Scholarship Application Booklet - 2010-11

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    INDIANCOUNCILFORCULTURALRELATIONSvrtE;Flo,,qq?rqfu{

    frteft Erii d frrqffxgfrqi. SCHOIARSHIPS FOR FOREIGNNATIONATS

    uT-cgfr lq{r ?Fr FrName fScholarshipcheme

    AZADBHAVAN,NDRAPRASTHASTATE, EWDELHI.11OO2TEL. 2337930923379310,337931FAX 0091 11 2337 783,2337 639,2337 647,2337 732E-mail:[email protected]

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    GENERALINSTRUCTIONS TO APPUCANTS1) Five completesetsof application orms are to be submitted o the Indian Mission.2) Candidate should clearly mention the course and University to which helshe isseekingadmission.The applicants are advised to go through the "UniversityHandbook" available with our Mission before giving these details.

    ICCR would not be able to entertain a subsequent hange in course of study orUniversity once admissionof a scholar s confirmed and the scholar has arrived tojoin the course.3) Certified copies of all documentsshould be accompaniedwith English ranslations.A syllabusof the lastqualifyingexaminationshouldbe enclosedwith the application.NOTE;

    a) Students applying for doctoraVpost-doctoral courses or architectureshould include a synopsis of the proposed area of research.b) Students wishing to study performing arts should, if possible,enclose Video/audio cassettes of their recorded performances.

    +) Candidatesmust pass a English ProficiencyTest conductedby Indian Mission.5). ICCR will not entertainapplicationswhich are sent o ICCRdirectlyby the studentsor which are sent by local Embassy/HighCommissions n New Delhi.6) Priority will be given to studentswho have never studied n India before.7) No applicationwill be accepted or admission o courses n medicineor dentisty.8) Candidatesmay note that Indian universities,/educationalnstitutionsare autonomous

    and independent and hence have their own eligibility criteria. Forwarding ofapplications s thus not a guaranteeof admission.A scholarship s awardedonlywhen admission s confirmed by ICCR.9) Student must carry a proper visa. Scholars for structured undergraduateandpostgraduatecourses should carry full term "student Visas" while for Ph. D.students ResearchVisas" for a specificperiod oI 4-5 years s required.Studentsshould ensure that they get the correct visa from the Indian Embassy,/HighCommission. Govt. of India guidelines tipulate hat if a scholar arrives withoutproper visa and his actual admissionat the University,/lnstitute oes not materialize,he/she will be deported to his/her country.

    In the case of students who require Research Visas, an additionalapplicationfor the ResearchVisa has to be filled and submitted n six copies alongwith sixphotographs & synopsis.Applicants may note that clearanceof ResearchVisa cantake as long as six to eight months.

    (Continuedon Last inside cover)

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    sTrAffirn rri + frq eTr+q-o,l frtvrINSTRUCTIONS TO CANDIDATES FOR FILLING THE APPLICATION FORM

    I q6r ilfi H?rEEI,oTra-{qa ti. rwrefl d 3TfrR-ffipfr sFM dfrn d, qr gwq ftrd rnrqAll enhies xcepthesignaturentheapplicationhould, s araspossible,e ypewrittenr nbiock etter.

    2 sTrafi qe d cis cfrqi rqa *ft ertrqlFivqcopies'ofaprrlication roperlv qqqed houldbe submjtted

    3 sTrf{r m eff rrS ci" cfui S qrq ffifus sqrsrriarq frd inri qrRg:All the five copies of the application should be accompanied y the following documents(i) T-f,r d ftrqr rrql qrfld-c3r-r-qr-T{-r dter cn orT'qE-{,1 tfq d qfr Eri e ct-mol q ET, t-r{qq -r df,dqiftd {ern tf{ ftqfiTql wg I qrqrq q fdq qH qs flq ftrd t

    A recent assportize hotographtaken otearlierhanayearbeforehedateof heapplication)should epasted n heapplicationorm n hespacerovidedor hepurpose.hename hould ewritten n hephotographorpurposef dentification.(ii) fuq ql8qfr6 . ffii eil-t a1-aspr fiMi 'i frreflmq +1 T-9,-{-r\o*1 qqr"rq-ji qtlfiq q-qlfrI-d ffi q"R-qTt

    Certified hotostatopies f official ecordsn triplicateromSecondary chool,UniversitiesrProfessionalchool, tc. ttended.(iii) qRRrwt d ergwnftrrtR-d rrd'c) Tcr ii ?nQfto.s{erdr qrs$ nqTurqf,

    A certificatefphysicalfitnessn heprescribedorm attached),ppendix 2(iv) (Shqq dfu-q .rfre{r,Erq{d-R.-qqfrenel}i d

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    sTrAfiqr rr{i d frrqEE qtregyf r{vrCERTAINTMPORTANTNSTRUCTIONS ORFILTINGUP OFTHE FORMI reto qd { \'o, erenqt sin dt pi

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    APPTICATIONFORM

    Space or recentpassportsizephotograph

    1. FirllNamelNBLOCKLETTERS)(Mr.A4rs.A/tiss)

    2.3.

