.

‫ ﻏﻴﺮ ﻣﺼﻤﻢ ﻟﻺﻛﻤﺎل ﻓﻲ وﺿﻊ ﻋﺪم اﻻﺗﺼﺎل‬،‫ﻧﻤﻮذج اﻟﻌﻴﻨﺔ‬

.‫ إﻟﻰ ﺗﻄﺒﻴﻖ‬https://unhcr-dafi-tertiary.scholarshipsplatform.com ‫زﻳﺎرة‬

Yemen

‫ﻣﻌﻠﻮﻣﺎت ﻋﺎﻣﺔ‬
IMPORTANT INFORMATION FOR ALL APPLICANTS

UNHCR Tertiary Refugee Scholarship Programme (DAFI) offers qualified refugee and returnee (in selected countries*) students
.the possibility to earn an undergraduate degree in their country of asylum or home country

The scholarship package varies from country to country and covers a range of costs including tuition and study materials,
food, transportation and accommodation. The DAFI scholarship programme may also provide academic preparatory,
language and information and communication technology (ICT) courses, as well as psychosocial support, depending on the
.needs and capacity of the individual country operation or programme partner

DAFI covers programmes at International Standard Classification of Education (ISCED) level 6, or bachelor’s or equivalent level
—typically designed to provide participants with intermediate academic and/or professional knowledge, skills and
competencies, leading to a first degree or equivalent qualification. Traditionally offered by universities and equivalent tertiary
.educational institutions

DAFI also covers short-cycle tertiary education ISCED level 5 courses—usually designed to provide participants with
professional knowledge, skills and competencies, either academic or technical. This includes accredited Technical and
.Vocational Education and Training (TVET) progammes of two years or more that lead to a certification or diploma

DAFI scholars participate in social, peer and community engagement and skills development activities. UNHCR and education
partners maintain close contact with each scholar and with the higher education institutions they study at to ensure the
academic success and well-being of each student

.DAFI does NOT cover Masters studies

!Please note that under 'Application Name' You need to put your full official names

BELOW INFORMATION IS FOR APPLICANTS IN JORDAN ONLY

.This online application is for both DAFI and EDU-SYRIA Scholarships

You, as a student, will apply for this scholarship through the online application, and your application will be
.reviewed and will be called for an interview if you meet the criteria of the scholarship

1 13 ‫ﻣﻦ‬
 This scholarship provides opportunities for 4-5 years of study in various fields, including a bachelor's degree,
.vocational, diploma, and a bridging program towards a bachelor's degree

.The scholarship is subject to competition, GPA requirements, and availability of slots

The scholarships are Dedicated for undergraduate levels: (Bachelor, vocational diploma & bridging to bachelor’s
.(degree

.This scholarship is Dedicated for refugee’s Residing in Jordan and holds Jordanian Tawjihi of 2021/2022 or 2022/2023

As for the vocational diploma and bridging to bachelor’s degree: a fresh diploma (HND5, comprehensive exam)
.graduate of the last three years

.For those registered with the UNHCR and holding a valid asylum seeker certificate

This application form is to be filled in English Language Only

Your Full Official Names

‫ﻣﻌﺎﻳﻴﺮ اﻷﻫﻠﻴﺔ‬
‫اﻟﺄﺳﻢ اﻟﺄول‬

‫اﻟﺮﺟﺎء ﻛﺘﺎﺑﺔ اﺳﻤﻚ ﻛﻤﺎ ﻫﻮ ﻣﺬﻛﻮر ﻓﻲ اﻟﻮﺛﺎﺋﻖ اﻟﺮﺳﻤﻴﺔ‬

‫اﺳﻢ اﻟﻌﺎﺋﻠﺔ‬

‫اﻟﺮﺟﺎء ﻛﺘﺎﺑﺔ اﺳﻢ اﻟﻌﺎﺋﻠﺔ ﻛﻤﺎ ﻫﻮ ﻣﺬﻛﻮر ﻓﻲ اﻟﻮﺛﺎﺋﻖ اﻟﺮﺳﻤﻴﺔ‬

‫ﻋﻨﻮان اﻟﺒﺮﻳﺪ اﻻﻟﻜﺘﺮوﻧﻲ‬

2 13 ‫ﻣﻦ‬
 ‫)ﺑﻠﺪ اﻟﻠﺠﻮء(ﺑﻠﺪ اﻟﺪراﺳﺔ‬

Afghanistan

Algeria

Azerbaijan

Bangladesh

Benin

Burkina Faso

Burundi

Cameroon

Chad

Cote d'Ivoire

...

