FELIX SCHOLARSHIP APPLICATION FORM 2021

to be completed by candidates for Reading only

Please read the Notes for Applicants carefully before completing this form. Complete the form
in black ink or typescript. Information must be included on the application form itself. Do not
enclose a curriculum vitae, list of publications or example of your work. No enclosures, other
than those requested, will be accepted. Applicants can apply to only one of the three
institutions listed.

Completed application forms must reach the appropriate address as set out in paragraph 7 of
the accompanying Notes by no later than 30 January 2021

Section 1: Personal Information

University Application ID Number (if known):

Surname/Family name (as in passport): First names(s):

Title: Mr/Mrs/Miss/Ms/Rev/Dr Nationality:

Male/Female Date of Birth:

Married/Single Number and ages of children (if any):

Address for correspondence: Permanent address (if different):

Telephone number: E-mail address:

Fax number (if any):

Next of kin (full name and relationship): Spouse’s occupation (if married):

If you have any dependants, what financial If you have any dependants is it your intention
arrangements will you make for them during that they will accompany you to the UK?
your absence on the course?

Father’s full name: Father’s occupation:

Mother’s full name: Mother’s occupation:

Are there any individuals who are totally or

mainly dependent on your mother or father? (If
so, please list their names and relationship to
you in the box opposite.)

Past and present employment. (Please give If you are currently employed, will you be
dates and continue on a separate page if released from your present employment for
necessary.) study? (Please attach proof of this if you have it.)

Have you ever travelled abroad? (If so, give Do you have any needs that require special
details of the purpose and the country/countries arrangements?
visited.)

Section 2: Course Information

Which course have you applied for? Indicate the qualification you wish to obtain (e.g.
MPhil, DPhil):

Date of application:

Length of course: Date of entry to your course of study:

Name the University and department, institute, Proposed future profession in your own country
sub-faculty or faculty in which you propose to
work and provide a statement as to why you
wish to study at that particular institution
(Please continue on a separate page if
necessary)
If you are applying for a research degree, describe in no more than 450 words, and in terms easily
understood by a non-specialist, the area of your proposed research. (Please continue on a separate
page, if necessary.) Please send a copy of your research proposal. If you are applying for a
Masters degree, describe in no more than 450 words why you wish to take the course.

What benefit do you believe your course of study will bring to your home country?
Section 3 – Academic and Other Information

Please provide details of secondary and higher education, including current study, and
qualifications obtained or expected. Please send a copy of your Bachelor’s or Master’s
transcript only and supply a written academic reference from either your Master’s or
Undergraduate institution.

Institution From: To: Qualification & Subject Result/Class

of Degree

Section 4: Financial Information

Please give details of any funds you have already firmly secured for fees and living costs for
each year of your course. State the value in UK £, not in your local currency.

Please write £0 in any boxes where you do not expect to receive funding from that source,
and NA in any columns representing years after your course will have finished.

Sources 2021-22 2022-23 2023-24

Own income/savings

Parents/other relatives and friends

Your government

Scholarship
(please specify)

Student loans

Other (please specify)

Will you be able to take up the offer of a place without funding from this scholarship? Yes/No
Declaration

Please read the following statements carefully. By ticking this box you confirm your
acceptance of these statements.

• I confirm that the information I have provided on this form is (to the best of my
knowledge) true, accurate, current and complete; and I agree to notify the University
promptly if any information contained on this application form should change, in order to
keep it true, accurate, current and complete.
• I understand that the University reserves the right to audit the accuracy of the data which
I have provided, by seeking proof of the answers I have given. I understand that if I am
unable to supply satisfactory proof when requested, and to the timescale requested, any
scholarship awarded under this scheme may be withdrawn.

PLEASE NOTE: All decisions taken relating to these scholarships rely on the information
you have provided on this form, as well as on your course application form and on the
supporting materials supplied by you and your referees. This information will be held and
used for the purpose of processing your application for the Felix Scholarships.

If the University believes that any information or statement contained on your scholarship
application form may not be true, accurate, current and complete, it may take any
necessary steps to verify that information or statement and retains the right to amend or
reject your application for these scholarships.

If you have been made an offer of a Felix Scholarship by the University, and the
University believes that any information or statement contained on your scholarship
application form may not be true, accurate, current and complete, then the University
may in these circumstances withdraw or amend that offer. If you have been admitted as
a student, you may be subject to disciplinary action which could result in your expulsion
from the University and your College.

The University aims to offer financial assistance to as many well-qualified candidates as

possible, and we expect that you will continue to pursue other funding applications. You
must notify the University by email if you are awarded other funding that is to be used
towards the same costs as these scholarships (University and college fees, living
expenses and flights). If you do not disclose this information, any scholarship you may
be offered may be put at risk.

In the course of completing this scholarship application form, you have provided the
University with personal data. The consent set out below explains how your personal data
may be processed by the University.

• I consent to the collection, processing, sharing and use of relevant personal data by the
University for the purposes of processing my application for these scholarships, for
possible auditing of the responses I have provided, for administration, and (where
applicable) for research conducted by the University (including linking my scholarship
application to my course application and to my student record, if I become or continue to
 be a student of the University), subject to the provisions of the UK Data Protection Act
1998.

• I understand that such personal data may be used and shared with third parties, some of
which may be located overseas (including outside the European Economic Area), for
these purposes. Personal data will be shared with the Felix Scholarship selection panel
in India for the purposes of evaluating your application.

• I understand that the University will normally only discuss my scholarship application with
me, unless I have nominated a third party agent on my course application.

• I understand that if any information or statement provided on or to support this

scholarship application form is not true, accurate, current and complete, the University
may process and use this fact as relevant personal data. Such data may be used and
shared with third parties, including Higher Education institutions, some of which may be
located overseas (including outside the European Economic Area), to the extent
necessary for the purpose of preventing fraudulent or dishonest applications for funding.

Please tick this box here to confirm acceptance of the statements in this Declaration [ ]

Section 5 – Activities and Interests

Give details of posts of responsibility, and say whether at school/university/college or elsewhere

Give details of your main extra-curricular activities and interests. What do you contribute and what
do you get out of them? Indicate the level to which each has been pursued.
I wish to be considered for the award of a Felix Scholarship. I confirm that it is my intention to
return to work or study in my own country at the end of my course of study, and that the
information given above is complete and true.

Signature …………………………………………………

Date ………………………
Checklist

Please check the boxes to confirm the following

I have applied for admission at Reading

I have enclosed a copy of my Bachelor’s, Master’s transcript

I have enclosed an academic reference from my Master’s or Undergraduate

institution.

I have made two copies of the application form (one to keep for myself, one to
send with the original)