    Sex(FA4)Postal ddresslNBLOCKLETTERS)

    i l4. Permanent omeAddresslNBLOCKLETTERS) t l | ]

    t l5. Dateof Birth

    DDMMYY(a)Nationalig

    b. DateofExpiryDDMMYY

    6. Countryofresidence7. FassportNo.

    a. Dateof IssueDDMMYY

    3

    c. Placeof Issue

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    Detailsabout Father/Guardian.(a ) Name

    ilb) Relation(F/G)(c) Occupation I II

    (d)NationarityI]-T-r]]l_Ill(e) i__i iddressofPermanentResidence fFather/Guardian

    Previous ducationalualifications(Seeattached heet)10. itiowledge of proficiency n English

    WrittenSpoken Good( ) Fair ( )Specifuevelofexamination assedn English ndgrades btained

    11. Knowledge f any other anguageWrittenSpokenUnderstand12. Givedetails,f any(a) Proficiencyacquiredn games,sports& athletics;and(b) Part taken n other extra-curricular r socialactivities13. State n Order of preferencehe courses hichyouwould ike o studyn India;*(Candidate houldbe very specificandclearabouthis courseof study,whichhe/shewisheso pursuen India.Scholarshipsare not availableor multiple studies).14. The cousewhich he scholarwould ike opursue n India.15. State n order of preference,he Universitieslnstitutes 1in India n whichyou seekadmission* 2(thiscolumn must be filled n by the candidate) 3Please ee ist at Appendix-S*Pleaserefer to "UniversitiesHandbookof India" availablewith the Indian DiplomaticMission n yourcountry. However, here sno guaranteeor admissionn the choiceof Universitylnstitution.In caseofnon-availability f aparticularcousen a particular nstitution, he councilwill forward he application oother Universitieslnstitutionswhere suchcourses re available.The councilwould ry toaccomodatehe candidatessper heir choice,/instifuteut hey mustbeprepared. to join other institutealso f they arenot foundsuitablen institutionchosenby them.

    G o o d ( ) F a i r ( )

    GoodGoodGoodFair PoorFair PoorFair Poor

    Poor ( )

    Name f coursestc.'123

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    16. PREVIOUS DUCAf,IONALQUAUFICATIONS

    (Tobe filledby Student)

    {ForOfficeUse)

    (Tobefilledby Student)

    (ForOfficeUse)

    (lic be filledby Student)

    (ForOfficeUse)

    (Tobe illedby Student)

    (ForOfficeUse)

    CERTIFICATE/DEGREE

    SCHOOL (Grade II )(Tobe illedby Student)

    (ForOfficeUse)

    UNDERGRADUATEfftne lpars counreafter GradeXIfnobefilledby Student)(ForOffice se)

    POSTGRADUATEfliwo vears'Masters'course fter the abovementioned underqraduateor five vears'Masters'course fibr gradeXIi)(]lcbe filledby Student)(ForOffice Use)

    DOCTORAL(AfterMasters'Degree)(Tobe illedby Student)

    (ForOfficeUse)Note : Details f any course n IndianUniversities hich hescholars currently ttending r hasattendedin pastmaybegivenbelow.

    Year Nameof Institute Course

    5

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    17 Give below the namesof two personswhom you haveasked o testify rom their personalknowledge o yourcharacter, tc.on theform prescribedorthe purpose.(Theymust notbe related oyou andshouldhavedirectknowledgeof youracademic ursuites).(a) Name

    StatusAddress

    (b) Nari;eStatusAddress

    18. Narne s)andaddresses)of close elative s)or friends,f any, n India.(lndicate lso elationship).19. Haveyou havelledor lived n India? If so,mentionplacesvisitedand datesof suchvisits.20. Haveyour everavailedof ICCR Scholarship?f so,givedetails.21. Any general emarkswhichyou would ike o offer(if thespace s not sufficient,attacha separate heetand sign he same).DatePlace Signatureof APPlicant

    I herebydeclare hat theparticulars ivenabovearehue to thebestof my knowledgeand belief, hat Ihaveunderstood he ermsand conditionsof the Scholarship chemeand thatI undertake o return omy countryafter completionof my studies n India.

