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Application Form for Scholarship/Post Doctoral Fellowship

under cLINK Project (EU EACEA 42/11)

Program Applied for: Doctoral

Please explore cLINK site (www.clink-edu.eu) before you fill this form

Personal InformationFull Name (IN BLOCK LETTER)

Contact Address

Date of Birth

Gender

Passport Number (if any) Expire Date

Email Address

Skype ID (if any)

Mobile Contact Number (with country code)

Have you stayed 12 months or more in any

of EU countries? (Yes/No)

Current Status and InstitutionResearch title of the Doctoral Thesis:

Research area with four keywords:

Tentative outcome of the Doctoral thesis:

Name and designation of the supervisor:

Email of the supervisor:

Name of the Institution:

Credit hours or year/ month needed for

degree completion:

Credit hours or modules completed

(if applicable):

Nationality:

Your preferred EU

Universities (priority basis):

1.

2.

3.

4.

5.6.

http://www.clink-edu.eu/http://www.clink-edu.eu/http://www.clink-edu.eu/http://www.clink-edu.eu/

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Earned CGPA or Result of the completed

modules (with list)*

Past Academic result

- Masters (Institution attended, GPA/ Class, Grade points or marks in majorsubjects/Thesis)*

Title of Masters Project or Thesis (if applicable)- Undergraduate/ tertiary level (Institution attended, GPA / Class, Grade points or

marks in major subjects)*

Title of Undergraduate Project or Thesis (if applicable)- College Final/ HSC/ A Level/ Equivalent Exam (Institution attended, GPA/Class,

Grade points or marks in major subjects)*

- School Final/ O level/ SSC/ GCSE/ Equivalent Exam (Institution attended,GPA/Class, Grade points or marks in major subjects)*

Language Proficiency (English/ French/ German/ others)IELTS/TOEFL score

(if available)*

Grade point/marks earned in Language

courses in Undergraduate Program/ tertiary

level

Grade point or marks earned in Language

courses in College Final/ HSC/A Level/

Equivalent Exam

Grade point or marks earned in Language

courses in School Final/O level/ SSC/ GCSE/

Equivalent Exam

Other Language test scores

(if any)

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Scholarship:

Give a list of scholarships you have obtained for your academic performance.

Research Publications:

Only include publications published in national/international workshops/conferences and in

national/international journals (if any).

Other Achievements:

List any other achievements other than academic ones.

Extra Curricular Activities:

List extra-curricular and voluntary/social activities in which you think your contribution is

significant.

Social Status/Vulnerability:

Please mention succinctly (with proof) if you have any sorts of physically challenged

situation or you have come from a minority ethnic/ indigenous group.

Study Plan:

Provide yourstudy plan for two years.

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Acceptance of Courses/Research carried out in EU University:

If you are selected you have to provide a certificate from the head of the institution you

are currently attending that they will accept the courses/research you will carry out in

the designated EU University under cLINK program. Also if you are selected you needto provide a testimonial from your university mentioning that you have not done or

participated in any activities related to violating university rules.

DECLARATIONS

I hereby attest that if I am nominated for scholarship under cLlink project, I will bebound by the rules and regulations of the conditions set forth in the offer

I also attest that if I falsify/ withhold any information requested in this applicationform, I will not be eligible for any scholarship

I allow cLINK authority to verify the authenticity of the above information bycontacting the institutions referred by me in the application.

Signature of the Applicant

Date:

* Please add evidences at the end of the application

** Please provide supporting papers (mark sheets, language test score etc.)

N.B: After this page (scan and add supporting papers and prepare a single pdf file)