Application for Tev-Singa Fully Funded Phd Award

APPLICATION FOR TEV-SINGA FULLY FUNDED PHD AWARD

IMPORTANT INSTRUCTIONS

* indicates mandatory field

PROGRAMME

Please list your proposed Research Projects / Areas and Supervisors (See list on website[1]). Please also indicate the Research Institute or Faculty / Department.
*First Choice Institution: / Second Choice Institution: / Third Choice Institution:
A*STAR/NUS/NTU / A*STAR/NUS/NTU / A*STAR/NUS/NTU
Research Project: / Research Project: / Research Project:
Research Supervisor: / Research Supervisor: / Research Supervisor:
RI / Faculty / Department: / RI / Faculty / Department: / RI / Faculty / Department:

A*STAR Research Projects:

NUS Research Projects:

NTU Research Projects:

PERSONAL PARTICULARS

*Title: / *Surname / Family Name:
*Full Name (as in passport): / Given Name:
*Gender:
Male / Female / *Date of Birth (DDMMYYYY):
*Marital Status: / No of Children:
*Permanent Home Address: / Mailing Address (if different from above):
*Email Address: / *Home Contact:
Office Contact: / Mobile Contact:
*Citizenship: / Are you holding a SingaporeEmploymentPass:
Yes / No
Are you holding a SingaporeStudentPass:
Yes / No
Are you holding a SingaporeDependentPass:
Yes / No
If you are holding one of the above, please fill in the following
Expiry Date (DDMMYYYY):
FIN No:
Period resided in Singapore (if at all):
*Do you have a dual citizenship:
Yes / No
If yes, please specify:
Identity Card No:
Passport No:
Country of Passport Issue:
Place of Passport Issue:
Date of Passport Issue:

FAMILY PARTICULARS

*FATHER
Name:
Occupation:
Address:
Contact No: / *MOTHER
Name:
Occupation:
Address:
Contact No: / SPOUSE (if applicable)
Name:
Date of Marriage (DDMMYYYY):
Occupation:
Address:
Contact No:
CHILDREN (if applicable)
No / Name / Gender / Date of Birth (DDMMYYYY)
1.
2.
3.
4.

EDUCATION BACKGROUND

University (Undergraduate and Higher Degree):
No / Duration / University / Country / Qualifications Obtained
1.
2.
3.
4.
Degree (s) you are currently pursuing:
No / Duration / University / Country / Degree Pursuing
1.
2.
Scholarships, prizes or other awards received:
(Please list in chronological order and enclose documentary evidence)
No / Date / Details
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

WORK EXPERIENCE

Duration:
Designation:
Company / Organization:
Country:
Reason for leaving: / Duration:
Designation:
Company / Organization:
Country:
Reason for leaving:
Duration:
Designation:
Company / Organization:
Country:
Reason for leaving: / Duration:
Designation:
Company / Organization:
Country:
Reason for leaving:

TEST SCORE

TOEFL
No / Test Year / Score
1.
2.
3.
GRE
No / Test Year / Total / Verbal / Quantitative / Analytical Writing
Score / Percentile / Score / Percentile / Score / Percentile / Score / Percentile
1.
2.
3.

PROPOSED RESEARCH AND EXPERIENCE

*Indicate the Research Project(s) you are interested in and explain your interest. You may wish to include details such as Proposed Research Area/Topic, Significance & Aims of Project. (maximum 1000 words):
*Please provide us your personal statement why you think you deserve the TEV-SINGA Fully Funded PhD Award. Please limit your statement to 500 words:
Research experience/papers published (list in reverse chronological order) (maximum 1000 words) if any:

REFEREE

*Name two senior professional persons who are familiar with your character, academic achievements, and work performance. Note that at least one should be a senior academic at your University. Please request your referees to write a recommendation in English (usingANNEX A).
Particulars / *Referee 1 / *Referee 2
Name:
Designation:
Organization:
Contact No:
Email:
Address:
No of years known:

DECLARATION

Please answer the following questions.
Are you currently on scholarship / fellowship / employment bond and/or receiving any financial assistance from sources outside the family? / Yes / No
Have you ever been convicted in a court of law of any country? / Yes / No
Have you ever been dismissed, discharged or suspended from employment of any organization? / Yes / No
Have you ever resigned from the service of any Government? / Yes / No
Are you at present under any financial embarrassment? / Yes / No
Have you any obligation under promissory notes either as principal or surety? / Yes / No
Have you ever had, or are you suffering from any physical impairment? / Yes / No
Have you ever had, or are you suffering from any medical condition? / Yes / No
Have you applied for any other scholarships? / Yes / No
If you indicate "YES" to any of the above questions, provide brief details (attach document if necessary):

FINAL CONFIRMATION

By submitting this application, I declare the following:

I affirm that all statements made by me on this form are correct.
I understand that any inaccurate or false information (or omission of material information) will render this application invalid and that, if awarded and admitted on the basis of such information, my award and candidature may be terminated.
I fully understand that my application will be considered invalid and will not be processed if TEV does not receive a complete set of my application and supporting documents. I accept that such documents will not be returned.

Name / Signature / Date

APPLICATION FOR TEV-SINGA FULLY FUNDED PHD AWARD

STRICTLY CONFIDENTIAL

Academic Referee’s Recommendation

To be completed by applicant:

Kindly fill up the portion below and pass a copy of this form to each of your two referees.

Name of applicant: ______

Applied for:TEV-SINGA FULLY FUNDED PhD AWARD

To be based at:A*STAR / NUS / NTU (Select one as your first choice)

To be completed by referee

The above-named person is applying to undertake research leading to a graduate degree. The University would appreciate receiving a confidential report from you on the applicant. You may write your report on the reverse side of this form if you wish, or send a separate letter. Please use a separate sheet if necessary.

1.How long have you known the applicant and in what capacity?

______

2.Among the students at a similar level you have known in recent years, how would you rate the applicant? (Please tick [] the appropriate box).

The following is based on [ ] undergraduate students whom I know

[ ] graduate students whom I know

(a) [ ]Within the top 5% (d) [ ]Within the top 25-50%

(b) [ ]Within the top 5-10% (e) [ ]Within the bottom 50%

How would you rate the applicant’s proficiency in English - in reading and writing and in spoken English (i.e. excellent, good, fair)?

______

4.Personal report on applicant:

Signature: ______Date: ______

Name of referee: ______

Designation: ______

Address: ______

______

Email Address: ______

Please return this form to theapplicant in asealed envelope whose opening bears your signature across it, or if you prefer, send direct to Türk Eğitim Vakfıat this mailing address

Türk Eğitim Vakfı

Büyükdere Cad. TEV

Kocabaş İşhanı No: 111 Kat: 6-7-8 34349

Gayrettepe-İstanbul / TÜRKİYE

Alternatively, you may wish to email this form to the email

Please indicate the applicant’s full name in the email subject

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