20
No. F. 15-212012-ESA Government of India Ministry ofHuman Resource Development Department of Higher Education ES.4 Section ******** NOTICE FOR PUBLIC Subject:- List of candidates called for interview on 5. 7.2012 for the Commonwealth Scholarship/ Fellowship Plan 2012- New Zealand - reg d. The list of candidates called for interview for the New Zealand Government Scholarship is enclosed. The interview will be held on 5 1 h July 2012 at 10.00 AM at Department of Higher Education, Minist'l of Human Resource Development, E.S.4 Section, West Block-1, Wing-6, 2n Floor, R.K. Puram, New Delhi-110066. Scanned copy of the application form of New Zealand Government is also enclosed. However, copy ofthe application form is being sent by speed post. Any clarffication may be sought only on Tele. No.Oll-26172492 ******

mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

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Page 1: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

No. F. 15-212012-ESA Government of India

Ministry ofHuman Resource Development Department of Higher Education

ES.4 Section ********

NOTICE FOR PUBLIC

Subject:- List of candidates called for interview on 5. 7.2012 for the Commonwealth Scholarship/ Fellowship Plan 2012- New Zealand -reg d.

The list of candidates called for interview for the New Zealand Government Scholarship is enclosed. The interview will be held on 51

h July 2012 at 10.00 AM at Department of Higher Education, Minist'l of Human Resource Development, E.S.4 Section, West Block-1, Wing-6, 2n Floor, R.K. Puram, New Delhi-110066. Scanned copy of the application form of New Zealand Government is also enclosed. However, copy ofthe application form is being sent by speed post.

Any clarffication may be sought only on Tele. No.Oll-26172492 ******

Page 2: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

Environmental Studies

1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001.

3. Ch. Sharmila, Assistant Professor, Deptt. of Architecture, School of P1atming & Architecture, .JNAF A University, Hyderabad-500 028.

5. Mr. Narsimha Rao P, H.No.l -4-249/ 120/1, K.K. Road, Dalaji Nagar, Smyapet-508 213, Andhra Pradesh.

7. Mr. Prasanta Kumm· Bez, AT/PO-Sahadevkhunta, Dist-Balasore, Orissa-756 001.

2

4.

6.

8.

9. Mr. Piyush Kumar Verma, 10. Bureau of Energy Efficiency, 41

h Floor, Sewa Bhavan, Sector- !, R.K. Puram, New Delhi-11 0066.

11. Ms. Subha D, 12. 381/4, Senbaga Street, Ezhil Nagar, Kailasapuram P.O. Trichy-620014. Mr. Rohit Ranjan, 14.

13. C/o Sunil Kumar Singh, Ward No.O I , Nawada-Bishunpur Road, Jhumari Tilaiya, Dist. Koderma-825409, Jharkhand.

15. Mr. Suhail Abdullah Malik, Sagina, H.No.20, Wazir Bagh, Srinagar Jan1rnu & Kashmir-190 008.

Ch. Sharmila, J 0-2-289-64-102 Jyotikartika, Shantinagar, Hyderabad. Mr. Mahesh Kumar, Qr. N0.333/2, Railway Traffic Colony Post- Tatanaga, Dist-East Singhbhum, Jharkhand-831 002.

Mr. Neelava Das, Dadurbagan, Jogeshpally, Bankura-722 101 , West Bengal.

~------------------_, Mr. Prabhak.aran Narayanasamy, G.l /195, Anupatti-P.O. Palladam(T .K), Trippur (D.T), Tamil Nadu-641 664. Mr. Somnath Roy, C/o Usha Bose, East of Sibani Cinema Hall, Kanuarmath, Cinema Road, Bankura, West Benga1-722101.

Ms. Tanu Dwivedi, 261 M-1, Ashiyana Colony, Kanpur Road, Lucknow, Uttar Pradcsh-226012. Mr. Raisullslam, C/o Masihul Islam, Street No.i\2, NaJa Road, Hindpiri, Ranchi-83400 1.