‫ ﻻﺣﻆ أن ﺑﺮﻧﺎﻣﺞ داﻓﻲ ﻣﺘﺎح ﻓﻘﻂ ﻓﻲ ﺑﻠﺪ اﻟﻠﺠﻮء اﻟﺨﺎص ﺑﻚ‬.‫ﻫﻲ اﻟﺪوﻟﺔ اﻟﺘﻲ ﺗﻢ ﻣﻨﺤﻚ ﺣﻖ اﻟﻠﺠﻮء ﻓﻴﻬﺎ واﻟﺘﻘﺪم ﻟﺒﺮﻧﺎﻣﺞ داﻓﻲ ﻟﻠﻤﻨﺢ اﻟﺪراﺳﻴﺔ ﻓﻴﻬﺎ‬

Please attach your ProGres number, UNHCR ID or Factsheet, UNHCR asylum seeker certificate, Proof of registration or
Foreigner ID


Please note that the type or name of the document will vary from country to country. Please enter the most relevant identification
.information available

ProGres Number/ Foreigner ID Number/ UNHCR File Number/ POR Card Number

Please note that the type or name of the document will vary from country to country. Please enter identification information relevant to
.you

Region of Study

Asia and The Pacific

East Africa, Horn & Great Lakes

Europe & Euroasia

Middle East & Northern Africa

Southern Africa

The Americas

West & Central Africa

3 13 ‫ﻣﻦ‬
 (‫ﻣﻜﺎن اﻟﺈﻗﺎﻣﺔ )اﺧﺘﻴﺎري‬

Urban

Camp

"If you live in a refugee camp, please indicate "camp

‫اﻟﺒﻠﺪ اﻟﺄﺻﻞ‬

‫ﺑﻠﺪك اﻟﺄﺻﻠﻲ‬

Region of Origin

Asia and The Pacific

East Africa, Horn & Great Lakes

Europe & Euroasia

Middle East & Northern Africa

Southern Africa

The Americas

West & Central Africa

‫اﻟﻨﻮع اﻻﺟﺘﻤﺎﻋﻲ‬

Female

Male

‫ﺳﻨﺔ اﻟﻤﻴﻼد‬

‫رﻗﻢ اﻟﻬﺎﺗﻒ‬

(‫ )اﺧﺘﻴﺎري‬Secondary phone number

‫اﻟﻮﺿﻊ اﻟﻌﺎﺋﻠﻲ‬

4 13 ‫ﻣﻦ‬
 ‫اﻟﺤﺎﻟﺔ اﻻﺟﺘﻤﺎﻋﻴﺔ‬

‫‪‬‬

‫أﻋﺰب‬

‫ﻣﺘﺰوج‬

‫ﻣﻄﻠﻖ‬

‫أرﻣﻞ‬

‫ﻫﻞ ﻟﺪﻳﻚ أﻃﻔﺎل أو ﻣﻌﺎﻟﻴﻦ‬

‫‪‬‬

‫ﻧﻌﻢ‬

‫ﻻ‬

‫ﻣﻌﻠﻮﻣﺎت اﻟﻮاﻟﺪ ‪ /‬ﻣﻘﺪم اﻟﺮﻋﺎﻳﺔ‬

‫اﻟﺒﻠﺪ‬ ‫اﻻﺳﻢ اﻻول‬ ‫اﺳﻢ اﻟﻌﺎﺋﻠﺔ‬ ‫اﻟﻮﺻﻒ‬

‫‪1‬‬

‫‪2‬‬

‫‪3‬‬

‫‪?Do you have any siblings‬‬

‫‪‬‬

‫‪Yes‬‬

‫‪No‬‬

‫‪Do you have any of your siblings or family members who currently are or have been beneficiaries of the DAFI Scholarship or‬‬
‫‪?EDU-SYRIA scholarship‬‬

