Martand Singh Scholarship

for Traditional Craftsmanship

Applicationform2018

Personal Details

Title(Mr./Mrs./Ms./etc):

Surname(Blockcapitals):_

FirstName(Blockcapitals):

Nationality

DateofBirth(DD/MM/YY): Age:_

Sex(M/F):_

Currentresidentialaddress:

City:

State:_

Pin:

Tel.No.

Fax.No.

MobileNo:

E-mail

Nameandaddressofthepersontobenotifiedincaseofemergency:

City:

State:_

Pin:

Tel.No.

FaxNo.

MobileNo:

E-mail:

_Relationshiptothisperson:

Education andQualifications

Pleasegivedetailsofyoureducation

University/Education / Qualification / Marksor
Grade / Year awarded / Subjects

Experience andEmployment

Presentoccupation:

Name,designationandaddressofemployer:_

City: State:_Pin:

Tel.No. MobileNo.

E-mail:_

Detailsofpreviousexperience(pleaselistinchronologicalorderstartingwiththemostrecentworkand attachsamplesofyourwork,reportsorresearchoutcomes,ifapplicable)

Ifinemployment,willyoubereleasedfortheproposedstudy/stayinIndia?Pleaseattachevidence:

References:Nametwopersonswiththeirdesignationsandcontactdetails(address,mobile,e-mail)who arefamiliarwithyourwork:

1.

2.

Research Proposal

Pleasetakegreatcareoverthissectionasitwillbeveryinfluentialinreachingadecisionaboutyour application.UseseparateA4sheets,if youwishandstateclearlythefollowing:

Theaims,objectives,methodologyandpotentialoutcomesofyourproposedresearch/study

Thespecificareaonwhichyouwanttoconcentrate

Whereyouwanttoresearch/studyandwhy?

Describehowyouintendtouseyournewlyacquiredunderstanding/experience

EstimatedbutDETAILEDstatementofexpenses/budgetforyourresearch

PleasegivedetailsoftheIndianinstitution/satwhichyouhavesecuredaplaceortowhichyouhave applied.Pleaseattachevidenceif youhavesecureda place:

Durationoftheproposedtraining/attachment/study.Pleasespecify_

Other Details

HaveyouvisitedIndiabefore?Ifso,forwhatpurpose?Pleasegivedetails:

Pleasegivedetailsofanysourcesoffundingyouhavesecured/appliedfor.Attachevidence,if applicable

Haveyouhadanyseriousillness?Ifso,givedetails:

Completingthe Application

Itisimportantthattheapplicationmustbefilledclearlysincethedecision/interviewwillbebasedonthe informationprovidedintheformandintheStatementofPurposewrittenby theapplicant.

Theenclosuresshouldinclude

1. ResearchProposal

2. DetailedBudget

3. Sampleofpreviousresearch/projectwork

4. Asetofpressclippings(photographs,ifapplicable)

5. Tworeferencesfrompeoplewhoarefamiliarwithyourwork(inoriginal)

6. Proofofeducationalqualifications(photocopies)

7. Acurriculumvitae

KindlyensuretheatallenclosuresareproperlyattachedinthegivenorderwhilesendingtheHARD COPY.

Decision/Interviews(ifnecessary)willbetakeninFebruary.Theapplicantswho arerequiredtocomefortheinterviewwillbeinformed15daysbeforetheinterview.

INTACHmakesnoprovision,financialorotherwise,tosupporttheexpensesincurredbyyouor accompanyingfamilymemberstoattendtheintervieworonyourresearchprojectwork.

Foranyfurtherinformation,pleasecontact:

MsRitu Saran,ResearchAssistant–

OR

Ms.Shruti Kumar–