Page 3: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

Fisheries

Ms. Aruna S. Andrews, 2. Mr. Abhay Deshmukh, 1 Puratheril(H), Tambri Vibhag, Vidya Nagar,

Neelamperoor P.O. Near B.H. School, Osmanabad, Alappuzha-686534, Dist. Osmanabad,

Maharashtra-413 501 . 3. Ms. Ann Mary Jacob, 4. Ms. Neethu Ravi Kumar,

Chathanattu House, Mundiappally, Sreevilasam, S.N. Puram P.O. Thiruvalla-689593, Kerala. Pampady, Kottayam Dist,

Kerala-686 502.

Biosecurity and Food Security

1. Ms. Anjana George, 2. Mr. Amit Baran Das, Kanjiramattam House, C/o Dimal Kumar Das, Mmmarkkad P.O. Vili-Santipur, P.O.-Mechcda, Palakkad District, Dist-Purba Medinipur, Kerala-678 582. West Bengal-721 137.

3. Mr. Anjani Kumar Seth, 4. Mr. Piyush Jain, Durga Colony, Ghorath, Chotti Bazar, Jhanda Chauraha, Jafarpur, Azamgarh, Banda, Uttar Pradesh-210001. Uttar Pradesh-276 001.

5. Mr. Rohit Upadhyay, Q.No.8A, Type-4, Staff Colony, BTPS Badarpur, New Delhi-110044.

~~~~\V

Page 4: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

Agricultural Science

1. Mr. Amit Kumar Sharma, Assistant Professor, Deptt. of V cterinary Gynaecology and Obstetrics, Dr. G.C. Negi College of Veterinary & Animal Science, CSK Himachal Pradesh Agricultural University, Palampur, Himachal Pradesh-176 062.

3. Mr. Mriganka Shekhar Sarkar, Singatala, K.J. Sanyal Road, Post & Dist-Malda, West Bcngal-732 101.

5. Mr. Rama Doss D, 3/28, South Street, 0. Mettupatti, Sattur, Virudhunagar, Tamil Nadu-626 203.

7. Mr. Viabhav Kumar Upadhayay, U padhayay Clinic,

9.

Viii & P.O. Kariyamal, Dist-Budaun-202524, Uttar Pradesh. Mr. Prashant Kumar, C/o Dr. Narendra Kumar Sinha, Pridershani Nagar, Near Bhawat Milan Mandir, Jesus Infant School, Bhoothnath, Ashram Road, Khumrar, Patna-ROO 026, Bihar.

2. Mr. Banthala Venkata Suresh, S/o Peda Subbarao, Gandipalem Udayagiri, SPSR Nellore, Andhra Pradesh-524 236.

4. Mr. Pravin P. Nair, Kaitharathu House, Kuzhivelipuram, Karakkal P.O., Thiruvalla-6891 08, Pathanamjhitta, Kerala

6. Mr. Shaukat Ali, Collegian Hair Syle, Fstand Sdau Sknagar, Banaskantha, Gujarat-385506.

8. Ms. Viva Shalini Ekka, Govt. Sr. Secondary School, Samdong, East Sikkim, Sikkim-737107.

10. Mr. Nisar Ahmad Dar, Berigam Qazigund, P.O.-Sopat, Tehsii-Devsar, Dist-Kulgam, Jammu & Kashmir-192 102.

Page 5: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

'

!; .,, •I ~ '·

application form ,for !I

NEW ZEALAND COMMONWEALTH : ;

SCHOLARSHIPS '

for tenure from 2013

Page 6: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

-----------------~

New Zealand Commonwealth Scholarships {NZCWS) provide the opportunity for candidates from targeted developing Commonwealth countries to undertake postgraduate level study at one of New Zealand's eight universities. On completion of their scholarship, candidates are required to return to their home country to work for a minimum period of two years in order to make a significant contribution to the development of their country.

APPLICATION CHECKLIST

It is important that you correctly fill out all relevant sections in this application form and include all relevant documents listed below. Applications with unanswered questions or incomplete documentation will not be considered for a scholarship.

To ensure that your application is complete: -7 Sign the application declaration in Section 11.

Supporting documents provided with this application must be certified true copies of original documents with the official stamp and signature of a Justice of the Peace, Solicitor, Notary Public, an official from the New Zealand Diplomatic Post, or another authorised official. Where original documents are not in English, you must provide certified true copies of official English translations.

All NZCWS applicants must submit the original of this application form, completed in English. With the application form you must include:

D A certified copy of your birth certificate (in English). D A certified copy of official evidence of any name change (in English).

D A certified copy of the personal pages of your passport.

D A certified copy of the academic transcript for all tertiary qualifications and the grading schedule for each qualification (in English).

D A certified copy of the completion or graduation certificate for each tertiary qualification that you have completed {in English).

D If you are employed, a current job description confirming your position and outlining your responsibilities and duties.