‫‪‬‬

‫‪Yes‬‬

‫‪No‬‬

‫اﻟﻮﺿﻊ اﻻﺟﺘﻤﺎﻋﻲ ‪ /‬اﻻﻗﺘﺼﺎدي‬

‫اﻟﻮﺿﻊ اﻟﻮﻇﻴﻔﻲ‬

‫‪‬‬

‫ﻣﻮﻇﻒ‬

‫ﻋﻤﻞ ﺧﺎص‬

‫ﻋﺎﻣﻞ ﻳﻮﻣﻲ‬

‫ﻻ أﻋﻤﻞ‬

‫ﻣﻦ ‪5 13‬‬
 ‫درﺟﺔ ﺗﻌﻠﻴﻢ اﻟﻮاﻟﺪﻳﻦ أو ﻣﻘﺪم اﻟﺮﻋﺎﻳﺔ‬

‫اﻟﺪرﺟﺔ اﻟﻌﻠﻤﻴﺔ (أﻋﻠﻰ ﻣﺴﺘﻮى ﺗﻌﻠﻴﻤﻲ ﺗﻢ‬

‫اﻟﻤﻬﻨﺔ‬
‫ﺗﺤﺼﻴﻠﻪ أو ﻋﺪد اﻟﺴﻨﻮات ﻓﻲ اﻟﻤﺪرﺳﺔ(‬

‫اﻷم‬ ‫‪1‬‬

‫اﻷب‬ ‫‪2‬‬

‫ﻣﻘﺪم اﻟﺮﻋﺎﻳﺔ‬ ‫‪3‬‬

‫اﻟﻮﺿﻊ اﻟﻮﻇﻴﻔﻲ ﻟﻠﻮاﻟﺪﻳﻦ‬

‫اﻟﺪﺧﻞ اﻟﺸﻬﺮي‬ ‫اﻟﻌﻤﻞ اﻟﺤﺎﻟﻲ‪ /‬اﻟﻮﻇﻴﻔﺔ‬

‫اﻷم‬ ‫‪1‬‬

‫اﻷب‬ ‫‪2‬‬

‫ﻣﻘﺪم اﻟﺮﻋﺎﻳﺔ‬ ‫‪3‬‬

‫دﺧﻞ اﻟﻌﺎﺋﻠﺔ اﻟﺸﻬﺮي‬

‫اﻟﻘﻴﻤﺔ‬ ‫اﻟﻌﻤﻠﺔ‬

‫اﻟﺪﺧﻞ اﻟﻜﻠﻲ اﻟﺸﻬﺮي )ﺑﺸﻜﻞ ﺗﻘﺮﻳﺒﻲ(‬ ‫‪1‬‬

‫ﻣﻦ ﻳﻜﺴﺐ أﻛﺜﺮ اﺟﺮ ﻟﻸﺳﺮة او ﻣﻦ دﺧﻞ‬

‫‪2‬‬
‫اﻻﺳﺮة اﻟﺸﻬﺮي‬

‫ﻗﻴﻤﺔ اﻟﻤﻮارد اﻟﻤﺎﻟﻴﺔ ﻟﻸﺳﺮة‪ ,‬أﻧﺖ او‬

‫اﻟﻮاﻟﺪان ‪ Currency‬اﻟﻌﻤﻠﺔ ‪Amount‬‬
‫‪3‬‬
‫اﻟﻘﻴﻤﺔ ﻣﻘﺪم اﻟﺮﻋﺎﻳﺔ او رب اﻻﺳﺮة ﻻ‬
‫ﻳﻌﻤﻞ )اﻗﺎرب‪ ،‬ﻛﻨﻴﺴﺔو اﻟﺦ(‬

‫ﻫﻞ ﺳﺒﻖ و ﺣﺼﻠﺖ ﻋﻠﻰ ﻣﻨﺤﺔ دراﺳﻴﺔ ﻟﻠﺘﻌﻠﻴﻢ اﻟﻌﺎﻟﻲ ﻣﻦ ﻗﺒﻞ؟‬

‫‪‬‬

‫ﻧﻌﻢ‬

‫ﻻ‬

‫ﻫﻞ ﺗﺘﻠﻘﻰ ﻣﺴﺎﻋﺪة ﻧﻘﺪﻳﺔ‬

‫‪‬‬

‫ﻧﻌﻢ‬

‫ﻻ‬

‫اذا ﻛﺎﻧﺖ اﻟﻤﺴﺎﻋﺪة ﻣﻦ ﺟﻬﺔ ﻏﻴﺮ ﺣﻜﻮﻣﻴﺔ اﻟﺮﺟﺎء ذﻛﺮﻫﺎ )اﺧﺘﻴﺎري(‬

‫ﺧﻠﻔﻴﺔ أﻛﺎدﻳﻤﻴﺔ‬

‫ﻣﻦ ‪6 13‬‬
 ‫ﻣﺎﻫﻮ وﺿﻌﻚ اﻟﺪراﺳﻲ اﻟﺤﺎﻟﻲ‬

‫‪‬‬

‫‪(Attained other higher education qualification (Diploma/ Certificate/ etc‬‬

‫ﺧﺮﻳﺞ ﺛﺎﻧﻮﻳﺔ ﻋﺎﻣﺔ‬

‫ﻃﺎﻟﺐ ﺟﺎﻣﻌﻲ‬

‫ﻃﺎﻟﺐ ﺟﺎﻣﻌﻲ ﻣﻨﻘﻄﻊ ﻋﻦ اﻟﺪراﺳﺔ‬

‫اﻟﺨﻠﻔﻴﺔ اﻟﺘﻌﻠﻴﻤﻴﺔ‬

‫رﻗﻢ اﻟﻄﺎﻟﺐ ان‬

‫ﻣﻌﺪل اﻟﻌﻼﻣﺎت‬ ‫اﻟﺪوﻟﺔ و اﻟﻤﺪﻳﻨﺔ‬ ‫اﺳﻢ اﻟﻤﺆﺳﺴﺔ‬ ‫ﺗﺎرﻳﺦ اﻻﻧﺘﻬﺎء‬ ‫ﺗﺎرﻳﺦ اﻟﺒﺪء‬
‫ﺗﻮﻓﺮ‬