    Signatureof Applicant

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    Appendix- 1CERTIFICATETO BE FURNISHEDBY THE INDIAN DIPLOMATICREPRESENTAflVECertified hat I am satisfiedthatMr.Mrs.Miss

    (Nameof candidate)ispermanentlydomiciled n

    (Nameofcountry)and on completion of his/herstudiesn Indiawillretum to

    ,*.:*" of the countryof domicile)

    Certified that the entries in the application form, particularsabout examinations passed,marks anddivisionsobtained,subjecbstudiedand the syllabicoveredhavebeen checkedwith the Originaldocumentsand that the application is complete n all respects.Attestedcopies of certificates,diplomas or degreesof Examinationpassedare enclosed.

    Date Signature

    Place Designation

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    Appendix- 2(CERTTFICATEFPHYSICALFITNESS)(Tobe filledby a RegisteredMedicalPractitionerin theapplicant'sountryof normalresidence)Nameof ApplicantAgeNationalityAddress(Street nd Number)(City)(Country)

    l. HistoryCheck ftereachdisease ndsymptomwith(i ) fo rpositiveindings nd(- ) or negativeindings-

    Cardiorespiratoryystem Shortof breathpain

    Scarlet everRheumatic everTyphoidSmallpoxGeng HeadacheEars.innitusNose

    ExpectorationPalpitation

    DephtheriaPneumoniaMalariaCholeraDeafnessObstructionChestPain

    SweatNightSweat

    fiomfronifrom

    TuberculosisVertigoScabiesSpotsEpistaxisCoughHaemoptysisTachycardiaTvwAIDS

    Givedetails f any njury, llness r operation uring hepast iveyears besure o listal l llnessesrirrluries)Month& YearInjuryof illness

    Operations.

    Period f disabilitytoto

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    II . PHYSICALEXAMINATIONMedical condition of :' Height Weight

    Describe bnormalitiesChestHead Nose LungsHeartF.yesEars

    PharynxNeck Re{lexes

    II I . LUNGSCommer.tmurefullyonconditionofapplicant'slungs.IV. SUMMARYI believehisapplicantS/ISNOT physically ble,to arryon a fuli-course f study' nvolving onghoursof work n a college r universityn ndia' n my opinion heapplicarrts'sealthandphysicalconditionngeneralareExcellentGoodPoor,She/he assuccessfullyaccinated gainst mallpox n (Date)She/hewassuccessfullyinoculatedagainstsmallpoxon(Date)She/hepresents o evidenceof communicable isease r of any fatigueand hasno physicaldefects'

    REMARKS

    Date SignatureAddress

    IMPORTANT:As a protective measure' those planning to study- n India are strongly advised to getyaicinated againJtvpi"iircholera beforecomingto lndia'g

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    rF _: -_, Appendix - 3CERTIFTCATEOF PROFICIENCYIN ENGLISH I.ANGUAGEMr./Ir4rs./Ivliss,isascholarromtand hasapplied ortheawardof a scholarshipunderthe

    Helstrehasffi theEnelishroficiencyTest onductedy heEnibassy.

    PlleDate

    Signature

    Designation

    Sealof the IndianDiplomaticMission

    10

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    Appendix-4TYPESOF SCHOLARSHTP CHEMESSCHOIARSHIP SCHEMES

    1.2.3.4.5.6.7.8.9.10.11 .t2.13.14.15.15.L7,18.19.20.2L .

    Comrnonwealth Scholarship/Fellowship lanCultural ExchangeProgrammeScholarshipSchemeGeneralCulturalScholarship chemeBangladesh cholarshipSchemeSri lanka ScholarshipSchemeMauritiusScholarshipSchemeICCRScholarshipSchemeReciprocalScholarshipSchemeAfrica Day ScholarshipSchemeOkita MemorialScholarshipSchemeCraft InstructorsScholarshipSchemeT.C.S. of ColomboPlanScholarshipSchemeAneurin BevanSilverJubileeScholarshipSchemeSAARC Chair/Fellowship Scheme .DADOO NAICKE.RMeakong GangaCooperationAid to MaldivesAyrsh Scholarship or BimstecMemberCountriesPost Doctoral MauritiusScholarship SchemeAfghan ScholarshipScheme