D A current (dated) curriculum vitae~ a brief history of your education, work experiences and skills.

D Three references (no more than 24 months old) on official letterhead, supporting your scholarship application to study in New Zealand. References should be provided from your current employer, a former lecturer and, where possible, a relevant government or cammunity~based organisation.

D An offer of place from the New Zealand University at which you wish to study (see Section 8).

D A 500 word statement describing the specific skills and "knowledge you want to gain from your proposed study and how this will contribute to your current and/or future jab (see. Section 9).

D A 500 word statement describing how your proposed area of study will enable you to contribute to the social or economic development of your home country (see' Section 9).

D A 500 word statement outlining your proposed research topic {see Section 9).

FURTHER INFORMATION

Information on the New Zealand Commonwealth Scholarship scheme, including the Jist of participating New Zealand education institutions, is available on the scholarships pages of the New Zealand Ministry of Foreign Affairs and the New Zealand Aid Programme website: www. aid. govt. nz/scholarsh ips/.

Details of the application process ad deadlines can be obtained from your Nominating Agency.

New Zealand Commonwealth Scholarship Application Form 1 Page 2

Page 7: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

~ ~

- ""''"" ,,,., ' "' ;~; ' .~; SECTION ONE: PERSONAL INFORMATig!'j:]',;<'' 'L.

~

.,. ,·, ·"'~; . ,._ ·-- - ·-- -- ' . ~- -· Plet:Jse note that your family name and other names should be the same as the official names in your passport or birlh cerlificat'!.

First name{s) .- Attach a recent

Family name (surname) passport sized photograph of yourself .

Gender 0 Male 0 Female

Date of birth (ddlmmlyyyy) - ~- --

Place of birth -

Country of citizenship P/eEise list second country if you have dual

2"d country of citizenship citizenship ~-

Do you have permanent 0 Yes 0 No residency status in any r-other country? If yes, please list:

-

Have you applied for 0 Yes 0 No permanent residency status in any other

If yes, please list: country? -- - ~-

Passport number ! Passport expiry

Do you suffer from any illness or disability that might affect your ability to participate in the proposed study programme (for example, psychiatric

0 Yes 0 No condition, asthma, diabetes, significant visual impairment, motor disability or significant hearing loss)? A 'Yes' answer will not affect your chances of successfully obtaining a scholarship.

.

If you have answered 'Yes', please provide brief details of the illness or disability and any special requirements or support you may require to complete your study programme on a separate sheet of paper. Please attach a copy of your doctor's assessment of your needs.

Applicant contact details: The scholarship application process takes several months. Please give an address where you can be contacted when a decision is reached. You may not be offered a scholarship if you cannot be contacted.

--·-

Number and street name .

PO Box number -

Suburb/village

" --

Town/city -

DistricVProvince -

Country ·' -- - -

Post code

New Zealand Commonwealth Scholarship Application Form 1 Page 3

Page 8: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

Home telephone number -. -

Work and/or mobile '

phone number -

Email address (enter more than one if relevant)

Emergency contact details: Name someone ·we can contact in an emergency - -

Name - -

Relationship to you -

Number and street name ---- ·-

Suburb/village -

Town/city --- .

Country and post code

Home telephone number - -

Work and/or mobile phone number

- ·- ----

Email address - - --

~ffl<?:. ~-E- .. ,· :· -:f_ <--~--.. '),: . .. . -· c ,_ ,,., ..

Please note that the scholarship does not provide financial support for your dependants. In order to qualify for a reunion airfare or to have your dependants accompany you to New Zealand however, you must complete the information below. Please attach a separate sheet of paper if you have additional dependants to those below.

If you intend to have your dependants accompany you on scholarship to New Zealand, please note the following:

1. You are responsible for supporting your dependants for the duration of their stay in NZ. 2. Family entry is subject to meeting Immigration NZ's entry requirements. 3 Spouses/partners may apply for a non~Jabour market tested work permit. 4. Dependant school aged children have domestic access to New Zealand schools. 5. Families have access to the New Zealand health system as if they were New Zealand citizens.

D Single D Single with lo i Family status -

D Engaged D De facto relationship I have a partner

Dependant's details

Full name (first & family) Gender (M/F) Date of birth Relationship . "'"" you in NZ?

. '

. -

New Zealand Commonwealth Scholarship Application Fonn 1 Page 4

Page 9: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

SECTION THREE: STUDY HISTORY - • " - ,, - -- ,_, -'-1- ; :-- :iS::l!:Lt~$!~-j -- ;:: '

__ , __ -, ..-.: .;.;~.;1\--f~r-·-.:,:,~; J~ii~~;~~:,"~:·.,_- -4- :, :

You must provide a certified copy of the academic transcript and completion certificate for each qualification you have completed/are completing. You must also include a certified copy of the grade assessment schedule for each qualification.

r-- ,_

Provide the foHowing information for aU completed and partially completed vocational or tertiary qualifications. List the most recently completed qualification first.

Qualification -

Major subject '

Education institution

Institution location

Start date (month/year) End date (month/year) I Qualification

'

Major subject f--''

Education institution

Institution location

Start date (month/year) End date (month/year) -~

Qualification

Major subject 1- '

Education institution

Institution location f--'

End date (month/year) / Start date (month/year)

Qualification

Major subject ' "

Education institution '

Institution location ' '

Start date (month/year) End date (month/year) I List any of the qualifications that have been studied '

by distance education ---- '

List details of any relevant academic distinction or prizes

-- -- '

List any scholarships you have previously received funded by the New Zealand Government. ' Include the name and duration of the scholarship/s, the qualification or course undertaken, and the date completed.

New Zealand Commonwealth Scholarship Application Form 1 Page 5

Page 10: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

List your current occupation status

D Working (full-time) D Working (full-time) and studying

at tertiary level (part-time)

(if 'wD£king' or 'not studying or working' is selected, go to Section Five)

D Working (part-time) and studying

at tertiary level (part-time) D Studying at tertiary level (full-time)

D Not studying or working

D Undergraduate If you are studying now, list the level at which you r---d_;'-p_lo_m_a ___ _ are studying

D Master's degree

Qualification name

Major subject(s) r--- ---t---

Start date

D Bachelor's degree

D Doctorate (PhD)

D Postgraduate diploma

--------

I P~op~~ed end date --------'--- -----4

Length of qualification - ---:::-c---f--­

Education institution name

Institution location (town/city and country)

Are you on a scholarship now? If yes, complete details below

Sponsor name

0 Yes D No ----"-=:__:__:_::____- -

Scholarship name ---------------

··-s~cl'toN fii(E: .CQn.lM91l!l'fi E}\~J~~~~Ij,~;,,IL jf'. - ..(,:~:::, _·(:'.:r.n:. :-List any voluntary, community or public activity in which you have recently been involved that is relevant to your application. Please attach an additional sheet of paper if required.

Organisation

Role or type of involvement -

-

Start date (month/year) I End dat-e (~onth/year) I Organisation

-

' Role or type of involvement

Sta1t date (month/year) I End date (month/year) I ..

New Zealand Commonwealth Scholarship Application Form 1 Page 6

Page 11: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

This section covers your work history and current work situation. If you are:

D Currently employed or have recently been employed, please answer the questions in this section. You must provide an up~to-date curriculum vitae and current job description with this application.

D Not currently employed and have no previous work experience, go to Section Eight.

Current position title c-·

Organisation

Start date (month/year)

If you are employed now, use the table in Annex 1 (pages 12-15) to identify one employment sector and one category most similar to your current area of work, and list below.