‫ﻣﺪرﺳﺔ ﺛﺎﻧﻮﻳﺔ ‪/‬‬

‫‪٠‬‬ ‫‪٠‬‬ ‫‪1‬‬
‫ﻣﺪرﺳﺔ ﺛﺎﻧﻮﻳﺔ‬

‫اﻟﺘﻌﻠﻴﻢ اﻟﻌﺎﻟﻲ او‬

‫ﻣﺎ ﺑﻌﺪ اﻟﺜﺎﻧﻮﻳﺔ‬
‫اﻟﻌﺎﻣﺔﺣﻴﺚ‬
‫‪٠‬‬ ‫‪٠‬‬ ‫اﻧﻘﻄﻌﺖ ﻋﻦ‬ ‫‪2‬‬
‫اﻟﺪراﺳﺔ ﻓﻲ‬
‫ﺑﻠﺪك اﻷﺻﻞ أو‬
‫ﺑﻠﺪ اﻟﻠﺠﻮء‬

‫‪Other higher‬‬
‫‪education‬‬
‫‪quali cation‬‬
‫‪٠‬‬ ‫‪٠‬‬ ‫‪3‬‬
‫‪(Diploma/‬‬
‫‪Certi cate/‬‬
‫‪(etc‬‬

‫اﻟﺮﺟﺎء ﺗﺤﻤﻴﻞ ﺻﻮرة ﻣﺼﺪﻗﺔ ﻋﻦ ﺷﻬﺎدة اﻟﺜﺎﻧﻮﻳﺔ اﻟﻌﺎﻣﺔ‬

‫‪‬‬
‫اذا ﺗﻮﻓﺮ‪ ،‬اﻟﺮﺟﺎء ﺗﺤﻤﻴﻞ ﺻﻮرة ﻋﻦ اﻟﺸﻬﺎدة اﻟﻤﻌﺎدﻟﺔ ﻣﺼﺪﻗﺔ ﻣﻦ وزارة اﻟﺘﺮﺑﻴﺔ و اﻟﺘﻌﻠﻴﻢ ﻓﻲ ﺑﻠﺪ اﻟﻠﺠﻮء )اﺧﺘﻴﺎري(‬

‫‪‬‬
‫اﻟﻤﻬﺎرات اﻟﻠﻠﻐﻮﻳﺔ‬

‫ﺗﻜﻠﻢ )أﺻﻠﻲ أو‬ ‫ﻛﺘﺎﺑﺔ )أﺻﻠﻲ أو‬ ‫ﻗﺮاءة )أﺻﻠﻲ أو‬ ‫ﻓﻬﻢ )أﺻﻠﻲ أو‬
‫ﺷﻬﺎدة ﻛﻔﺎءة )ﻧﻌﻢ‪/‬‬
‫اﻟﻠﻐﺔ اﺣﺘﺮاﻓﻲ أو ﻣﺤﺪود اﺣﺘﺮاﻓﻲ أو ﻣﺤﺪود اﺣﺘﺮاﻓﻲ أو ﻣﺤﺪود اﺣﺘﺮاﻓﻲ أو ﻣﺤﺪود‬
‫ﻻ(‬
‫أو ﻻ ﺷﻲء(‬ ‫أو ﻻ ﺷﻲء(‬ ‫أو ﻻ ﺷﻲء(‬ ‫أو ﻻ ﺷﻲء(‬

‫‪1‬‬

‫‪2‬‬

‫‪3‬‬

‫ﻣﺴﺘﻮى ﻟﻐﺔ اﻟﺪراﺳﺔ ﻟﻠﺘﺨﺼﺺ اﻟﺬي ﺗﻨﻮي دراﺳﺘﻪ )ﻟﻐﺔ اﻻم( ‪ ) ،‬ﻣﻤﺘﺎز( ‪) ،‬ﺟﻴﺪ( ‪ ) ،‬ﻣﺒﺘﺪئ(‬

