Checklist of Application Documents to be Submitted

Name of Applicant (Full name):

Sub-Program:

Component:

Applying University: Date of Submission:

I
T
E
M / NECESSARY DOCUMENTS
(by the order to be arranged) / Remarks / Original/
Certified True Copy / Photocopy of the Original / Your Tick Mark Here
Required Number to be Submitted
1 / Application Form – with Picture (4cmX3cm) (Prescribed form) / u  3 pictures (within the past 3 months) should be attached to 1st page of all the 3 sets
u  Should have signature as well as name in block letter at the bottom of EACH PAGE / 1 / 2
2 / Official Transcript of Records / u  Must contain all the grades earned in the university
u  3 notarized copies of the original.
u  Written in English or accompanied with official translation / 3
3 / University Certificate/Diploma / 3
4 / Reference Letter “Annex” (Prescribed form) / u  Filled-up by the current supervisor
u  Must be sealed in a legal sized envelope upon submission
u  Written in English or accompanied with official translation / 1
5 / Questionnaire on Medical History and Present Health Condition
(Prescribed form) / 1
6 / Questionnaire on Source of Information
(Prescribed form) / 1
7 / Official Nomination Letter (Prescribed form) / u  Original must be issued from the main office in Vientiane even for those who are belong to a provincial office
u  Signed by the designated official (eg. Director General of Personnel Department). Please inquire to the department in charge of JDS in your organization for details. / 1
8 / Resident Certificate for Lao P.D.R. (Prescribed form) / u  Should be stamped by a local authority / 1
9 / Registration Form (Prescribed form) / u  Picture (4cmX3cm) pasted on the form. / 1
10 / Checklist of Application Documents to be Submitted (this form) / 1

u  Read the Page 19 of Application Guidelines carefully.

u  Use only A4 size paper for all Copy Sets.

u  Make sure to keep your own extra Photocopy of the required documents (Except for ANNEX and Registration form) before submitting them to JICE JDS Project office. JICE will not provide any copy of them once it’s submitted.