~~~-~~~~--

Employment sector

Category ---~~---

If there are no employment sectors or categories identified in the table provided that are relevant to your current job, please state your specific sector/category below. ----~-

Other employment sector

Other category

D Local Government D Community/Non­Government Organisation

What type of organisation -·· --------1-----"-'-"'===-do you work for?

Briefly describe the work of your organisation.

Will you return to your current job after your study?

D Central Government D International NGO

D Multilateral Agency D Other (please state):

----~--

D Yes 0 No

D Private company

D Self-employed -----4

If you answered 'no' or you are not currently working, what is your prospective employment on your return home? -

I

·~

Name of Job -

Organisation

New Zealand Commonwealth Scholarship Application Form I Page 7

Page 12: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

'!!ECTIONS.EVEN: EMPLdY~RE-NDORSEM-EN]\;'~~·;· ' ' '

' ' _, :{.' ~~t~[;;<~~:._-;:f1;:if" _:.:'_·>- ' '• ' ,. ' ; '<··=•.•' o.;o(;','·-~Jec~,; •,- ;, , ,-< ,.,...,., .• eJ'~- --,,,c_<'; -;~~l<!."-'i"•'I7'>'-<:'\'~'

~-- ' '.-- '"<->', "iC -•••

If you are working, this section must be completed (in English) by your employer or an authorised officer from your place of employment. If you are self-employed, you may answer the questions yourself.

Endorsed by Organisation

Telephone Number

Email address ' '

Why do you recommend this applicant?

'

Describe below the specific skills you expect the applicant to gain from the proposed study.

Skills 1

Skills2

'

Skills3

-

Skills 4

·-

After the study would this person have a new position in your organisation? -

D Yes D No If yes, what position:

Authorising official's futl name

Position

-··

Signature

Date (dd/mm/yyyy} -

Official Stamp

New Zealand Commonwealth Scholarship Application Form I Page 8

Page 13: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

.·:: ... Show details of the qualification that you want to study in New Zealand.

Show the qualification (e.g. Master of Science) and the major subjectls {egg Environmental Science).

Identify the Educatioplnstitution where you want to study.

The qualification, subject and institution must correspond with the information contained in the Letter of Offer that you enclose with this application.

Choose the qualification and institution carefully as if you are accepted for a New Zealand Commonwealth Scholarship, you will not be permitted to make changes.

QualificatiOn

Major Subjectls

Education Institution

Use the I in Annex 1 13-16) to i employment sector and one category most similar to your intended area of work upon completion of your study, and list below.

Employment sector 1· . Category --1-----

------,----If there are no employment sectors or categories identified in the table provided that are relevant to your intended area of work, please state your specific sector/category below.

---------1 Other employment sector [_-Other category

New Zealand Commonwealth Scholarship Application Form I Page 9

Page 14: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

~CJION NINE: RE~~v AN'<.~ o~~TliDY,:(~'g~y~~j:!PMENT(lf X~Y~IjSJMJ;;p:gy~tliti':' · .. Please be as specific as possible as your answers-to these questions will be a major consideration of your eligibility for a New Zealand Commonwealth Scholarship.

10.1 All applicants to provide: On a separate sheet of paper, in no more than 500 words, describe the specific skills and knowledge you want to gain from your proposed study and how this study will contribute to the role and responsibilities of your current and/or future job.

