Sample PDF of the Form

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 *
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Gender *
Male
Female
M
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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 *
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Permanent Country *
Algeria
Phone Number *
2442424242
Email Address *
[email protected]
Mobile No *
4242424242
Permanent Post Code *
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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
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Name of Institution and Country *
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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
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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
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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
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Submission
Application Reference
Submission Reference
1518
EDU004-36-16
Date Received
03/06/2016,15:30
File Reference