‫ﻣﻦ ‪7 13‬‬
 ‫إن أﻣﻜﻦ ‪ ،‬ﻗﻢ ﺑﺘﺤﻤﻴﻞ ﺷﻬﺎدة ﻣﻬﺎرات اﻟﻠﻐﺔ اﻟﺨﺎﺻﺔ ﺑﻚ ﻫﻨﺎ )اﺧﺘﻴﺎري(‬

‫‪‬‬

‫اﻻﺣﺘﻴﺎﺟﺎت اﻟﺨﺎﺻﺔ‬
‫اﻟﺈﻋﺎﻗﺔ ﺑﺄﻧﻬﺎ‪ :‬وﺟﻮد إﻋﺎﻗﺔ ﺟﺴﺪﻳﺔ أو ﻋﻘﻠﻴﺔ أو ﻓﻜﺮﻳﺔ أو ﺣﺴﻴﺔ ﻃﻮﻳﻠﺔ اﻟﺄﻣﺪ واﻟﺘﻲ ‪ -‬ﺑﺎﻟﺘﻔﺎﻋﻞ ﻣﻊ اﻟﺒﻴﺌﺔ ‪ -‬ﺗﻌﻴﻖ ﻣﺸﺎرﻛﺔ اﻟﻔﺮد ﻓﻲ اﻟﻤﺠﺘﻤﻊ ﻋﻠﻰ ﻗﺪم‬
‫اﻟﻤﺴﺎواة ﻣﻊ اﻟﺂﺧﺮﻳﻦ‪.‬‬
‫ﻓﻘﺪان اﻟﻘﺪرات اﻟﻮﻇﻴﻔﻴﺔ ﻟﻠﺠﺴﻢ ﻛﻠﻴًﺎ أو ﺟﺰﺋﻴًﺎ ‪ ،‬وﻳﺸﻤﻞ ذﻟﻚ ﻛﻞ ﻣﻦ اﻟﺈﻋﺎﻗﺔ اﻟﺠﺴﺪﻳﺔ واﻟﺈﻋﺎﻗﺔ اﻟﺤﺴﻴﺔ واﻟﻀﻌﻒ اﻟﺈدراﻛﻲ واﻟﺈﻋﺎﻗﺔ اﻟﺬﻫﻨﻴﺔ‬
‫واﻟﺄﻣﺮاض اﻟﻌﻘﻠﻴﺔ وأﻧﻮاع ﻣﺨﺘﻠﻔﺔ ﻣﻦ اﻟﺄﻣﺮاض اﻟﻤﺰﻣﻨﺔ(‪.‬‬

‫‪?Do you have disability / special needs‬‬

‫‪‬‬

‫‪Yes‬‬

‫‪No‬‬

‫اﺣﺘﻴﺎﺟﺎت ﺧﺎﺻﺔ‬

‫‪‬‬

‫‪Yes‬‬

‫‪No‬‬

‫اﻟﺮﺟﺎء ذﻛﺮ اذا اﺗﻦ او اﺣﺪ اﻓﺮاد اﻻﺳﺮة ﻟﺪﻳﻪ اﻋﺎﻗﺔ او ﺣﺎﻟﺔ ﺻﺤﻴﺔ ﺧﻄﻴﺮة او اي ﺣﺎﻻت ﺻﺤﻴﺔ ﺗﺘﻄﻠﺐ اﺧﺬﻫﺎ ﺑﻌﻴﻦ اﻻﻋﺘﺒﺎر‬

‫‪) ?If you selected 'One of my family members has a special need/Disability', please specify who‬اﺧﺘﻴﺎري(‬

‫ذﻛﺮ اﻟﻮﺿﻊ اﻟﺼﺤﻲ اﻟﻤﻨﻄﺒﻖ ﻋﻠﻴﻚ‬

‫‪‬‬

‫‪NTA‬‬

‫اﻟﺮﺟﺎء ﺷﺮح اﻟﺤﺎﻟﺔ اﻟﺘﻲ ﺗﻢ ﺗﺤﺪﻳﺪﻫﺎ و ﻣﺪﺗﻬﺎ اﻟﺰﻣﻨﻴﺔ )اﺧﺘﻴﺎري(‬

‫اﻟﺮﺟﺎء ﺑﻴﺎن ﻧﻮع اﻟﻤﺴﺎﻋﺪة اﻟﺨﺎﺻﺔ اﻟﻤﻄﻠﻮﺑﺔ ﻟﻠﺤﺎﻟﺔ اﻟﻤﺬﻛﻮرة و ﻣﺪﺗﻬﺎ )اﺧﺘﻴﺎري(‬

‫ﻣﺜﺎل اﻟﺄدوﻳﺔ ‪ ،‬اﻟﻌﻼج اﻟﺘﺄﻫﻴﻠﻲ ‪ ،‬ﻃﻌﺎم ﺧﺎص‪ ،‬ﺣﻤﺎﻳﺔ ‪ ،‬ﺳﻜﻦ ‪ ،‬رﻋﺎﻳﺔ‪ ،‬ﻣﻮاد ﻗﺮاﺋﻴﺔ‪ ،‬ﻣﺴﺎﻋﺪات ﺳﻤﻌﻴﺔ ‪ ،‬اﻟﺦ‬

