoshangabad Road,, Bhopal - 462 026 Madhya Pradesh

195. Devi Ahilya Vishwavidyalaya, R.N. Tagore Marg Indore - 452 001 Madhya Pradesh

196. Dr. Harisingh Gour Vishwavidyal aya, Sagar - 470 003 Madhya Pradesh

197. Jawaharlal Nehru Krishi Vishwavidyalaya, Krishi Nagar Adhartal, Jabalpur - 482 004 Madhya

Pradesh

198. Jiwaji University, Gwalior - 474 011 Madhya Pradesh

199. Madhya Pradesh Bhoj (Open) University, Red Cross Bhavan, Shivaji Nagar Bhopal – 462016,

Madhya Pradesh

200. Maharishi Mahesh Yogi Vedic Vishwavidyalaya, 871, Napier Town Jabalpur - 482 001 Madhya

Pradesh

201. Mahatma Gandhi Chitrakoot Gramoday Vishwavidyalaya, Chitrakoot - 485 331 Distt. Satna (MP)

Madhya Pradesh

202. Makhanlal Chaturvedi Rashtriya Patrakarit a Vishwavidyalaya, E-8, Trilochan Nagar

P.O. Box R.S.N – 560, Bhopal - 462 039 Madhya Pradesh

203. National Law Institute University, Bhopal Bhahdbhada Road Barkheri Kalan, Post Box No. 369,

Bhopal - 462003 Madhya Pradesh

204. Rani Durgavati Vishwavidyalaya, Saraswati Vihar, Pachpedi Jabalpur - 482 001 Madhya Pradesh

205. Vikram University, University Road Ujjain - 456 010 Madhya Pradesh

206. Amravati University, Amravati - 444 602 Maharashtra

207. Dr. Babasaheb Ambedkar Marathwada University, Aurangabad - 431 004 Maharashtra

208. Dr. Babasaheb Ambedkar Technological Univer sity, PO Goregaon Lonere - 402 103 Dist. Raigad

Maharashtra

209. Dr. Panjabrao Deshmukh Krishi Vidyapeeth, Krishi Nagar Akola - 444 104 Maharashtra

210. Kavikulguru Kalidas Sanskrit Vishwavidyalaya, Sitalwadi, Baghele Bhawan Mouda Road, Ramtek –

441 106 Maharashtra

211. Konkan Krishi Vidyapeeth, Dapoli - 415 712 Distt. Ratnagari Maharashtra

212. Maharashtra University of Health Sciences, Gangapur Road, Anandvali Nashik - 422 013

Maharashtra

213. Mahatma Phule Krishi Vidyapeeth, Rahuri 413 722 Distt. Ahmednagar Maharashtra

214. Marathwada Krishi Vidyapeeth, Parbhani - 431 402 Maharashtra

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Page 26: Scholarship Form

215. University of Mumbai, M.G. Road, Fort Mumbai - 400 032 Maharashtra

216. Nagpur University, Ravindra Nath Tagore Marg Nagpur - 440 001 Maharashtra

217. North Maharashtra University, PB No. 80, Jalgaon 425 001 Maharashtra

218. University of Pune, Pune 411 007 Maharashtra

219. Shivaji University, Vidyanagar Kolhapur - 416 004 Maharashtra

220. SNDT Women's University, 1, Nathibai Thackersey Road Mumbai - 400 020 Maharashtra

221. Yashwantrao Chavan Maharashtra Open University, Dnyangangotri, Near Gangapur Dam Nashik –

422 222 Maharashtra

222. Maharashtra Animal & Fishery Sciences University, Seminary Hills Nagpur-440 006 Maharashtra

223. Manipur University, Canchipur Imphal - 795 003 Manipur

224. Berhampur University, Bhanja Bihar Distt. Ganjam Berhampur - 760 007 Orissa

225. Fakir Mohan University, Vyas Vihar Balasore – 756019, Orissa

226. North Orissa University, Shri Ram Chandra Vihar Takatpur, Baripada Distt. Mayurbhanj – 757003,

Orissa

227. Orissa University of Agriculture and Technology, Bhubaneswar – 751003, Orissa

228. Sambalpur University, Jyoti Vihar Sambalpur – 768019, Orissa

229. Shri Jagannath Sanskrit Vishvavidyalaya, Srivihar, Puri – 752003, Orissa

230. Utkal University, Vani Vihar Bhubaneswar – 751004, Orissa

