Application Form for Scholarship under FUSION Project (EU EACEA 38/2012)
Application from: Europe Asia
Program Applied for: Undergraduate
Please explore FUSION site (www.fusion-edu.eu) before you fill this form
Nationality:Intended Study Program:
Your Preferred Hosting Universities(priority basis): / 1.
(Visit here, for Partner Universities) / 2.
3.
Personal Information
Full 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 EU countries in last 5 years? If yes, where and the reasons for your stay. (this is for the Asia applicants only)
Current Status
Name of the program
(Currently enrolled)
Name of the Institution:
Credit hours or
Year/Month needed for degree completion
Credit hours or modules completed:
*Earned CGPA or
Result of the completed modules (with list)
Title of Undergraduate and Post graduate Project or Thesis (if appropriate)
Past Academic result
Type of Exam / School Final/ O Level/SSC/GCSE/Equivalent / College Final/ ALevel/HSC/Equivalent / Undergrad / Masters
Group / Subject
Institution / College/University
Board
*Division /
Class /GPA/CGPA
PassingYear
Grade points or marks in major Subjects
Language Proficiency (English/ French/ German/ others)
Grade point or marks earned in Language courses in School Final/O level/SSC/GCSE/Equivalent Exam
Grade point or marks earned in Language courses in College Final/HSC/A Level/Equivalent Exam
Grade point/marks earned in Language courses in Undergraduate Program
IELTS/TOEFL score
(if available)
Other Language test scores
(if any)
Technical Knowledge:
Please narrate your technical skills relevant to your field of study.
(e.g., for someone studying computer science, skills in Programming Languages, Web development tools, Database Applications and other Program related software tools may be narrated)
List of Projects/term papers:
Give a list of projects (term papers) you have successfully completed in pursuing various theory/lab classes throughout your undergraduate study if applicable.
Scholarship:
Give a list of scholarships you have obtained so far starting from School final/ SSC/ O level/ GCSE/ Equivalent level
Research Publications:
Only include publications published in international workshops/conferences and in international journals if any.
Research Interest:
Only include areas on which you intend to focus your higher study.
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.
Acceptance of Courses/Research carried out in the Hosting 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 Hosting University under FUSION program. Also if you are selected you need to provide a testimonial from your university mentioning that you have not done or participated in any activities related to violating university rules.
DECLARATIONS
ü I hereby attest that if I am nominated for scholarship under FUSION project, I will be bound by the rules and regulations of the conditions set forth in the offer
ü I also attest that if I falsify/ withhold any information requested in this application form, I will not be eligible for any scholarship
ü I allow FUSION authority to verify the authenticity of the above information by contacting 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)