Professional Documents
Culture Documents
id
info@nesoindonesia.or.id
Menara Jamsostek 20th Floor
Jalan Gatot Subroto 38
Jakarta 12710 Indonesia
T. (+62) 21 52902172
1. PERSONAL INFORMATION
City & postcode Click here to enter text. Click here to enter text.
Mobile phone & telephone Click here to enter text. Click here to enter text.
I have been accepted by the eligible Dutch institution in one of the eligible study
Current application status
programmes
Study programme: Click here to enter text.
Institution: Click here to enter text.
No
Yes (please specify below)
You can apply to more than one OTS schemes. For each scheme, a separate OTS
application form needs to be submitted.
If you would like to be considered for additional schemes, please write the additional scheme(s) that you are interested in.
IMPORTANT: Please regularly check the offered additional schemes and the requirements at
www.nesoindonesia.or.id/ots
4. ACADEMIC BACKGROUND
Name of last/current
Click here to enter text.
education institution
City & country Click here to enter text. Click here to enter text.
GPA
out of
GRE test result (if applicable) Click here to enter text. Month & year taken: Click here to enter text.
GMAT test result (if Click here to enter text. Month & year taken: Click here to enter text.
applicable)
5. WORKING EXPERIENCE
Current or last working experience (If applicable). Please include your curriculum vitae on a separate file
How do you plan to finance your studies at the Dutch higher education institutions (multiple answers possible)?
My own savings Bank credit/loan
Parents or family Scholarship(s)
Employer Other: Click here to enter text.
Please send the required documents to Nuffic Neso Indonesia (ONLY softcopy to ots@nesoindonesia.or.id) before 1 April
2017 (unless the institution for which you are applying mentions a different deadline on the Orange Tulip Scholarship
website). Incomplete forms and packages will not be taken into account.
PLEASE NOTE THAT EACH ORANGE TULIP SCHOLARSHIP SPONSOR MAY REQUIRE ADDITIONAL DOCUMENTATION.
PLEASE READ CAREFULLY THE INFORMATION ON THE NUFFIC NESO INDONESIA ORANGE TULIP SCHOLARSHIP
WEBPAGE
All data will be treated strictly confidential by Nuffic Neso Indonesia and the selected Dutch higher education institutions,
solely for the purpose of the Orange Tulip Scholarship Indonesia programme application.
I certify that the information I have provided in this form is true, complete and correct.