231. Utkal University of Culture, P B No.4, Sardar Patel Hall Complex Unit 2, Bhubaneswar – 751009,

Orissa

232. Biju Patnaik University of Technology, Rourkela, Orissa

233. Baba Farid University of Health Scienc es, Kotakapura Road Faridkot – 151203, Punjab

234. Guru Nanak Dev University, Amritsar – 143005, Punjab

235. Punjab Agricultural Univ ersity, Ludhiana – 141004, Punjab

236. Punjab Technical University, PO REC, Dr. B.R. Ambedkar Regioal College Campus Jalandhar –

144011, Punjab

237. Punjabi University, Patiala – 147002, Punjab

238. Jai Narain Vyas University, Jodhpur – 342001, Rajasthan

239. Kota Open Univesity, Rawatbhata Road Akhelgarh, Kota – 324010, Rajasthan

240. Maharana Pratap University of Agrilcuture & Tec hnology, P.O. Box No. 171, New Campus, Udaipur –

313001 Rajasthan

241. Maharshi Dayanand Saraswati University, Pushkar Bye Pass Ajmer 305009 Rajasthan

242. Mohanlal Sukhadia University, Pratap Nagar Udaipur - 313001 Rajasthan

243. Rajasthan Agricultural University, Sriganganagar Road Beechwal Bikaner - 334006 Rajasthan

244. University of Rajasthan, Jaipur - 302 004 Rajasthan

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Page 27: Scholarship Form

245. University of Bikaner, Bikaner Rajasthan

246. University of Kota, Kota Rajasthan

247. Rajasthan Ayurveda University, J

248. National Law University, NH-65, Nagaur Road Mandore Jodhpur-342004 Rajasthan

249. Rajasthan Sanskrit University, 2-

250. Sikkim-Manipal University of Health Medi

Sikkim

251. Algappa University, Algappa Nagar Karaikudi

252. Anna University, Sardar Patel Road Chennai - 600 025 Tamil Nadu

253. Annamalai University, Annamalainagar - 608 002 Tamil Nadu

254. Bharthiar University, Coimbatore - 641 046 Tamil Nadu

255. Bharthidasan University, Palkalaiperur Tiruchirappalli - 620 024 Tamil Nadu

256. University of Madras, Chepauk, Chennai - 600 005 Tamil Nadu

257. Madurai Kamaraj University, Madurai - 625 021 Tamil Nadu

258. Manonmaniam Sundaranar University, Abhishekapatti Tirunelveli - 627 012 Tamil Nadu

259. Mother Teresa Women's University, Kodiakanal - 624102 Tamil Nadu

260. Periyar University, University Building Salem - 636 011 Tamil Nadu

261. Tamil Nadu Agricultural University, Coimbatore - 641 003 Tamil Nadu

262. Tamil Nadu Dr. M G R Medical University, P B No

600032 Tamil Nadu

263. Tamilnadu Veterinary And Animal Sciences Univ

Tamil Nadu

264. Tamil University, Trichy Road Thanjavur - 613 005 Tamil Nadu

265. Tamilnadu Dr. Ambedkar Law University, Chennai-600 028 Tamil Nadu

266. Thiruvalluvar University, Fort,Vellore Tamil Nadu

267. Tripura University, Suryamaninagar Tripura West - 799 130 Tripura

268. University of Allahabad, Senat

269. Ch. Charan Singh University, Meerut - 250 005 Uttar Pradesh

270. Chandra Shekhar Azad University of Agricu

271. Chhatrapati Shahu Ji Maharaj Universi

272. Deendayal Upadhyaya Gorakhpur Univer

odhpur City Office-82 Income Tax Colony Paota ‘C’ Road Rajasthan

2A, Jhalana Doongari Jaipur 302017 Rajasthan

cal & Technological Sciences, 5th Mile, Tadong 737103

- 630 003 Sivagangai District Tamil Nadu

. 1200, No.69, Anna Salai, Guindy, Chennai –

ersity, Madhavaram Milk Colony Chennai - 600 051