‫ﺧﻄﺘﻚ اﻟﺪراﺳﻴﺔ ﻟﻬﺬه اﻟﻤﻨﺤﺔ‬

‫ﻣﻦ ‪8 13‬‬
 ‫ﻣﺎﻫﻮ اﻟﺘﺨﺼﺺ اﻟﺬي ﺗﺮﻏﺐ ﺑﺪراﺳﺘﻪ أو ﺗﺪرﺳﻪ ﺣﺎﻟﻴﺎ‬

Agriculture, Forestry & Fishery

Architecture & Town/City Planning

Commercial & Business Administration

Education Science & Teacher Training

Engineering

Fine & Applied Arts

(Home Economics (Domestic Science

Humanities

Law

Mass Communication & Documentation

...

‫ اﻟﻄﺎﻟﺐ اﻟﻤﻠﺘﺤﻘﻴﻦ ﻳﺠﺐ ﻋﻠﻴﻪ ﺑﻴﺎن اﻟﺘﺨﺼﺺ اﻟﺬي ﻳﺪرﺳﻪ ﺣﺎﻟﻴﺎ‬.‫ﻳﺠﺐ ﻋﻠﻰ اﻟﻄﺎﻟﺐ اﻟﻤﺴﺘﺠﺪ ﺑﻴﺎن اﻟﺘﺨﺼﺺ اﻟﺬي ﻳﺮﻏﺐ ﺑﺪراﺳﺘﻪ‬

?What field/ subject would you like to study - 2nd choice

Agriculture, Forestry & Fishery

Architecture & Town/City Planning

Commercial & Business Administration

Education Science & Teacher Training

Engineering

Fine & Applied Arts

(Home Economics (Domestic Science

Humanities

Law

Mass Communication & Documentation

...

2nd Choice of field/ subject

.Newly enrolling applicants ONLY

9 13 ‫ﻣﻦ‬
 ?What field/ subject would you like to study - 3rd choice

Agriculture, Forestry & Fishery

Architecture & Town/City Planning

Commercial & Business Administration

Education Science & Teacher Training

Engineering

Fine & Applied Arts

(Home Economics (Domestic Science

Humanities

Law

Mass Communication & Documentation

...

3rd Choice of field/ subject

.Newly enrolling applicants ONLY

Actual Degree Name

.Example: BA, BS, or degree title

‫ﻣﺎﻫﻲ اﻟﺪرﺟﺔ اﻟﻌﻠﻤﻴﺔ اﻟﻤﺘﻮﻗﻊ اﻟﺤﺼﻮل ﻋﻠﻴﻬﺎ‬

University Level

TVET Level

Bridging Programme

(University Level (e.g. bachelor

(TVET Level (e.g. Technical and Vocational Education & Training; Vocational diploma; vocational certificate

(Bridging Programme (e.g. Bridging to a bachelor degree

‫ﻣﺎﻫﻲ ﻣﺆﺳﺴﺔ اﻟﺘﻌﻠﻴﻢ اﻟﻌﺎﻟﻲ اﻟﺘﻲ ﺗﺮﻏﺐ ﺑﺎﻻﻟﺘﺤﺎق ﺑﻬﺎ أو ﻣﻠﺘﺤﻖ ﺑﻬﺎ ﺣﺎﻟﻴﺎ‬

‫ﻳﺠﺐ ﻋﻠﻰ اﻟﻄﺎﻟﺐ اﻟﻤﺴﺘﺠﺪ ﺑﻴﺎن رﻏﺒﺘﻪ و ﻋﻠﻰ اﻟﻄﻠﺒﺔ اﻟﻤﻠﺘﺤﻘﻴﻦ ﺣﺎﻟﻴﺎ ﺑﻴﺎن اﺳﻢ اﻟﻤﺆﺳﺴﺔ اﻟﺘﻲ ﻳﺪرس ﺑﻬﺎ‬

