Application Form for Scholarship/Post-Doctoral Fellowship under cLINK Project (EU EACEA 42/11)

Program Applied for: Undergraduate Masters

Please explore cLINK site (www.clink-edu.eu) before you fill this form

Nationality: Bangladeshi Intended Study Program in EU: MBA Your Preferred EU Universities 1. Northumbria University (priority basis): 2. Bournemouth University 3. 4. 5. 6.
Insert colored photograph (passport size) in jpeg format (with shortest possible size)

Personal Information
Full Name (IN BLOCK LETTER) Contact Address MD. ABDULLAH- AL- MASUM Village:- Monipur, Post Office:- Kabila Bazar, Upazila:- Burichang, Comilla Date of Birth 20/10/1988 Gender Male Passport Number (if any) Expire Date Email Address 2mr.masum@gmail.com Skype ID (if any) Masumon71 Mobile Contact Number (with country code) +88 01716908639 Have you stayed 12 months or more in any No of EU countries? (Yes/No)

Current Status
Name of the program (Currently enrolled) Name of the Institution: Credit hours or Year/Month needed for degree completion Credit hours or modules completed: *Earned CGPA or Result of the completed modules (with list) Title of Undergraduate/Graduate Project or Thesis (if appropriate) MBA Comilla University

Past Academic result

Type of Exam Group / Subject
School Final/ O Level/ SSC/ GCSE/Equivalent College Final/ A Level/ HSC/ Equivalent

Undergrad

Masters

Institution / College/ University

Board *Division / Class /GPA/CGPA Passing Year

Grade points or marks in major Subjects

Language Proficiency (English/ French/ German/ others)

Grade point or marks earned in Language courses in School Final/O level/ SSC/ GCSE/ Equivalent Exam Grade point or marks earned in Language courses in College Final/ HSC/A Level/ Equivalent Exam Grade point/marks earned in Language courses in Undergraduate Program under study IELTS/TOEFL score (if available)

Other Language test scores (if any)

Technical Knowledge:
Please narrate your technical skills relevant to your field of study. (e.g., for someone studying computer science, skills in Programming Languages, Web development tools, Database Applications and other Program related software tools may be narrated)

List of Projects/term papers:

Give a list of projects (term papers) you have successfully completed in pursuing various theory/lab classes throughout your undergraduate study if applicable.

Scholarship:
Give a list of scholarships you have obtained so far starting from School final/ SSC/ O level/ GCSE/ Equivalent level

Research Publications:
Only include publications published in national/international workshops/conferences and in national/international journals if any.

Research Interest:
Only include areas on which you intend to focus your higher study.

Achievements:
List any other achievements other than academic ones.

Extra Curricular Activities:

List extra-curricular and voluntary/social activities in which you think your contribution is significant.

Social Status/Vulnerability:
Please mention succinctly (with proof) if you have any sorts of physically challenged situation or you have come from a minority ethnic/ indigenous group.

Acceptance of Courses/Research carried out in EU University:

If you are selected you have to provide a certificate from the head of the institution you are currently attending that they will accept the courses/research you will carry out in the designated EU University under cLINK program. Also if you are selected you need to provide a testimonial from your university mentioning that you have not done or participated in any activities related to violating university rules.

DECLARATIONS
I hereby attest that if I am nominated for scholarship under cLlink project, I will be bound by the rules and regulations of the conditions set forth in the offer I also attest that if I falsify/ withhold any information requested in this application form, I will not be eligible for any scholarship I allow cLINK authority to verify the authenticity of the above information by contacting the institutions referred by me in the application.

Signature of the Applicant Date:

*Please add evidences at the end of the application **Please provide supporting papers (mark sheets, language test score etc.)

N.B: After this page (scan and add supporting papers and prepare a single pdf file)