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7/24/2019 3_DAAD Application Form for Scholars_InCountry_InRegion Scholarships-1
http://slidepdf.com/reader/full/3daad-application-form-for-scholarsincountryinregion-scholarships-1 1/2
Application forIn-Country/In-Region Scholarship for Postgraduates, Eastern Africa
to study in at
Country University
applying through (if applicale!
Research centre/net"or#
$ates: (e.g. 01 Jan 2015)
fro% to
&' Personal
Family Name
First name
m f
Postal address
Mobile Phone
ate of birth
Pla!e of birth
"iti#enshi$
' Educational $ata
a! Secondary school education
Name and $la!e of s!hool
from (month%year)
to (month%year)
&y$e of final e'amination
eslt
! )igher education (university or other degree-a"arding institution!
"rrently stdying%*or+ing at(ni,ersity%$bli! instittion- only*here a$$li!able)
re yo a member of staff/($osition%ni,ersity)
ther $osition held(e.g. $bli! se!tor)
c! )o" "ere your previous studies funded* (fill appropriately!
a!helors
Masters
Application +or% In-Country/In-Region-Scholarships
3erman !ademi! E'!hange 4er,i!e () egional ffi!e for fri!a P.. o' 1050600700 Nairobi 8enya
1
7/24/2019 3_DAAD Application Form for Scholars_InCountry_InRegion Scholarships-1
http://slidepdf.com/reader/full/3daad-application-form-for-scholarsincountryinregion-scholarships-1 2/2
$egrees or $iplo%as held or pending
University orCollege, Country
from to Degree/qualification GradeDate of
Award Principal Subect
' Proposed postgraduate progra%%e
Programme for *hi!h yo a$$ly M4" M Ph
Choose !"#$ one. If you chooseother, please give description. ther
&itle of degree $rogramme andsb9e!t
Programme starts/started Month%year:
Programme ends Month%year:
eside this a$$li!ation ha,e also
a$$lied for :
(Please gi,e name of donor and$rogramme)
de!lare that the information gi,en in this a$$li!ation is !om$lete and a!!rate to the best ofmy +no*ledge.
shall inform the of all !hanges immediately. shall not re!ei,e any other fnds*ithot gi,ing $ro$er noti!e to .
Place. $ate. Signature
For signatre- $lease enteryor initials
I have read and signed the infor%ation leaflet for In-Country-Scholarshipsfor Postgraduate Studies "hich is an integral part of this application'
I confir% that I have attached all reuired docu%ents
Application +or% In-Country/In-Region-Scholarships
3erman !ademi! E'!hange 4er,i!e () egional ffi!e for fri!a P.. o' 1050600700 Nairobi 8enya
2