Signed in as: Unauthenticated Form Ref: EDU004 Date: 03/06/2016 Last Saved: 03/06/2016 15:30:38 myScholarship Forms Fields marked with an asterisk '*' are mandatory. Information on Application Scheme * Endeavour Group A Personal Details: Title * Mr Place of Birth * Date of Birth * [dd/mm/yyyy] 02/06/1960 Nationality * Maltese Name * rwrwrwrw Gender * Male Female M rwrwr Surname * rwrwrwrw PL ID Number * 24242 E Application Month/Year June 2016 SA Permanent Address: Permanent House No + 242 Permanent House Name + Permanent Street Name * wrwrrwr wrwrwrwrw Permanent Country * Algeria Phone Number * 2442424242 Email Address * [email protected] Mobile No * 4242424242 Permanent Post Code * wrwrwr Permanent Town * rwrwrwrwrw Phone Number - Abroad Confirm Email Address * [email protected] Mobile No - Abroad Priority Areas Reach High Scholars Programme Post-Doctoral Grants Priority Area ENDEAVOUR Group A Priority Area Advanced Manufacturing Creative Industries Financial Services and Support E International Educational Services Life Sciences Transport and Advanced Logistics PL Tourism ENDEAVOUR Group B SA Priority Area M Science, Technology, Engineering and Mathematics (STEM) Management and Administration Education Green Economy Health High Value Added Manufacturing ICT Veterinary Services Present Occupation and Previous Work Experiences Current Employer Name and Address of Present Employer Present Post Date of Employment Previous Employers Date of Employment from Month/Year to Month/Year SA M PL E Name and Address of Previous Employer Previous Post General Qualifications Details of Degrees, Postgraduate Diplomas and Other Professional Qualifications Level MQF Level Course/Programme Classification Year when Awarded/Ongoing Name of Institution Level MQF Level Course/Programme Classification Year when Awarded/Ongoing Name of Institution Level MQF Level Course/Programme Classification Year when Awarded/Ongoing Name of Institution Level MQF Level Course/Programme Classification PL E Name of Institution Name of Institution Year when Awarded/Ongoing Level MQF Level Classification Year when Awarded/Ongoing Level MQF Level Classification Year when Awarded/Ongoing Name of Institution Level MQF Level Course/Programme Classification Year when Awarded/Ongoing Name of Institution Level MQF Level Course/Programme Classification Year when Awarded/Ongoing Name of Institution Level MQF Level Course/Programme Classification Year when Awarded/Ongoing Name of Institution Level MQF Level Course/Programme Classification Year when Awarded/Ongoing Name of Institution SA Course/Programme M Course/Programme Details of the Course/Programme being applied for 1st Preference Course/Programme * Modality MQF Level wrwerwrw Name of Institution and Country * rwrwrwrwrw In possession of an Unconditional Letter of Acceptance / A supporting Start Date [dd/mm/yyyy] End Date [dd/mm/yyyy] document attesting the acceptance of the application by the Host institution Yes 2nd Preference Course/Programme Modality MQF Level Name of Institution and Country E In possession of an Unconditional Letter of Acceptance / A supporting Start Date [dd/mm/yyyy] End Date [dd/mm/yyyy] document attesting the acceptance of the application by the Host institution Course/Programme PL 3rd Preference Modality Name of Institution and Country MQF Level SA 4th Preference M In possession of an Unconditional Letter of Acceptance / A supporting Start Date [dd/mm/yyyy] End Date [dd/mm/yyyy] document attesting the acceptance of the application by the Host institution Course/Programme Modality MQF Level Name of Institution and Country In possession of an Unconditional Letter of Acceptance / A supporting Start Date [dd/mm/yyyy] End Date [dd/mm/yyyy] document attesting the acceptance of the application by the Host institution 5th Preference Course/Programme Modality MQF Level Name of Institution and Country In possession of an Unconditional Letter of Acceptance / A supporting Start Date [dd/mm/yyyy] End Date [dd/mm/yyyy] document attesting the acceptance of the application by the Host institution Are these courses/programmes of studies accredited and the Institutions you are applying for recognised by MQRIC? * Yes No Awaiting Reply Previous Applications Have you ever applied for any other scholarship scheme? * Yes No Yes No Yes No If Yes, indicate which scheme + RWRWR Have you ever been awarded a Scholarship? * If Yes, indicate which scheme and year + RWWR Are you currently benefitting from a scholarship and/or grant? * If Yes, indicate the type of scholarship or grant + SA M PL E WRRWR Include the following Attachments