Application Form for
2014Azerbaijani Oil & Gas Scholarship
program for Master of Sciences studies

Name
Surname
Patronymic

Please complete the application form in English. Uncompleted applications will be disqualified.

Personal Information

Date (day/month/year) and place of birth
Citizenship
Gender / Male Female
Current mailing address
(Street name, number, apartment, city, postal code, country, rayon)
Contact phone numbers (country code, city code, phone number). / Cell phone: Home phone :
E-mail address
Emergency contact phone/e-mail

Education

Name of Institution–
start with the recent one / Department / Year of entering / Year of graduation / Degree / If you are a student, please indicate year of graduation
Is there any additional information about you that you would like to share with us? (Scholarships, sponsorships or awards received during your university studies, details of any published papers, achievements)

Work experience (if any)

Please include employment details in reverse order (i.e. start with most recent experience)

Name & address of the company / Department / Position / From (month/year)
To(month/year) / Reason for leaving
Responsibilities :

Faculty(Choose one University and one Departmentyou have applied and got admission)

University:

Middle East Technical University

Istanbul Technical University

Department:

  • Geology
  • Petroleum & Reservoir Engineering
  • Occupational Health and Safety
  • Industrial Engineering

If you have ever taken official English language examination (TOEFL) please indicate

TOEFL score, date and place

How did you know about the program?

BP Website
Facebook
Other Website
School /lyceum/University
Network(friends,relatives)
Student’s Unions
Education and Career Fairs
Other (Please specify)

Have you ever been awarded with BP Bursary?

  • Yes
  • No

Have you ever got scholarship?

  • Yes
  • No

From BP

From SOCAR for Azerbaijani Universities

From SOCAR for overseas

Other

Have you ever been BP Summer Intern?

  • Yes
  • No

Disclaimer:

Do you have a close personal or business association or family relationship with, anofficer or employee of a government owned company (e.g. a national oil company) or with any government official or any officer or employee of a government agency?

Yes No

______

Please give the names and contact numbers of at least two persons who are in a position to comment on your academic education

Name and surname / Workplace and Position / Telephone number and e-mail

Essay

500 (five hundred) words essay in English. Please tell us why you selected your area of studies. How Master level studies will contribute towards your future development.

Application Checklist:

  1. Scanned Copy of University Admission
  2. Scanned Copy of Bachelor’s Diploma
  3. Scanned Copy of certified Bachelor’s Diploma Supplementary/ Transcript (indicating courses taken and relevant grades of the candidate)
  4. Scanned Copy of national ID
  1. Passport photo

“I confirm that, to the best of my knowledge, the information contained in this application is accurate. I give consent to the verification of this information provided and understand that false information or significant omissions may disqualify me from consideration for the scholarship and may be considered as justification for withdrawal of scholarship if discovered at a later date.”

Signature ______Date

Please send your completed application and scanned documents to the following email stating your name and surname in the subject of the message.

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