Escolar Documentos
Profissional Documentos
Cultura Documentos
…………………………………………………………………….
Proof of origin will be required at every stage of the process.
Undertaking by applicants
SCS 2011 1
By completing this form applicants attest to the accuracy of the information
given and to their intention to return to and settle in Nigeria/ the Delta
States on completion of the proposed programme of study.
Please note that whilst successful scholarship winners are not prevented from
applying to SPDC for employment after the completion of their course, employment
is not guaranteed
1. Personal Details
Family name (as in
passport)
Other names
Gender
(male/female)
State of origin
Date of birth
(day/month/year)
Place of birth
(town/state)
Addresses for correspondence
Post:
Telep
hone:
Fax:
E
mail:
2. Family Details
Status
(single/married)
You should be aware that this scholarship does not provide for spouse or child allowances; stipends
are intended to cover the expenses of the scholarship holder only. Accommodation in all cases is
for a single person.
3. University/College Education
Please enter details of your tertiary education, in date order.
SCS 2011 2
Institution Course Dates Qualification obtained
Mark with (E) those courses Please state class of degree and/or
conducted almost entirely in grade or percentage and position in
English class
SCS 2011 3
4. Professional Background
Please give details of all work experience you have undertaken since completing your
first university/college degree. Please also give details of your NYSC.
Dates Employer Position/Responsibility
5. Proposed Study
Please name the university at which you have applied to study and your proposed
programme.
University Academic Year
Programme
Date of Application
Admission status
Have you applied to
any other
universities for MSc
If Yes, please provide
details.
6. English Language
If you have taken any English language tests (i.e. IELTS or TOEFL) please give the dates
taken and your scores.
IELTS/TOEFL/OTHER Date Score
If you have not taken an English language test please explain why it might not be
necessary for you to take one.
7. Funding
Have you previously been awarded a scholarship by anyone?
(yes/no)
If Yes, please provide
details:
SCS 2011 4
8. References
Please give the name and address of one person who is prepared to write in support of
your non-academic qualities. (Note: please do not submit references)
Name Address E-mail address
9. Personal Skills
(a) Please describe, in no more than 120 words, your most outstanding non-academic
achievement involving other people.
(b) Please describe, in no more than 150 words, your significant past non-academic
achievements and responsibilities. Why were you involved, what was your role?
SCS 2011 5
(c) Please provide, in no more than 150 words, more detail on any previous work
experience in the petrochemical field (or linked fields).
SCS 2011 6
e) Please describe your reasons for applying for this particular course of study.
Data Protection
The personal data you provide on this application form and otherwise as part of the scholarship
application process will be held and processed for the purpose of the selection process of the SPDC
Niger Delta Post Graduate Scholarship Scheme.
The information will be retained only for as long as is permitted by local legislation and then
destroyed. In order to process the personal data you provide on this application form and otherwise
for the purposes indicated, your personal data may be transferred to other relevant third party
organisations around the world. The SPDC Niger Delta Post Graduate Scholarship Scheme will try to
ensure that your personal data is protected adequately wherever possible, even where countries
outside the European Economic Area to which it is transferred may provide a different level of legal
protection of personal data from that offered in the European Economic Area or do not have laws to
protect it. Countries, to which your application form and other personal data you have supplied
have been transferred, can be provided on request. By signing and returning this application form
or otherwise submitting it you (1) declare that you have read, understood and accepted the
statements set out in this data protection clause (2) are declaring that the information given in this
form is complete and true and (3) are giving your consent to the processing of the information
contained in this application form and any other personal data you may provide separately in the
manner and to the extent described in this form and (4) are authorising The SPDC Niger Delta Post
Graduate Scholarship Scheme to verify or have verified on their behalf all statements contained in
this application form and to make any necessary reference checks.
SCS 2011 7