10 13 ‫ﻣﻦ‬
 ‫ﻧﻮع اﻟﻤﺆﺳﺴﺔ اﻟﺘﻌﻠﻴﻤﻴﺔ )اﺧﺘﻴﺎري(‬

‫‪‬‬

‫‪Private‬‬

‫‪Public‬‬

‫‪Semi Public/ Semi Private‬‬

‫ﻫﻞ ﺗﻘﺪﻣﺖ ﺑﻄﻠﺐ اﻟﺘﺤﺎق )اﺧﺘﻴﺎري(‬

‫‪‬‬

‫ﻧﻌﻢ‬

‫ﻻ‬

‫ﻟﻠﻄﻠﺒﺔ اﻟﻤﺴﺘﺠﺪﻳﻦ ﻓﻘﻂ‬

‫اﻟﺮﺟﺎء ارﻓﺎق ﺑﻄﺎﻗﺔ اﻟﻄﺎﻟﺐ أو اﺧﺮ ﻛﺸﻒ ﻋﻼﻣﺎت ﺑﻤﻠﻒ ﻣﻀﻐﻮط )اﺧﺘﻴﺎري( )اﺧﺘﻴﺎري(‬

‫‪‬‬
‫ﻟﻠﻄﻠﺒﺔ اﻟﻤﻠﺘﺤﻘﻴﻦ ﻓﻘﻂ‬

‫ﻣﺎﻫﻲ ﻣﺪة اﻟﺒﺮﻧﺎﻣﺞ اﻟﺪراﺳﻲ اﻟﻤﻠﺘﺤﻖ ﺑﻪ ﺑﺎﻟﺴﻨﻮات )اﺧﺘﻴﺎري(‬

‫ﻟﻠﻄﻠﺒﺔ اﻟﻤﻠﺘﺤﻘﻴﻦ ﻓﻘﻂ‬

‫ﻣﺎﻫﻲ ﺳﻨﺔ اﻟﺘﺨﺮج اﻟﻤﺘﻮﻗﻊ )اﺧﺘﻴﺎري(‬

‫ﻟﻠﻄﻠﺒﺔ اﻟﻤﻠﺘﺤﻘﻴﻦ ﻓﻘﻂ‬

‫اذا ﺣﺼﻠﺖ ﻋﻠﻰ ﻣﻨﺤﺔ داﻓﻲ‪ ،‬ﻣﺎﻟﺬي ﺗﺘﻮﻗﻊ ان ﺗﻘﻮم ﺑﺘﻘﺪﻳﻤﻪ ﻟﻠﻤﺠﺘﻤﻊ ‪ ،‬ﻟﺄﺳﺮﺗﻚ و رﻋﺎﻳﺘﻬﺎ‪ ،‬اﻟﻤﻌﺎﻟﻴﻦ ﺧﻼل ﻓﺘﺮة دراﺳﺘﻚ؟‬

‫ﻣﻌﻠﻮﻣﺎت إﺿﺎﻓﻴﺔ‬
‫اﻟﺮﺟﺎء ﺑﻴﺎن اﻟﺘﻘﻨﻴﺎت اﻟﻤﻌﻠﻮﻣﺎﺗﻴﺔ اﻟﻤﺘﻮﻓﺮة‬

‫‪‬‬

‫‪NTA‬‬

‫اﻟﺨﺒﺮات اﻟﻌﻤﻠﻴﺔ‬

‫‪‬‬

‫ﻻ ﻳﻮﺟﺪ ﻟﺪي ﺧﺒﺮة ﻋﻤﻠﻴﺔ‬

‫ﻟﺪي ﺧﺒﺮة ﻋﻤﻠﻴﺔ‬

‫ﻣﻦ ‪11 13‬‬

 ‫اﻟﻤﺸﺎرﻛﺔ ﻓﻲ اﻻﻧﺸﻄﺔ اﻟﻤﺠﺘﻤﻌﻴﺔ و اﻻﻋﻤﺎل اﻟﺘﻄﻮﻋﻴﺔ‬

‫‪‬‬

‫ﻟﻢ اﺷﺎرك ﺑﺄي ﻧﺸﺎط‬

‫ﺷﺎرﻛﺖ ﻓﻲ اﻧﺸﻄﺔ و اﻋﻤﺎل ﻣﺠﺘﻤﻌﻴﺔ‬

‫اذﻛﺮ اﻻﻧﺸﻄﺔ اﻟﺘﻲ ﺷﺎرﻛﺖ ﺑﻬﺎ ﺑﺸﻜﻞ دوري )ﻓﻲ اﻟﻤﺠﺘﻤﻊ‪ ،‬اﻟﻤﺪرﺳﺔ ‪ ،‬رﻳﺎﺿﺔ‪ ،‬اﻟﺦ( )اﺧﺘﻴﺎري(‬

