Fullname *

First

Middle

Last

(As appear on immigration document)

Gender *

Date of Birth *

City & Country of Birth *

Status in Current Country

Which country are you currently

Current Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Street address

Phone Number *

Email *

Marital Status

Passport Information *

Please write your passport number here. If at the time of application and you don't have passport then write ( 000000)

Issue Date

Expiry Date

Sponsor's Name

Who will sponsor your education in case you are not awarded the scholarship

Academic Qualification

Educational History

Level Of Studies *

High School Graduate
Bachelor
Masters
Doctorate Education

Name of Institution *

Post Secondary School

Attended Institution From (dd/mm/yy) *

Attended Institution From (Secondary School)

Attended Institution To (mm/dd/yy)

Attended Institution To (Secondary School)

Program Offered *

What program did you study

School Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Secondary School

University Information 1

Name of Institution attended

This information is for those applying for masters and PhD

Attended Institution from

Start Date

Attended Institution to

End Date

Type of degree awarded and Program

Eg: BSc or MSc Computer Science. University level

Degree Award On

Date of Degree Awarded

Address (Post Secondary School)

Address Line 1

City

State / Province / Region

Postal Code

Country

University information 2

Name of Institution

Name of your university completed

Attended Institution From

University (Start Date)

Attended Institution to

Post - Secondary School 2 (End Date)

Degree Awarded and Program offered

Eg: BSc or MSc Computer Science. University level

Degree Awarded On

Post - Secondary School 2 (Awarded Date)