Sri Lankan Government Scholarships for Foreign Students for the Academic Year 2012

MINISTRY OF HIGHER EDUCATION

SRI LANKA

SRI LANKAN GOVERNMENT SCHOLARSHIPS FOR FOREIGN STUDENTS FOR THE ACADEMIC YEAR 2012

APPLICATION FORM

Doctoral

Postgraduate

Masters

Undergraduate

Instructions for Applicants

Each Candidate must complete 3 (Three) copies of this form to be typed or written legibly.

The following documents should be submitted with the form:
Certified copies of academic qualification
Certified copies of Birth Certificate and Passport
Security Vetting
Medical Certificate

Note: Certified English translations of supporting documents must be provided (i.e. certificates, testimonials, and transcripts) for documents that are not in English.

1.PERSONAL DETAILS
Name in Full(Please fill in block letters and underline surname):
Passport No: / Citizenship:
Date of Birth ( dd/mm/yyyy ): / Country of Birth:
Religion: / Ethnicity:
Marital Status: Single / Married / Divorced / Widowed / Gender: Male / Female
Postal Address:
Telephone No: ………….. - …………. - ……………….
(country code) (area code) (tel no.)
Mobile No : ………….. - …………. - ……………….
(country code) (area code) (tel no.) / Fax No:
………. - ……… - ……………...
(country code) (area code) (tel no.)
E-mail address(if any): ………………………………………………………………………….
(Candidates are strongly advised to provide either a fax no. or an email address to facilitate correspondence)
Name of Parent/ Guardian: …………………………………………………………………………
Relationship: ………………………………………………………………………………………….
Occupation / Designation: ………………………………………………………………………….
Address:-
Residence : ……………………………………………………………………………………………
…………………………………………………………………………………………………………….
Office : ……………………………………………………………………………………………
……………………………………………………………………………………………………………
Contact Number/s : …………………………………………………………………………………..
Email Address :…………………………………………………………………………………..

2.ACADEMIC QUALIFICATIONS

Please State Universities /Institutes/ Schools Attended

Name of University/Institute/ School / From / To / Qualifications Obtained / Medium

General Certificate of Education (Advanced Level or Equivalent)

( Only for undergraduate applicants)

Year / Subjects / Grade / Medium / Examination Institution

General Certificate of Education (Ordinary Level or Equivalent)

( Only for undergraduate applicants)

Year / Subjects / Grade / Medium / Examination Institution

D. Any Other Qualifications: ……………………………………………………………………………

………………………………………………………………………………………………….

…………………………………………………………………………………………………………

F. Academic Distinctions or Prizes Received:

3.ENGLISH LANGUAGE PROFICIENCY

Give the result/score of any language test taken :

(Enclose certified copies of certificates)

ScoreYear

TOEFL

IELTS

Any other qualification

4.STATE THE ORDER OF PREFERENCE TO THE COURSE/COURSES OF STUDY WHICH YOU WISH TO FOLLOW AT A UNIVERSITY IN SRI LANKA(Under no circumstances the order of preference can be changed)

Se.No / Degree Programme / University
1
2
3
4
5
6

5.PROPOSED FUTURE CAREER

……………………………………………………………………………………………………..

6.APPLICANT’S STATEMENT OF PURPOSE

In an essay of up to 200 words, describe your plan of study and/ or research you propose to pursue and relate this to your future career plan. (You may include additional relevant material for which there was insufficient space on this form).

……………………………………………………………………………………………………..

………………………………………………………………………………………………………………

Please tick if additional material enclosed

7.EMPLOYMENT EXPERIENCE (If any)

Employer’s Name and Address / Position Held / Part-Time/
Full-Time / Dates
From / To

8.RESEARCH AND PUBLICATIONS( If any) ( Only for postgraduate applicants)

Please List Down CompletedResearch and Publications

Se.No / Name of Research/ Publications / Date Completed

Research Proposal

Proposed field of study:

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Topic for Research:

Please attach maximum 500 words description of the Research Proposal

Thesis Description enclosed (Y/N)

9.REFEREES (Only for postgraduate applicants)

Please give details of two (2) people who can act as referees to support your application. You should contact them yourself and enclose the references (Annexure 1) with the application form to the Ministry of Higher Education. Please include the information of referees using the following box.