Documents Required by the Malta Arts Scholarships 1. Copy of I.D. Card (back and front) 2. Curriculum Vitae (CV) 3. MQRIC Evaluation Report 4. Transcript 5. Unconditional Letter of Acceptance 6. Signed declaration by Parents / Guardians authorising applicant to participate in the Scheme if the applicant is under the age of 18 by the closing date of application 7. Personal Profile Report Documents required by the Malta Sports Scholarships E 1. Copy of I.D. Card (back and front) 2. Curriculum Vitae (CV) 3. MQRIC Evaluation Report 4. Transcript 5. Unconditional Letter of Acceptance 6. Signed declaration by Parents / Guardians authorising applicant to participate in the Scheme if the applicant is under the age of 18 by the closing date of application 7. Signed nomination form by your representative National Sports Organisation or Club 8. Certificate of evidence of your participation in a youth development scheme for a minimum period of three (3) years 9. Sports Profile report including a record of Sports participation achievement as per sample attached with the Application Form or on a DVD or both 10. Sports Career Profile report showing evidence, if any, of work experience or volontary service in Sport as per sample attached with the Regulations PL Documents required by the Reach High Scholars Programme Post-Doctoral Grants SA M 1. Copy of the Applicant's identity card or residence permit or permanent residence certificate or long term resident status 2. Curriculum Vitae (CV) 3. MQRIC Evaluation Report 4. Supporting documents proving that the applicant fulfils all the required conditions as per eligibility criteria (Section 4.5), namely: Certificates of last academic degree obtained including final grades; List of previous publications etc. 5. Justification for Research Proposal including links with national priorities and the EU 2020 strategy 6. A Technical Statement of Proposed Work and Research Plan (1,000 words maximum) 7. Programme of Work (gannt chart for work programme); 8. The names and addresses of two Referees who have agreed to give a confidential assessment of the Applicant's work. 9. A copy of the Table of Contents and one Chapter from their Doctoral Thesis 10. A sample of written research work such as previously published articles. 11. A supporting document attesting the acceptance of the applicant by the Host institution where the research work will be carried out, assuring the required conditions for the suitable development of the research. 12. If the research project is laboratory based, provide a letter of support from the host institution confirming that laboratory space and access will be provided. Documents required by the Endeavour Scheme 1. Copy of I.D. Card (back and front) 2. Curriculum Vitae (CV) 3. MQRIC Evaluation Report 4. Transcript 5. Unconditional Letter of Acceptance 6. Overview of the Research / Studies 7. Relevance of Study to Malta's strategic needs 8. Impact of Study on the Development of Malta 9. Statement by Applicant applying under Group A that s/he intends completing the course as per Clause 11.3 of the Regulations 10. Statement by Applicant applying under Group B that s/he intends completing the course as per Clause 12.4 of the Regulations 11. Card issued by the Kummissjoni Nazzjonali Persuni b'Dizabilita (KNPD) 12. Employment History 13. Permanent Residence Certificate Signature I declare to have read and understood the Scholarships Regulations and shall abide by all the conditions stipulated therein. I declare that I am a citizen of Afghanistan I declare that I am NOT the holder of another local public grant and/or scholarship of the same level I also declare that I shall submit all the documentation requested in the Terms and Conditions of the scheme I am applying for. I give my consent to the Programme Implementation Directorate to share with other Government entities my personal information in this Application Form for accountability and verification purposes. I declare that the information submitted is correct and final. In case of applicants under eighteen (18) years: PL E ID Card of Parent/Legal Guardian Name and Surname of Parent/Legal Guardian Applicant Signature rwrwrwrw rwrwrwrw Friday, 03 June 2016 15:28:23 M To re-enable the application form after signing, click again on the Signature. SA Signing the document does not automatically submit the form. Press the 'Next' button below to proceed to the submit page. Submission Application Reference Submission Reference 1518 EDU004-36-16 Date Received 03/06/2016,15:30 File Reference
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