c Department of Higher Education Ministry of Education Male’, Republic of Maldives. Saudi Government Scholarship 2015/2016 Application Form You should submit the following items with this application form in sealed envelope. 1. Attested original of all qualifications stated in paragraph 3 (you may attest your copies of qualifications from a government office, Law farm OR from Department of Public Examination) 2. 2 passport size photo (size 4 x 6 cm). 3. Passport copy (attested original) 4. Formal letter/ letters from work place specifying the duration of your service (Applicable for candidates studied under government loan/scholarship or partial loan/ scholarship) 5. A release letter from the employer if you have a bond to serve. 6. Police report (attested original) 7. Medical report (attested original) 8. An English letter stating the information of “Mahram” (for female students only) (WRITE CLEARLY IN BLOCK LETTERS) 1. Personal Sex Name Permanent Address (including Atoll/Island) Current Address M F (recent PP photo) Tel Date of Birth (D/M/Y) Age: Govt. Record Card No. Marital Status Years Email: ID No. SINGLE MARRIED DIVORCED Number of Children Their ages 2. Employment Date Emp. Post Office Tel Present Employment First Emp. in Gov’t 3. Educational Qualification attained (including highest qualification) Tick () all Qualification Attained O’ Level Shahadha Saanaviyya Degree PhD A’ Level Diploma Masters others please specify: ……………………………. Please specify the highest qualification attained (Eg: Masters of Education):………………………………………………. Institute / Country Tertiary & Higher Education (applicable to those who apply for Diploma and above) Attainment From To Funding Agency Funding Type (Certificate/Diploma/Degree received) (Eg: Scholarship, 1. Government including Partial Scholarhip independent Loan,) institutions: 2. Self-Funded: 3. Others (specify): Funding Scheme (Eg: ICCR, Presidential scholarships, Ausaid, Fulbright etc) 1. 2. 3. 4. Higher education or training currently being undertaken Institute Programme Level Duration Date started/End Funding Scheme 4. Desired Course Course Name Advertisement / Notice ref. & date Level (IUL)166-schol/166/2015/47 Scholarship Application Form – DHE th (15 April 2015) Scheme Country Saudi Arabia Saudi Gov Scholarship 2015/2016 Page 1 of 2 5. Employment History Post & Office From To Field of work 6. Service Bond Records Nature of Bond (studies / training course / paid leave) Please indicate the name of the organization through which you were trained and the duration of the course Bond Duration Date of commencement of bond service 7. Other Applications to Scholarships in 2014, 2015 Course (including level) Office Date of Bond Completion Country Status of Bond (completed / deferred / serving/ Please specify the exact reason if you have not served your bond) Funding Scheme Date Applied Status: (selected** pending / rejected) ** Applicant will be disqualified if inf ormation is withheld. 9. Student loan status Do you have an outstanding student loan in the Bank of Maldives or at Department of Higher Education? If Yes, Please submit evidence that repayment is regularly made. Copies of the Bank letters repayment slips can be submitted as evidence Yes No 10. Parent / Guardian / Spouse Name & Address of Responsible Parent OR Guardian OR Spouse Tel 11. 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. Incomplete or false information given in this application shall be considered as information withheld to take undue advantages which could lead to legal actions. Even 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: Scholarships Division Department of Higher Education Velaanaage (2nd Floor) th Deadline for submission: 27 April 2015 Our Telephone number is: 3341383 Please double check if your application is complete. Are the following documents included? 1. Attested original of all qualifications stated in paragraph 3……………................ 2. 3. Medical Report. (attested original) …………………………………………………. Yes No 2 passport size photo (size 4 x 6 cm). ………………………………………….. Yes No Passport copy (attested original). ……………………………………..……….. Yes No Formal letter/ letters from work place specifying the duration of your service (Applicable for candidates studied under government loan/scholarship or partial loan/ scholarship) ………………………………………… Yes No A release letter from the employer if you have a bond to serve ……………………. Yes No Police report (attested report)…………………………………………………………… Yes No An English letter stating the information of “Mahram” (for female students only)… Yes No 4. 5. 6. 7. 8. Yes No NOTE 1: You should enclose the application and other documents in a sealed envelope with your Name, Address and Applied Scheme and Course clearly written on the envelope. NOTE 2: Please ensure you obtain a candidate number slip upon the handover of the documents. If you are in a queue at the counter just before the deadline please bring to the notice of the counter staff that you are there to meet a deadline and ensure that your application is lodged before the deadline. We regret to inform that late applications will not be accepted and the deadline will be strictly followed . Scholarship Application Form – DHE Page 2 of 2
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