Name of Referee / Job Title & Organization / Telephone & Fax / E-mail

10. DECLARATION

Student’s Declaration

I hereby certify that all the statements made on this application and in the attached documents are true and correct. I have read all the terms and conditions regarding the scholarship mentioned under the scholarship details in the scholarship brochure. I shall return to my home country as soon as I complete my scheduled programme and will not extend my stay without valid reasons.

Date: …………………….. Signature: ………………………….

Official Declaration

(To be completed by the nominating authority)

Name of the Country : …………………………………………………………………………………………..
Name of the Nominating Agency : ……………………………………………………………………………...
I nominate Rev./Mr./Ms…………………………………………………………………………………………...
for a Doctoral/Masters/Bachelors degree offeredby the Ministry of Higher Education, Sri Lanka.
Name : ……………………………………………………………..
Position : ……………………………………………………………..
Signature : …………………………………………………………….
Official Stamp :
Date : ………………………………………….

Annexure 1

REFEREE REPORT

SRI LANKAN GOVERNMENT SCHOLARSHIPS FOR FOREIGN STUDENTS

FOR THE ACADEMIC YEAR - 2012

Assessment on the applicant’s academic ability

1.Applicant’s Name: ………………………………………………………………………………………………………..

Country: ......

Courses Applied: ......

2.In what capacity do you know the applicant?

(E.g. Teacher, Supervisor, Principal etc)……………………………………………………………………………..

3.How long have you known the applicant? …………………………………………………………………………….

4.Please evaluate the applicant’s performance by putting a” …… ” in the appropriate spaces below. Extra boxes are available for you to add, if you wish, up to three other qualities which you may find relevant to the assessment of the candidate (E.g. All-round ability, ingenuity, accountability, manual dexterity etc.)

Assessment on: / Excellent / Very Good / Good / Average / Below Average
Academic Record
English Proficiency
Creative Thinking
Research Ability
Industry/ Application
Judgement
Independent
Honesty
Motivation
Self Discipline

5.Is the applicant’s proficiency in English Language (oral and written) adequate to meet the standard required? Please comment.

……………………………………………………………………………………………………………………………………

6.Please give your overall assessment on the applicant’s academic ability.

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Referee’s Name: ……………………………………………………

Designation: …………………………………………………………

Address: ……………………………………………………………..

Date: …………………………..Signature: …………………………………………….

Thank you for your assistance. You may enclose the completed reference letter in a sealed envelope and attach to this application form or you may send the completed form to: Ministry of higher Education, No.18, Ward Place, Colombo, Sri Lanka.

Name : / Sex:
Male
Female / Date of Birth : / PHOTO
Present mailing address:
Nationality : / Birth place: / Blood group:
Have you ever had any of the following diseases?
Yes No Yes No
Typhus fever Bacillary dysentery
Poliomyelitis Brucellosis
Diphtheria Viral hepatitis
Scarlet fever Typhoid and paratyphoid fever
Relapsing fever Epidemic cerebrospinal meningitis
Do you have any of the following diseases or disorders endangering the public order and security?
Yes No
Toxico mania
Mental confusion
Psychosis: Manic psychosis
Paranoid psychosis
Hallucinatory
Height : cm / Weight: kg / Blood pressure: mmHg
Development: / Nourishment: / Neck:
Vision: / Corrected vision: / Eyes:
Colour sense: / Skin: / Lymph nodes:
Ears: / Nose: / Tonsils:
Heart: / Lungs: / Abdomen:

HEALTH CERTIFICATE

FOREIGNER PHYSICAL EXAMINATION FORM

(Please put a … in relevant cage )

