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Scholarship Request Application Form
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Scholarship Type:
Scholarship in Memory of Dr. Ibrahim Umar Maniku
Medical Specialisation Fully Paid Scholarship
Other Partially Funded Scholarships
Applicant
Full Name
*
First
Last
Date of Birth:
*
NIC No/PP No:
*
Permanent address:
*
Current Address:
*
Email
*
Contact No:
*
Monthly Family Income:
*
Course Details
Name of the Programme:
University/Institution:
Country:
Town:
Starting Date:
Ending Date:
Total Number of Semesters:
Tuition Fee:
Programme related other expenses with breakdown (e.g. exam, Library, Books):
Estimated Stipend
Total expenses of the study programme:
Course coordinators Name:
Email:
*
Mobile Number:
*
Office Contact Number:
*
Estimated Stipend:
Accommodation
First
Last
Food
First
Last
Traveling
First
Last
Annual Air Ticket
First
Last
Visa
First
Last
Insurance
First
Last
Total
First
Last
Total expenses of the study programme:
*
Course coordinators Name:
*
Email
*
Mobile No:
*
Office Contact No:
*
Current Qualification
Checkboxes
O/L
A/L
Third Choice
Certificate
Diploma
Advanced Diploma
Degree
Master's Degree
phD
Previous Education 1
Name of the Programme:
Started Date:
Ended Date:
Total Expense of the Course:
Country:
Total Credit Offered:
Total Credit Achieved:
Nature of Funding:
Sponsored by Employer
Government Scholarship
Self & Family Finance
University Scholarship
If Others Please Specify:
Previous Education 2
Name of the Programme:
Started Date:
Ended Date:
Total Expense of the Course:
Country:
Total Credit Offered:
Total Credit Achieved:
Nature of Funding:
Sponsored by Employer
Government Scholarship
Self & Family Finance
University Scholarship
If Others Please Specify:
Previous Education 3
Name of the Programme:
Started Date:
Ended Date:
Total Expense of the Course:
Country:
Total Credit Offered:
Total Credit Achieved:
Nature of Funding:
Sponsored by Employer
Government Scholarship
Self & Family Finance
University Scholarship
If Others Please Specify:
Employer 1
Company/Organization Name:
Address:
Current Designation:
Starting Date:
End Date:
Last Promotion Date:
Employment Duration:
Annual Income:
Name of the Referee:
Contact Number:
Employer 2
Company/Organization Name:
Address:
Current Designation:
Starting Date:
End Date:
Last Promotion Date:
Employment Duration:
Annual Income:
Name of the Referee:
Contact Number:
Declaration
1. I have provided all details required and I confirm that the information provided in this application is, to the best of my knowledge, true and correct. I understand that false information will invalidate this application
2. I have read the criteria of the scholarships for which I wish to be considered and the relevant Guidance Notes. I confirm that I have enclosed or have arranged to send required supporting documentation.
Name
*
First
Last
Date:
Signature:
Note:
1. Application should be sent to Universal Foundation two months prior to the beginning of the course. In case of application for on-going courses, the scholarship benefits will start two months from the application received date, subject to approval.
2. Applicants will be shortlisted based on a point system adopted by Universal Foundation. The minimum points required to get shortlisted for fully paid scholarship scheme is 70 and, for Student Loan Scheme is 50.
Document Checklist
National identity card / Passport copy of the Applicant
Placement letter from the University / Institution
Fee Structure from University / Institution
Copies of the certificates and transcripts of previous qualifications
Experience letter from current and previous employers.
Recommendation letter if recommended by any Governmental / Non-governmental organisations.
File Upload
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