‫دورك او وﻇﻴﻔﺘﻚ‬ ‫اﻟﻰ ﺷﻬﺮ‪ /‬ﺳﻨﺔ‬ ‫ﻣﻦ ﺷﻬﺮ‪/‬ﺳﻨﺔ‬ ‫ﻧﻮع اﻟﻨﺸﺎط‬

‫‪1‬‬

‫‪2‬‬

‫‪3‬‬

‫‪) Any training/ volunteer work certificates‬اﺧﺘﻴﺎري(‬

‫‪‬‬
‫)‪ (up to 50 words‬ﻫﻮاﻳﺎﺗﻚ‬

‫ﺑﻴﻦ اﻫﺘﻤﺎﻣﺎﺗﻚ و ﻫﻮاﻳﺎﺗﻚ )ﻗﺮاءة‪ ،‬ﻣﺸﺎرﻛﺔ ﻣﺠﺘﻤﻌﻴﺔ‪ ،‬ﻓﻨﻮن‪ ،‬رﻳﺎﺿﺔ ‪ ،‬اﻟﺦ(‬

‫اﺷﺮح دواﻓﻌﻚ اﻟﺸﺨﺼﻴﺔ و اﻟﻤﻬﻨﻴﺔ ﻟﻤﺠﺎﻟﻚ اﻟﺪراﺳﻲ‪ .‬و اذﻛﺮ ﻓﺮص اﻟﺘﻮﻇﻴﻒ‪ ،‬اﻟﻤﺮﺗﺒﻄﺔ ﺑﺘﻨﻤﻴﺔ اﻟﺸﺨﺺ و اﻟﻤﺠﺘﻤﻊ‪ ،‬و ﻋﻮاﻣﻞ اﺧﺮى ﺗﺆﺛﺮ ﻓﻲ ﺧﻴﺎرك‬
‫)‪(up to 50 words‬‬

‫‪?How did you find out about the DAFI scholarship‬‬

‫‪‬‬

‫‪DAFI Alumni/ DAFI student‬‬

‫‪UNHCR‬‬

‫‪Social Media‬‬

‫‪Friends/ Family‬‬

‫‪School‬‬

‫‪Higher Education Instituition‬‬

‫‪?How did you find completing/ filling this appication form‬‬

‫‪‬‬

‫‪Easy‬‬

‫‪Medium‬‬

‫‪Hard‬‬

‫ﻣﻦ ‪12 13‬‬

 ‫اﻟﻤﺮﻓﻘﺎت إﺿﺎﻓﻴﺔ‬


(‫اﻟﻤﺮﻓﻘﺎت إﺿﺎﻓﻴﺔ )اﺧﺘﻴﺎري‬


(‫اﻟﻤﺮﻓﻘﺎت إﺿﺎﻓﻴﺔ )اﺧﺘﻴﺎري‬


(‫اﻟﻤﺮﻓﻘﺎت إﺿﺎﻓﻴﺔ )اﺧﺘﻴﺎري‬


(‫اﻟﻤﺮﻓﻘﺎت إﺿﺎﻓﻴﺔ )اﺧﺘﻴﺎري‬


(‫اﻟﻤﺮﻓﻘﺎت إﺿﺎﻓﻴﺔ )اﺧﺘﻴﺎري‬

The DAFI scholarship may be renewed each year for up to four years based on regular class attendance, successful completion
of each semester and academic year, progress towards the degree within the regular study time foreseen by the higher
.education institution, and participation in DAFI programme activities such as the DAFI club and community engagement

At the beginning of each academic year, DAFI scholars sign a Scholarship Agreement form. DAFI scholars are expected to work
diligently towards the successful completion of the programme of study and to inform UNHCR, the project partner or a
counsellor at the higher education institution if you are experiencing challenges, whether personal or academic. In cases of
fraud or misconduct, the scholarship will be discontinued immediately. In case of repeated absenteeism, underperformance or
academic failure, continuation or discontinuation of the scholarship will be determined by the partners taking into account the
.reasons or explanation provided

Tuition and required study fees are paid directly to the university based on record of successful academic performance. The
.subsistence allowance is paid directly to the scholar on a monthly basis

I certify that the information provided above is true, complete and accurate to the best of my
knowledge and I understand that any false information contained in this application will
I, the undersigned,
.affect my chances of selection and continued care
hereby declare the
If I was selected to the scholarship, I will be available for an interview and to provide any
:following
additional information requested

Acknowledgment of approval
I give consent for UNHCR to share my personal data provided in this application form with the scholarship Selection
Committee, and the Selection Committee will use the data to prepare and conduct interviews and select candidates for the
.scholarships, endorse decisions regarding scholarship recurrence or termination and general monitoring purposes
Members of the Selection Committee are representatives from a variety of institutions and organizations approved by
.UNHCR

13 13 ‫ﻣﻦ‬