e Hall Allahabad - 211002 Uttar Pradesh

lture & Technology, Kanpur - 208 002 Uttar Pradesh

ty, Kalyanpur Kanpur - 208 024 Uttar Pradesh

sity, Gorakhpur - 273 009 Uttar Pradesh

273. Dr. Bhim Rao Ambedkar University, Agra - 282 004 Uttar Pradesh

274. Dr. Ram Manohar Lohia Avadh University, Faizabad - 224 001 Uttar Pradesh

275. University of Lucknow, Lucknow - 226007 Uttar Pradesh

276. Mahatma Gandhi Kashi Vidyapeeth, Varanasi - 221 002 Uttar Pradesh

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Page 28: Scholarship Form

277. M.J.P. Rohilkhand University, Dori Lal Agarwal Marg Bareilly - 243 001 Uttar Pradesh

278. Narendra Deva University of Agriclture & Technology, Narendra Nagar (Kumarganj) Faizabad –

224229 Uttar Pradesh

279. Sampurnanand Sanskrit Vishwavidyalaya, Varanasi - 221 002 Uttar Pradesh

280. V B S Purvanchal University, Jaunpur - 222 002 Uttar Pradesh

281. Uttar Pradesh Technical University, Sitapur Road Lucknow Uttar Pradesh

282. Rajiv Gandhi Proudyogiki Vishwavidyalaya, Airport Bypass Road, Gandhi Nagar Bhopal - 462 036

Madhya Pradesh

283. Bundelkhand University, Kanpur Road, Jhansi 284 128 Uttar Pradesh

284. Jagadguru Rambhadracharya Handicapped University, Chitrakoot Dham Lucknow Uttar Pradesh

285. Sardar Vallabh Bhai Patel University of Agriculture & Technology, Meerut-250110 Uttar Pradesh Uttar

Pradesh

286. U.P.Rajrarshi Tandon Open University, 17, Maharshi Dayanand Marg (Thornihill Road), Allahabad-

211 001 Uttar Pradesh

287. Govind Ballabh Pant University of Agricluture & Technology, Pantnagar - 263 145 Distt Udham Singh

Nagar Uttaranchal

288. Hemwati Nandan Bahuguna Garhwal University, Srinagar - 246 174 Distt. Garhwal Uttaranchal

289. Kumaun University, Nainital - 263 001 Uttaranchal

290. Dev Sanskriti Vishwavidyalaya, Gayatr ikunj, Shantikunj, Hardwar-249 411 Uttaranchal

291. University of Petroleum and Energy Studies, Building No. 7, Street No. 1, Vasant Vihar Enclave,

Dehradun-284006, Uttaranchal

292. The Bengal Engineering & Science University, PO Botanic Garden, Shibpur Howrah - 711 103 West

Bengal

293. Bidhan Chandra Krishi Vishwavidyalaya, PO Krishi Vishwavidyalaya Mohanpur Distt. Nadia - 741 252

West Bengal

294. The University of Burdwan, Rajbati Burdwan - 713 104 West Bengal

295. University of Calcutta, Calcutta- 700 073 West Bengal

296. Jadavpur University, Calcutta - 700 032 West Bengal

297. University of Kalyani, Kalyani - 741 235 West Bengal

298. Netaji Subhas Open University, 1, Woodburn Park Calcutta - 700 020 West Bengal

299. University of North Bengal, Raja Rammohunpur - 734 430 Distt. Darjeeling West Bengal

300. Rabindra Bharati University, 56A Barrackpore Trunk Road, Culcutta - 700 050 West Bengal

301. Vidyasagar University, Midnapore - 721 102 West Bengal

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Page 29: Scholarship Form

302. West Bengal University of Animal & Fishery Sciences, 68, Kshudiram Bose Sarani Belgachia, Kolkata

- 700037 West Bengal

303. West Bengal University of Technology, Kolkata-700 064 West Bengal

304. Uttar Banga Krishi Vishwavidyalaya, Cooch Behar 736 165 West Bengal

- 29 -

Page 30: Scholarship Form

Appendix – 5A

- 30 -

3. Bharat Kalanjali, Chennai Bharatanatyam Mr. V. P. Dhananjayan

Sl. No.

