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FORMAT OF APPLICATION

1. Name of the Scholarship Scheme:

2. Country for which applying:

3. Preference, if intended to be considered for

other countries also:

4. Level of Course:

5. Subject (indicate one of the subjects given in the advertisement)

6. i Name of the candidate Sh./Smt./Km.

(in Block letters)

ii Full mailing address with Pin Codeand

Telephone Number, if any

iii Full name of Father/Mother/Guardian

iv E- Mail Address:

7. i Sex : Male Female

ii Marital status:

iii Nationality:

8. i. Date of birth:ii Age as on 15.9.2010:

iii State to which the candidate belongs:

9. Academic record starting from High School/Higher Secondary (Attested Copies of

certificates to be attached)

Name of the

University/

Board/ Institute

Examination

(s) passed

Date of

passing

Division/

Class with

position, ifany,

Maximum

marks and

markssecured for

the entire

degree

Percentage of

marks

obtained andposition if

any, (No

rounding off)

Subjects

taken

10. Have you cleared IELTS/TOEFL/GMAT ? If so, give score

(a) IELTS (b) TOEFL (c) GMAT

11. Details of

I. Professional/Practical Training :II. Research Experience:

Y Y M M D D

RECENT PASSPORT SIZE

PHOTOGRAPH DULY

SIGNED TO BE

PASTED

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