Professional Documents
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PROSPECT BURMA
SCHOLARSHIP APPLICATION FORM
2010
FOR NEW APPLICANTS
This form is only for new applicants. If you received a Prospect Burma scholarship
for the 2009-2010 academic year and are continuing in the same degree
programme, you should complete the shorter form headed Application for
Continued Funding.
All forms are available on the Scholarship Applications page at www.prospectburma.org
For applicants in India only: Paste a passport-size colour photo in the box
shown on the form
INDIA
Students in India should send hard copies (Email is not acceptable) of their
applications and supporting documents to:
Ms Lata Pillai
Student Information Centre
A-Block, Pocket-AG1
141C, Vikaspuri
New Delhi-110018
India
Tel: +91 981 095 9926
E-mail: cholwin2000@yahoo.co.in
Students in Thailand, Cambodia, Laos, Vietnam, Malaysia, Singapore, Indonesia, the Philippines, and Hong
Kong should mail or Email their applications and supporting documents to:
Ms Julie Abbot
P. O. Box 8
Mae Ping Post Office
Chiang Mai 50301
Thailand
Tel +66 53 220 067
E-mail: juliepbsea@gmail.com
Students in all other countries should send hard copies (Email is not acceptable) of
their applications and supporting documents to:
Scholarships Committee
Prospect Burma
Porters’ Lodge,
Rivermead Court,
Ranelagh Gardens,
London SW6 3SF
United Kingdom
Students In India Name
ste Your Photo Here
University
PROSPECT BURMA
♦ APPLICATIONS MUST BE SUBMITTED TO THE ADDRESS SHOWN IN THE GUIDANCE NOTES BY 31 MARCH 2010
♦ We do NOT acknowledge receipt of applications. If you have not heard from us by 31 July, you should assume that your
application was unsuccessful
Notes:
2. PARENTS
If either or both parents are retired or deceased, please give their previous occupation
Father:
Name Occupation:
Country of residence:
Mother:
Name Occupation:
Country of residence:
3. STUDENT STATUS:
Name:
If you cannot attach all the required documents when submitting your application, please
explain the reasons in a covering letter; and send the documents as soon as they are available.
You may attach further documents if you think they will help your application.
Title:
What qualification do you hope to receive from this course, eg BA, BSc, MA, MSc. Ph.D?
Name:
5. PREVIOUS EDUCATION
6. REFERENCES
Names and addresses of people who can comment on your academic ability (one of these must be your current or most recent
academic supervisor):
Address: Address:
Telephone: Telephone:
Fax: Fax:
Email: Email:
If you fail to give the names of ACADEMIC referees, it will delay consideration of your application.
Name:
7. FINANCIAL QUESTIONS
a. EXPENDITURE: How much will your annual academic fees & living expenses be for the academic year 2010-2011 ? Make
clear the currency used (US Dollars, Pounds sterling, Thai baht, Indian rupees etc)
Currency
Registration fees
Accommodation
Food
Local Travel
TOTAL EXPENDITURE
b. INCOME: Sources of Financial Support for the academic year. Please indicate whether the amounts are assured, or if you have
made an application.
Include applications to the Open Society Institute (OSI) or other funders.
Personal savings
Funds from parents
relatives/other
individuals
Other scholarships/
grants (if any)
Fee Waiver (if any)
Other (specify)
TOTAL INCOME
Name:
Name in which account is held: Account number: Bank clearing code (if any)*:
We prefer that you have your own account, but if you use a friend’s account, be sure they
agree.
*Ask your bank for the codes needed for international bank transfers
Prospect Burma only offers partial awards; how will you cover the rest of your expenses?
8. BIOGRAPHY:
Give details of your connection with, and dates of residence in Burma and in your present country of residence. Tell us also of your
reasons for choosing your course of study.
Name:
9. FUTURE PLANS : This section is very important. The essay must be your own. Candidates submitting
identical essays will be disqualified.
We will give preference to candidates studying subjects relevant to the development of Burma. Please
use this space to tell us in your own words about your future plans, and how you will benefit Burma.
Continue on a separate sheet of paper if necessary and sign it.
Signature…………………………………………………………….Date……………………………
If you are awarded a scholarship, we will ask you to sign an undertaking that you firmly intend to return to
Burma when feasible to help your country’s development.
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