Name of the Institute Name of the Course

Name of the Guru/Incharge

1. Abhinayaa, New Delhi Bharatanatyam Ms. Jayalakshmi Eshwar 2. Akhil Bharatiya Gandharva Maha

Vidyalaya, Mumbai Music

Acharya Pt. Narayan Rao Bodas, Principal

4. Bhartiya sangeet Sadan, New Delhi Kathak, Music Ms. Uma Sharma 5. Bhatkhande Sangeet Sansthan, Lucknow

(Uttar Pradesh) Dance and Music Prof. Vidya Dhar Vyas

6. Centre for Indian Classial Dances, New Delhi

Bharatanatyam, Odissi

Ms. Sonal Mansingh

7. Chitambaram Academy of Performing Arts, Chennai

Bharatanatyam Smt. Chitra Visweswaran

8. College of Art, New Delhi Fine Arts Prof. M. Vijay Mohan, Principal

9. Dhwani, New Delhi Hindustani Music, Tabla, Kathak

Ms. Vaswati Mishra

10. Gandharva Mahavidyalaya, New Delhi MusiMusic & Dance Dr. Madhup Mudgal, Principal 11. Ganesa Natyalaya, New Delhi Bharatanatyam &

Carnatic Music Ms. Saroja Vaidyanathan

12. Kadamb, Ahmedabad, Gujrat Kathak Ms. Kumudini Lakhia 13. Kaivalyadham, Lonavala (Maharashtra) Yoga Shri R. S. Bhogal, Principal 14. Kalakshetr Foundation Chennai (Tamil

Nadu) Music and Bharatanatyam Dance

Ms. Leela Samson, Director

15. Kathak Kendra, New Delhi Kathak Shri J. P. Potdar, Director 16. International Centre for Kathakali, New

Delhi Kathakali Shri P.V. Sadanam

17. Kerala Kalamandalam, Cheruthuruthy (Kerala)

Kathakali Shri Prabho Chandaran Nair, President

18. Kuchipudi Dance Centre, New Delhi Kuchipudi Ms. Swapnasundari 19. Lalit Kala Academy, Mysore Bharatanatyam Guru Smt. Uma Rao

20. Margi Kathakali School, Thiruvanathapuram

Kathakali Mr. P. Rama Iyer, Prog. Chief

21. Nalanda Academy, Mumbai Bharatanatyam, Kathakali, Mohiniattam

Ms. Kanak Rele, Director

22. National School of Drama, New Delhi Theatre Courses Mr. Devender Raj Ankur, Director

INSTITUTIONS/ORGANISATIONS FOR LEARNINGDANCE/MUSIC/FINE ARTS ETC.

Page 31: Scholarship Form

23. Nrityagram, Bangalore (Karnataka) Odissi Ms. Lynn Fernandes, Managing Trustee

24. Nrityam, New Delhi Bharatanatyam Ms. Padma Sampathkumaran 25. Nupur School of Bharatanatyam,

Bangalore Bharatanatyam Smt. Lalitha Srinivasan

26. Tri-Kalaa Gurukulam, Delhi Carnatic Music Dr. Prof. Leela Omcherry 27. Padatik Dance Centre, Kolkata Kathak Dr. Jayasri Mitra 28. Pracheen Kala Kendra, Chandigarh Kathak Mr. M.L. Koser, Reg. - cum -

Secretary 29. Shriram Bharatiya Kala Kendra,

New Delhi Dance and Music Ms. Meera Mahapatra,

Principal 30. Triveni Kala Sangam, New Delhi Dance and Music Ms. Sundari K. Shridharani,