Spine: / Extremities: / Nervous system:
Other abnormal findings
Chest X-ray exam / ECG
Laboratory exam for HIV/AIDS
(Please attach test report of HIV/AIDS, Syphilis etc)
None of the following diseases or disorders found during the present examination.
Cholera Venereal Disease
Yellow fever Lung tuberculosis
Plague HIV/AIDS
Leprosy Psychosis
Suggestion: Official Stamp:
Signature of the physician: Date:

Scholarship Details

Applications are invited from eligible foreign students to study at undergraduate or postgraduate levels in Sri Lankan Universities. The award underthe special 100 scholarships programme, made by the Ministry of Higher Education, Sri Lanka, is for courses of study that will begin in October of2012.

Details of the scholarships and the application form can be downloaded from the Ministry of Higher Education web site:

Scholarships are open for courses of studies other than Medical & Dental Sciences.

Places are limited for Engineering Sciences.

Candidates can request for more courses indicating their preferences as places are limited in some fields.

[1] General Eligibility Requirements

Be citizens of the selected 48 countries

Undergraduate Applicants

Candidates with impressive results of an examination deemed equivalent to G.C.E. (Advance Level) Examination of Sri Lanka are eligible to apply for admission to universities in Sri Lanka.

Notes:

Applicants are advised to attach to their applications the original letter obtained from the Examinations Board concerned, to prove that their educational qualifications are equivalent to the G.C.E. (A/L) Examination in Sri Lanka or qualifications required for admission to a university in theirown country to follow an undergraduate course of study leading to a Bachelor degree.

Applicants should ensure that all required passes be obtained in one and the same sitting under a recognized Board of Examination.

Postgraduate Applicants

Applicants should have a first degree from a recognized university with good academic merits and for PhD studies a relevant postgraduate qualification, which is normally a Masters degree.

[2] English Language Proficiency

English is the medium of instruction. Accordingly, an applicant whose previous education has not been conducted in English must demonstrate a good command of English sufficient to meet the demandsof classroom instructions, written assignments and participation in tutorials and discussions. Therefore applicants must provide evidence of proficiency in English i.e. achieve a minimum score of TOEFL 525 or a score of IELTS 6.0for undergraduate studies. For Masters or PhD the required marks should be a score of TOEFL 550or a score of IELTS 6.5 and above.

[3] Terms and Conditions of the Scholarship

3.1 Exempt from registration fee, tuition fee and fee for Laboratory experiments.

3.2 Students’ visa is given free of charge.

3.3 During the study period, a monthly allowance of Rs.30, 000/. will be paid.

3.4One-off settlement allowance of Rs. 10,000/- is given after registration at theuniversity.

3.5Cost of Air fare should be borne by the scholarship holder.

3.6Accommodation: It is expected that the scholarship holder will meet the expenditure for food and accommodation with a monthly allowance of Rs.30, 000/-(The relevant university will assist in finding accommodation)

3.7Medical Cover: Free of charge medical benefits will be provided at government hospitals other than dental related diseases.

3.8 Scholarship holder should be in good health and he/ she should submit a Medical

Health Certificate issued by a Government Hospital or an accredited medical agency as per the attached format within two months of the registration.

3.9No request for change of course or university will be entertained after registration.

Notes : -

(i)The scholarship holder is required to maintain a satisfactory performance of his/her studies until graduation and if not, scholarship can be terminated before the completion of the full period.

(ii)In case the scholarship holder cannot complete the course during the prescribed period due to reasons of health or other unavoidable circumstances, considerations will be given to extend the scholarship by a maximum of one year on the recommendation of the University.

(iii)The rules and regulations imposed by each university for the university students will also apply to the scholarship holders.

[4]Submission of Applications:

Applications together with all required documents should be submitted to the following address on or before 30th of June, 2012 through the relevant Sri Lankan Diplomatic Missions. Applications received from other means and the late applications will not be considered.

Secretary,

Ministry of Higher Education,

No: 18,

Ward Place,

Colombo 07,

Sri Lanka.