10.2 All applicants to provide: On a separate sheet of paper, and in no more than 500 words, describe specifically how your proposed study and/or research will enable you to contribute to the social or economic development of your home country. Reference to any existing national skills shortages or labour needs in your home country will strengthen your application.

10.3 All applicants to provide: On a separate sheet of paper, and in no more than 500 words, provide an outline of your proposed research topic, research question and objectives, methodology, and timeline; and justification for home-located research. You should clearly demonstrate the significance and application of the proposed research topic to the development of your home country.

This section is to be completed (in English) by an authorised officer of the nominating authority for New Zealand Commonwealth Scholarship applicants.

- ·----- -----As the nominating authority on behalf of the Government of:

I nominate: for a New Zealand Commonwealth Scholarship

Narne of authorising officer

Position -

Organisation

Signature

--+---- -----Date

1----- -------+--- ----- ----··-

Official Stamp

' ------'--- ------

NeW Zealand Commonwealth Scholarship Application Fonn I Page 10

Page 15: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

.------ - -_ '- ----· - . ---- -SECTION ElEVEN: NEW ZEAlAND COI\'IMQNWEALTH SCHOlARSHIP DEClARATION:-; f-';:__c:_--_:___ ·- -. - - ,.,_ •. .,:"1- ,,._•.0,• •. ···"~- '- ,- - ·-- _,_.. • • -.-.- - -<;--· ,._,. '-

Conditions of Scholarship

By signing this application form, you are agreeing that you understand the terms and conditions attached to the New Zealand Commonwealth Scholarship and related study. If your application is successful and you are offered a scholarship, you will be asked to sign a declaration which confirms that you understand and agree to the conditions of the scholarship before accepting the scholarship.

The main conditions are that you:

• will take up the scholarship for the academic year for which it is offered;

• agree that the scholarship offered is for the appropriate field and level of study; • acknowledge that no additional study under the scholarship will be considered; • agree to follow your approved study programme and agree not to change the study

programme or education institution without the prior agreement of MFAT;

• agree to study the approved study programme full-time, achieve satisfactory academic progress and meet all course requirements set out by the education institution;

• agree to comply with the regulations of the education institution; • acknowledge that the ISO adviser at your education institution is the first point of contact

during your scholarship; • agree to ensure that the education instituUon has your current contact details;

• agree to the disclosure of information regarding your academic progress; • agree to the release of information in the application form and information relating to your

scholarship to relevant authorities {including your horne government) in accordance with the New Zealand Privacy Act 1993 to enable collecUon of academic progress reports and results, consideration for a scholarship, and the ongoing administration and monitoring of your scholarship;

• agree to the exchange of information between MFAT and authorities such as Immigration New Zealand {regarding your immigration status) or any other relevant government agency (e.g. New Zealand Inland Revenue or the New Zealand Qualifications Authority);

• assist with evaluation of your scholarship as required while on scholarship or on completion of the scholarship;

• agree to act in a manner that will not bring disrepute to yourself, your family, your country, your institution or MFAT during your scholarship;

• agree to ensure adequate support for your dependants should they accompany you to New Zealand;

• ensure your passport and student permit are kept current for the duration of your study;

• agree not to engage in employment beyond the restrictions applying to your visa; • agree to return to your home country for a minimum perioa of two years within 14 days of the

completion date of your scholarship and acknowledge that if you do not, you will incur a substantial financial debt to the New Zealand Government to the total value of your scholarship;

• acknowledge that MFAT requires individuals to spend at least two yeat<'in their home country on completion of their scholarship to utilise the skills gained from their study;

• agree not to submit an application for a work visa, visitor visa or permanent residence of New Zealand or Australia during your study and acknowledge that if you do, it will result in the scholarship being immediately terminated and that you will incur a substantial financial debt to the New Zealand Government to the total value of your scholarship;

