GERMAN

EAST AFRICAN DEVELOPMENT BANK

INTER-UNIVERSITY
COMMUNITY (EAC)
COUNCIL FOR EAST AFRICA

EAC SCHOLARSHIP PROGRAMME

APPLICATION FORM

Important
1. Applications must be received by 1st August 2019. Applications received after this date
will not be considered.
2. All relevant sections must be accurately and fully completed.
3. Applications lacking any of the supporting documents will not be considered.
4. Supporting documents should be submitted in pdf format

1. PERSONAL INFORMATION
Surname
Other names
Gender
Citizenship
Country of residence
Date of birth
Postal address
Physical Address (if different from above)
Telephone number (include country code)
Mobile number
Email address
Alternative email address

2. ASSESSMENT OF NEED
Can you or your guardian afford to pay for
your studies?
If not, why?
Have you received any financial
support/scholarships in the past?
If yes, please provide details:
During your undergraduate studies did you
miss classes and or exams due to lack of fees?
If yes, how did you cope or solve the
problem?
Do you have any disability or any chronic illness?
If yes, kindly describe and provide evidence where
possible.
Are you entitled to any form of inheritance from
your Parents/Guardians/any other source? If yes,
describe:
Employment status: Are you currently
employed?
If employed, provide income in USD per year
Do you currently have any dependents? State
how many:

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Parents’/Guardians’ information
Indicator Father/Male Mother/female Guardian
guardian
Names of your parents/guardians
Country of residence
Age of your parents/guardians
Education level of your parents/guardians
Does any of your parents/guardians suffer
from chronic disabling medical condition?
Describe:
Are you living with both parents? If not
explain:
Are your parents/guardians employed? Give
details of job and approximate salary per
month in dollars:
Do your parents/guardians own a business?
Describe and show the average monthly
income in dollars:
Do your parents/guardians own land/plot? If
yes state number the size of land/plot in
acres,
State activity on the land eg crops grown,
number of cows/sheep/ goats/donkeys
State income from the activities on the land in
dollars per month
Do your parents/guardians have any other
assets or sources of income? Indicate the
approximate monthly income in dollars

Family information
Indicator Description
Indicate of siblings if applicable.
How many of your siblings have a first degree
or above?
Has your family been affected by civil conflict
and natural disasters such as displacement,
flooding, drought, fire or famine? Describe:
What type of house do you live in?
Permanent, semi-permanent?
Please provide any other background
information you consider relevant to your
application?

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3. MASTERS PROGRAMME DETAILS
a. University Applied to
b. Masters Programme Applied for
c. Thematic Area to which this application is made (tick as 1) Mathematics
appropriate) 2) Engineering
3) Informatics
4) Science
5) Technology
6) Business Science

5. PROFESSIONAL EXPERIENCE

i. Educational background
Beginning with the most recent institution, list all universities and colleges attended and
qualifications obtained:
# University/college, Dates Degree/diplom Specialisation Year
Country a obtained, and of degree or awarded
class (e.g. BSc. diploma
2nd class - upper
division)
Start Finis
h
1
2
3
4
5
6

ii. Research
Describe your research experience and prospects (500 words maximum)

iii. Conferences, workshops, training

List conferences, workshops or short-term research training attended in the last three years:
# Name of event Place Dates
1
2
3
4
5
6
7
8
9
10

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 iv. Employment history
Please summarise your three most recent positions, employment or gainful engagements.
# Institution Dates Position Professional Key
held responsibilities in this achievements
position
1
2
3

v. Membership with professional bodies

List up to two professional societies or other organisations in which you hold/held membership
and state key roles and impacts (if any) you had on them.
# Professional society or Key role/ Key Dates
organization responsibility achievements/impact

1
2

7. STUDY LEAVE FROM HOME ORGANISATION

Will you require study leave from your current Yes/No:
employer?

If yes, give contact details of the person who Name:

can confirm your release for the Masters study. Position:
Name of organization:
Mobile no.:
Email address:
Alternative email address:

8. REFEREES
Please provide the following information for two referees who are willing to provide information
on your qualifications and experience (professional and academic). Please attach their reference
letters to your application

Referee 1
Title and Name
Position
Institute
Address
Email address
Alternative email address
Office telephone number
Mobile phone number
How long have you known this referee?
What is his/her academic relationship to you?

Referee 2
Title and Name
Position
Institute
Address
Email address
Alternative email address
Office telephone number

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Mobile phone number
How long have you known this referee?
What is his/her academic relationship to you?

6. OTHER INFORMATION
Any other information in support of your application (200 words maximum)

9. DECLARATION BY THE APPLICANT

I declare that the above information is true and correct to the best of my knowledge. I
acknowledge that falsehood in the above information is ground for immediate disqualification of
my application.
Name of applicant:
Date:

NOTES
Please ensure that you have attached the following documents
a. Signed curriculum vitae
b. Certified copies of all university degree certificates. Please combine into one file. If
necessary, you may zip the file to make it smaller for uploading.
c. Certified copies of all university transcripts. Please combine into one file. If necessary,
you may zip the file to make it smaller for uploading.
d. If applicable, an official letter confirming release from your employer. The letter
must be on letterhead.
e. Recent passport photograph in colour of your full head and upper shoulders.
f. Evidence of citizenship of a Partner State in the East African Community such
as copy of national identity card/ passport/birth certificate;
g. A well written motivation letter in English showing the relevance of intended
programme of study to the EAC integration and development agenda

The deadline for receiving applications is 1st August 2019, not later than 17:00 hours East Africa
Time.

Note: A student may apply to more than one University.