Director 31. Umak Centre for Culture, New Delhi Sitar Pt. Debu Chaudhuri

- 31 -

Page 32: Scholarship Form

Appendix - 6

Indian Council for Cultural Relations

PERSONAL PARTICULARS OF THE CANDIDATE

1. Name in full (Capital Letters) ______________________________________________________ Surname First Name Middle Name

2. Nationality _____________________________________________________________________

3. Date of Birth (in Christian Era) _____________________________________________________ Date Month Year

4. Parentage : * (a) Father’s name in full (Capital Letters) together with his nationality ___________________________________________________________________________ Surname First Name Middle Name * (b) Mother’s name in full (Capital Letters) together with her nationality ___________________________________________________________________________ Surname First Name Middle Name 5. Name of Spouse in full (Capital Letters) together with his/her nationality (in case of married persons only). ______________________________________________________________________________ 6. Contact Address _________________________________________________________________ ______________________________________________________________________________ 7. Permanent Address ______________________________________________________________ ______________________________________________________________________________ 8. Passport number, date and place of issue and its validity if available. ______________________________________________________________________ No. Date of Issue Date of Expiry Place of issue

9. Occupation _____________________________________________________________________ 10. Whether previously visited India? If so, date and place of previous visit. ______________________________________________ _________________________________________________________________________________ * Full name and not initials are required.

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Page 33: Scholarship Form

Appendix - 7

INDIAN COUNCIL FOR CULTURAL RELATIONS AZAD BHAVAN, I.P.ESTATE, NEW DELHI – 110002.

International Scholarship Division

JOINING REPORT OF THE SCHOLAR

1. Name of the scholar : ___________________________________________

2. Name of the scheme under which selected : ___________________________________________

3. Country of domicile : ___________________________________________

4. Course of study : ___________________________________________

5. Date of leaving the country : ___________________________________________

6. Date of arrival in India : ___________________________________________

7. Date of joining the Institute/University : ___________________________________________

8. Name of the Institute/ University where admitted : ___________________________________________

9. Duration of the entire course :

10. Duration of summer vacation

11. Name of the competent authority

allowance etc. should be sent.:

Date Month Year

From:

To:

From:

To:

12. Hostel or residential address of the scholar at the place of study in India.:

13. Passport number with validity of the passport.: ________________________________________

14. Whether allotted hostel accommodation? If so, name of the hostel ___________________________________________________________________________

15. Roll No./Reg. No./ I.C. No. : ___________________________________________

Note: This page may be torn out and kept with candidate, Upon completion of all registration formalities this form may be returned to ISD Section, ICCR in person or by post. Please ensure that the form is duly stamped and signed by concerned authorities in the Institution/ University where the scholar joins.

- 33 -

in whose name the maintenance

Page 34: Scholarship Form

14. COMPULSORY FEES : I YR. II YR. III YR. IV YR. V YR. Tuition Fee : ________ ________ ________ ________ ________

Admission fee : ________ ________ ________ ________ ________

Enrolment fee : ________ ________ ________ ________ ________

Registration fee : ________ ________ ________ ________ ________

Laboratory fee : ________ ________ ________ ________ ________

College Exam. Fee : ________ ________ ________ ________ ________

University Exam. Fee : ________ ________ ________ ________ ________

Marks sheet fee : ________ ________ ________ ________ ________

Identity Card fee : ________ ________ ________ ________ ________

Library reading room fee : ________ ________ ________ ________ ________

Gymkhana/Games/Athletic fee : ________ ________ ________ ________ ________

Union fee : ________ ________ ________ ________ ________

Association fee : ________ ________ ________ ________ ________

Recreation fee : ________ ________ ________ ________ ________

Medical fee : ________ ________ ________ ________ ________

Visual fee : ________ ________ ________ ________ ________

Poor Student Aid fee : ________ ________ ________ ________ ________

Name of any other fee which is compulsory

: ________ ________ ________ ________ ________

Hostel rent (Room rent, water & electricity charges with break up)

: ________ ________ ________ ________ ________

Any other charges not covered above & details thereof:- In case the scholar has not been allotted any hostel accommodation for himself due to non-availability of accommodation in the hostel, a certificate to this effect stating that “This is to certify that as no hostel accommodation was available, the scholar could not be provided hostel accommodation and he/she had hired private accommodation for which he/she is paying Rs. P.M. to the land lord” may be sent to the Council separately.

Signature of Head of the Institute:

_________________________________________________

Name in Block letter Designation and seal __________________________________

Important: Students may kindly note that in any future correspondence with ICCR, the name of the country, scholarship scheme, year of joining and File Number must be mentioned.

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