• agree not to submit an application for a work visa or for permanent residence of New Zealand or Australia within two years of completion of your scholarship and acknowledge that if you do, you will incur a substantial financial debt to the New Zealand Government to the total value of your scholarship;

New Zealand Commonwealth Scholarship Application Form 1 Page 11

Page 16: mhrd.gov.in...Environmental Studies 1 Mr. A vdhesh Kumar Gangwar DR-64, Paper Mill Campus, Ballarpur Industries Limited, Yamunanagar, Haryana-135001. 3. Ch. Sharmila, Assistant Professor,

• agree not to receive other benefits funded by the New Zealand Gqvernment while on scholarship;

• agree to obey New Zealand's laws and maintain an acceptable standard of conduct while in New Zealand;

• agree that the laws of New Zealand will apply to any agreement between yourself and the New Zealand Government;

• agree to return home at the end of your scholarship, regardless of the time remaining on your visa, or at any time upon formal request of the New Zealand Government; and

• acknowledge that the scholarship may be withdrawn or terminated by MFAT if you fait to comply with the conditions of your scholarship.

Declaration

This section must be completed and signed by the Commonwealth Scholarship applicant:

I understand the conditions under which the Commonwealth Scholarship may be offered. If I accept a Commonwealth Scholarship, I agree:

• the information provided about and by me in the in this application for a Commonwealth scholarship is true, complete and correct to the best of my knowledge and that supplying incomplete or false information will result in MFAT withdrawing the scholarship;

• to carry out such instructions and abide by such conditions as may be stipulated by MFAT and the education institution supervising my scholarship, and sign an agreement with MFAT to that effect;

• the New Zealand Government is not responsible for my actions while I am in New Zealand; and that

• I am not aware of any medical or other condition (e.g. disability or illness) which might prevent me from completing my study within the time allowed for the scholarship.

Full Name

Signature

Date ddlmmJyyw

New Zealand Commonwealth Scholarship Application Fonn 1 Page 12

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' ANNEX 1: EMPLOYMENT SECTORS (to be used for Sections Six and Eight)

I Employment Sector Category Employment Sector Category

1.0 Agriculture ... .. . ' -· -· trative management 2.0 Banking and financial 2.1 Financial policy and administrative management services 2.2 Monetary institutions (central banks)

2.3 Informal/ semj..formal financial intermediaries (micro credit, savings and ~redit co-operatives)

~eds, fertilisers, 2.4 Education I training in banking and financial services

' I 1 .8 livestock /veterinary services

1 .9 Agrarian reform 1.10 Agricultural extension (non-formal training)

. 1.11 Agricultural education I training 1.12 Agricultural research . 1.13 Agricultural services (agribusiness, supply chain management, marKeting, transportation, stornge) 1.14 Plant f post-harvest protection and pest control

i 1 15 Agricultural financial services 1.16 Agricultural co--operatives

3.0 Business and other 3.1 Business support services and institutions (incl. 4.0 Communications 4.1 Communications policy and administrative services private sector: management, acCQunting, HRM, e- management (private sector} commerce, international management) 4.2 Telecommunications

3.2 Privatisation 4.3 Radio/television/print media ' 4.4 Information and Communication Technology

5.0 Conflict prevention and 5.1 Security system management and reform 6.0 Construction 6.1 Construction policy and administrative management resolution, peace and 5.2 Civilian peace-building. conflict prevention and (incl. arr;hitecture) security resolution

•- - - - --------- --- -

New Zealand Commorwtealth Schalarshio Application Form I Page 13

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Employment Sector

7.0 Education

9.0 Energy generation and supply

11.0 Fishing

Category Employment Sector

7.1 Education policy and administrative management ! a.o Humanitarian aid

7.2 Education facilities and training

7.3 Teacher training

7.4 Educational research 7.5 Primary education (incl. special I inclusive education) 7.6 Basic life skills for youth and adults

· 7.7 Early childhood education

7.8 Secondary education 7.9 Vocational train'rng 7.10 Higher education (incl. TESOL) 7.11 [Post-secondary] Advanced technical and managerial training

