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PROFORMA FOR
APPLICATION
Affix recent Passport
size Photograph
duly signed
1. Name of the
Scholarship Scheme :
Chinese Government Scholarship2009-2010
2. Subject
(indicate any one of the subject
:
given in
advertisement) and the
3. Level of
course applied for
:
4. Name of
Candidate (in block letters)
:
5. Full Mailing
address with Tele./Fax No.
a)
Present Address :
b)
Permanent Address :
c)
Marital Status/Sex :
d)
i) Telephone(With STD Code)
ii)
Fax No. (With STD Code)
iii)
E-mail
6.
Nationality
:
7. Father’s
Name
:
8. Date of
birth and age in years months, and days as on
30.03.2008
State to which the
candidate belongs :
9. Academic
record starting from High School(Matriculation) :-
|
Name of the
University/
Board/Instit-utions |
Examinations
Passed (Subject Taken) |
Year of Passing |
Division/Class
With position, if any |
Maximum marks and
Marks secured for the entire degree |
Percentage of
marks obtained and position if any, (No
rounding of) |
Subjects Taken. |
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Note
: Where no Division/Class is awarded and only grading
is done, the conversion formula adopted may be given.
10. Details of
professional/practical/training and research
experience, if any
specifying the period and the number
of papers
published.
11. Details of
Present/Previous Employment after obtaining the
prescribed qualification for eligibility.
|
Name of the
organisation |
Name of Employer |
Date of joining |
Date of Leaving |
Post held |
Scale of Pay |
Reason for
Leaving |
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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12. Have you been
abroad ? if so, give full particulars
:
(a)
Country/Countries
visited :
(b)
Period of
Stay :
(c)
Date, month and year of return to India :
(d)
Purpose of visit
13. Have you
applied earlier for any Government scholarship in last
3 years, if so, the details thereof:-
14. Proposed
Programme of Study/Research and training
:
specifying
the following in at least 500 words (in a separate
sheet, to
be attached with the application)
i) Programme
of study/research
:
ii) Title of
study/research :
iii) The work
at present engaged in :
iv) Institutions
in China where such studies are done:
v) Relevance of
study in Indian/academic context :
The
particulars mentioned in my application are true &
nothing has been concealed therein.
Signature of the
candidate
Place:
Date :
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