ACADEMIC SCHOLARSHIPS “CENTRAL BANK OF CYPRUS” FOR MASTER STUDENTS OF UNIVERSITY OF CYPRUS INSTRUCTIONS 1. Please read carefully the filling process and the criteria for granting scholarships as described in the announcement of the scholarships before filling in the application. 2. Please note that only complete applications will be evaluated. If they do not satisfy the terms and conditions and/or are not accompanied by the necessary documents/certificates/verifications, will not be considered. 1 ACADEMIC SCHOLARSHIPS “CENTRAL BANK OF CYPRUS” FOR MASTER STUDENTS OF UNIVERSITY OF CYPRUS YEAR OF ADMISSION: FALL SEMESTER, 20 SPRING SEMESTER, 20 DEPARTMENT: FACULTY: TITLE OF PROGRAMME: Write the title of the programme of studies which you are registered for. 1. MARITAL STATUS Single Married In case you are married please complete the following: Name/Surname of applicant’s spouse: ………………………………………………………………… Number of Children:……………………………………………………………………………………… Name/Surname of Applicant’s Children: Date of Birth: ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… 2 2. FINANCIAL STATUS OF APPLICANT’S FAMILY Complete the following table. Married applicants should complete the table for their family (spouse and children) and single applicants for their parents’ family. 1. Applicant’s Family and Number of dependent persons. Α/Α Name Number of Identity Card Relationship Age Occupation Gross Annual Income 1. 2. 3. 4. 5. Total annual gross Income per family: The term “family” includes parents, the applicant and other dependent children of the family who are not working, are staying with the family, are over 18 years of age or are attending secondary schools, higher or higher education in Cyprus or abroad, or are serving their military service. If the applicant is married, then the dependent persons are the applicant, his / her spouse and any dependent children. 2. Income from other sources Α/Α Source of Income 1. From Rent(s) 2. Child’s Allowance 3. Unemployment Allowance 4. Disability Pension/Work Disability Pension 5. Widow’s Pension 6. Old Age Pension 7. Public Assistance from Social Welfare Services of Cyprus Government 8. Economic Assistance from Other Sources Annual Amount € 3 Other (please specify): 9. Total annual income from other sources: 3. SOCIAL STATUS OF APPLICANT’S FAMILY Please mark with √ as many of the following apply to your case: Mark with √ POINTS (for official use) a. one parent --------------- -------------- b. two parents --------------- -------------- a. one parent --------------- ------------ b. two parents --------------- ------------ ----------------- ----------------- Other Information 1. Parents are unemployed: 2. Parents present inability to work due to health problems of at least 75% or disability of at least 60% according to the Social Insurance Office of Cyprus Government. 3. The applicant suffers from a serious medical condition or a serious disability 4 4. DECLARATION OF CONSENT FOR THE PROCESSING OF PERSONAL DATA 1. I declare that the information provided in this application is true and accurate. If you offered me a scholarship, I declare that I accept the Rules and Regulations of the University of Cyprus. 2. By this statement, I provide unconditional consent, such as personal data concerning me and declared by me, to be kept in archive and be given to lawful processing under the meaning of the Processing of Personal Data (Protection of Individuals) Law, N.138(I)2001 as amended by the Data Controller which is the University of Cyprus. 3. I have been informed that the records will be maintained by the University of Cyprus and that the recipients of the data will be the responsible staff of Faculties, Departments and Administration of the University of Cyprus. 4. The management and processing of my personal data will be treated with safety and with confidential and will be subject to the relevant provisions of the Processing of Personal Data (Protection of Individuals) Law, N.138(I) 2001. I have been informed that I have the right to information, access and objection to Articles 11,12, and 13 of Law, N138(I) 2001, for which I can contact the controller of processing. 5. In case of any dispute/objection regarding further maintenance and/or the conduct of communication, I have the right to disclose in writing to the competent Faculty. 6. I understand and agree that my application for scholarship does not commit the University of Cyprus in any way regarding its acceptance or not. …………... Date: ………/……../2016 ……………………………………….. Applicant’s Signature 5 5. COPIES OF VERIFICATIONS/CERTIFICATIONS In order to verify that your application will be received with the necessary verifications/certifications please mark them below. Applications with incomplete information will not be accepted. Please upload to the system copies of the verifications/certifications that apply to you. Mark with Α/Α 1. 2. DESCRIPTION OF DOCUMENTATION TO BE ATTACHED √ Tax Declaration (FORM E.PR.190F) and a copy of a tax return stamped Income Tax for the previous year by the Inland Revenue Department (Income Tax Office - Ministry of Finance) for both parents or employees or not). Certificate of annual insurable earnings for the previous year for both parents or the husband / wife and for the applicant and dependent brothers whether working or not, from the Social Insurance Department or the Service Center Ombudsman. 3. Certificate of prior year annual salary (including 13th and 14th salary) by the employer (private, semi-public and public servants). 4. Birth Certificates for all dependent children of the family (including the applicant, where applicable). 5. University Verifications for the siblings who study in universities (admission year must be stated). 6. Military Certificates for siblings who serve the National Guard. 7. 8. 9. Certificate for the provision of disability pension for parent’s work (by at least 75%). This certificate is provided by the Social Security Department or by the Citizens Service Centre (it must indicate the total annual amount of earnings for the previous year). Certificate for the provision of parent’s disability pension (by at least 60%). This certificate is provided by the District Social Insurance Offices or by the Citizens Service Centre (it must indicate the total annual amount for the previous year). Certificate for the provision of Public assistance. This certificate is provided by the District Welfare Office. It applies to those cases of applicants / parents receiving public assistance or single parent allowance 10. A medical certificate of illness of applicant / or disability of applicant (for those cases with serious health problems / disability as defined in the application). 11. Attendance certificate for the current semester 12. Copy of Transcript 13. Copies of all your degrees from higher education institutions December 2016 AS/VAR 6
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