9.1 Energy policy and administrative management 9.2 Power generation I non-renewable sources

9.3 Power generation I renewable sources

9.4 Electrical transmission I distribution

9.5 Hydro..electric power plants 9.6 Geothermal energy

9.7 Solar energy

9.8 Biomass 9.9 Energy education I training

9.10 Energy research

10.0 Environment

11.1 Fishing policy and administrative management 1 12.0 Forestry 11.2 Fishery development (stock protection,, conservation, aquaculture) 11.3 Fishery education I training 11.4 Fishery research 11.5 Fishery services (harbours, markets, transport)

I Category ' 8.1 Disaster prevention and preparedness

'!

10.1 Environmental policy and administratfve management

\

10.2 Biosphere p'rotection (pollution management, climate change) 10.3 Bio-diversity (.'nc!. conservation) 10.4 Flood prevention I control

10.5 Environmental education I training 10.6 Environmental research

12.1 Forestry policy and administrative management

12.2 Forestry development 12.3 Forestry education I training

12.4 Forestry research 12.5 Forestry services

New zealana Commonwealth Scholarship Applicatio.~ Form j Page 14

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i

Employment Sector

13.0 Government and civil society

15.0 Industry

(related to production/ manufacturing}

17.0 Multi-sector/crossM cutting

Category

13.1 Economic and development policy/planning (incl. indigenous people's issues, poverty analysis, evaluation) 13.2 Public sector financial management

13.3 Legal and judicial development 13.4 Government administration

~ 13.5 Strengthening civil society (community development) 13.6 Elections

13.7 Human rights 13.8 Free flow of information

13.9 Gender /women's equality organisations and institutions

15.1 Industrial policy and administrative management

15.21ndustrial development 15.3 Small and medium-sized enterprises (SME) development 15.4 Cottage industries and handicraft 15.5 Agro-induslries (staple food processing)

15.6 Forest industries

15.7 Engineering

15.8 Transport equipment industry 15.9 Technological research and development (incl. industn'al standards, food safety standards) 17.1 Urban development and management

17.2 Rural development 17.3 Research I scientifiC institutions

'

Employment Sector

14.0 Health

Category . ..... ,,, ,. , __ ...

'

. 1

' 0

' 1

I 14.13 Family planning ~4.14 STD control including HiV/AIDS

14.15 Personnel developm'ent for population and reproductive health care services

16.0 Mineral resources and 116.1 Mineral/ mining policy and administ~tive mining management

16.2 Mineral prospection and exploration

" 1 care,

~ss)

g)

lament alth)

18.0 (Other) Social 118.1 Social welfare ser~~ices infrastructure and services 18.2 Employment policy and administrative management

18.3 Housing policy and administrative management

18.4 Low-cost housing (slum clearance, squatter settlements) 18.5 Culture and recreation

18.6 statistical capacity building

18.7 Narcotics control ·, 18.8 Social mitigation of HIV/AIDS

New Zealand Commonwealth Scholarship Application F:xm 1 Page 15

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r l

Employment Sector Category Employment Sector Category ·-19.0 Tourism 19.1 Tourism policy and administrative management (incl. 20.0 Trade policy and 20.1 Trade policy and administrative management

eco·toun'sm) regulations 20.2 Trade facilitation 20.3 Regiohaltrade arrangements

' 20.4 Multi-lateral trade negotiations 20.5 Trade education I training

21.0 Transport and storage i :r · - ' ,_ ,_, " 'm' ct 22.0 Water supply and 22.1 Water resource\; policy and administrative

I ' sanitation management

I; 222 (Inland) Water resources protection 22.3 Water supply and sanitation - large systems

I · "" ~ ,..., __ , _ _,_,_,_, __ ··--•-- -----'·· --c~ basic sanitation

' 21.6 Education and training in transport and storage 22.5 River development 22.6 Waste management 1 disposal

' New Zealand Comrr,onwealth Scholarship Application Form l Page 16