    1t

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    Appendix 5LISTOFUNIVERSI'I'IESNDOTHERINSTITUTIONSF I_IIGHEREARNING1. AgraUniversity, gra(UttarPradesh)2. AllahabadUniversity, llahabad UttarPradesh)3. AmravatiUniversip,Amravati(Maharashtra)4. Agriculir-rralUniversity,ajendranagarAndhraPradesh)5. AndhraUniversity,Waltair AndhraPradesh)6. Annamalai rriversity,nnamalai agar TarnilNadu)7. AllagappaUniversity, araiKudi (TamilNadu)8. r\runachalUniversity,ltanagar(ArunachalPradesh)9. Anna University,Madras TamilNadu)10. fusamAgricuituralUniversity,orhat fusam)11. AvadnUniversity, aizabadUttarPradesh)72. AwdeshPratapSinghUniversity, ewa, MadhyaDradesh)13. AjmerUniversity, jmer (Rajasthan)14. BanarasHindu University, aranasiUttarPradesh)15. Bangalore niversity, angaloreKarnataka)16. BerhampurUniversity, erhampur Orissa)17. BhagaipurUniversity, hagaipur Bihar)18. BharathiarUniversity,oimbatoreTamilNadu)19. Bharthidasan niversity, iiuchirapalli,TamilNadu)20. BhavnagarUniversity,havnagarGujarat)2I. BhopalVishwavidyalaya,hopal Madhya radesh)22. BidhanchandraftishiMshwavidyalaya, ohanpur WestBengai)?3. BiharUniversity,MuzaffarpurBihar)24. BombayUniversity, ombay Maharashha)25. BirsaAgriculturalUniversity, irsa Bihar)26. Bundelkhand niversity, hansi UttarPradesh)27. BurdwanUniversity, urdwan WestBengal)28. Barkatullah 'ishwavidyalaya,hopal MadhyaPradesh)29. CalcuttaUniversity, alcuttaWestBengal)30. ChandraShekharAzadUniversity fAgriculture Technology, anpur UttarPradesh)31. CalicutUniversity, alicut Kerala)32. CochinUniversity f Science Technology, ochin Kerala)33. CarmelCoilegeorWomen,Nuvem, Goa)34. Cenhe nstitute f Fisheries ducation ombay Maharashtra)35. Cent. nst.of HigherTibetanStudies, aranath, aranasiUttarPradesh)36. CuttakUniversity, uttack Orissa)37. DeccanCollege, ost-graduateesearchnstitute, une, Maharashha)38 Dakshina haratHindiPrachar abha39. Dr.MGRMedicalUniversity,Madras, 'larnilNadu)40. DelhiUniversity,Delhi)4I. DeviAhilyaMshwaVdydlaya, ndore MadhyaPradesh)42. DibrugarhUniversity, ibrugarh fusam)43. Dr.H.S.Garu MshwaVidhyalaya, agar MadhyaPradesh)14. \iS. ParmarUniversity fHorticulture Forestry, olan HimachalPradesh)

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    45. Film& Televisionnstitr"rtef India,Pune6. GobindBallabhPantUniversity f Agriculture Technology, antnagarUttarPradesh)47. GovindBallabPantUniversify, antNagar,Distt.Nainital, UttarPradesh)8. Govi.MedicalCollege, angaloreKarnataka)49. GandhijiUniversity, ottayarn Kerala)50 . GarhwalUniversity.riNagar UttarPradesh)51 . GuwahatiUniversity, uwahati Assam)52 . GoaUniversity, ambolirn Goa)53. GorakhpurUniversity,Gorakhpur UttarPradesh)g. GujaratAgricultureUniversity. anaskanthaGujarat)55. GujaratAyurveda niversity.)amnagarGujarat)56. GulbargaUniversity, hmedabad Gujarat)57. GujaratUniversity, hmedabadGujarat)58. Guru GhasidasUniversity. ilaspur MadhyaPradesh)59. HaryanaAgriculturalUniversity, issar Haryana)ffi. GuruNanakDevUniversity.mritsarPuniab)6I. HimachalPradeshtishi Vishwavidyalaya,alampurHimachalPradesh)62. HimachalPradesh niversity, imla Himachal radesh)63. HyderabadUniversity, yderabadAndhraPradesh)&. IndiraGandhi ftishiVishwavidyalaya,aipur Madhya radesh)65. lndoreUniversity,ndore MadhyaPradesh)6. IndiraKalaSangeet ishwavidyalaya,haragarhMadhyaPradesh)67. JadavpurUniversit5r,alcutta WestBengal)68. JamiaMillia slamiaUniversity, ewDelhi69. JammuUniversity, ammu(Jammu& Kashmir)70. JawaharialNehruTechnicalniversi!, Hyderabad AndhraPradesh)71,. JawaharlalNehru niversigr,NewDelhi)72. Jawaharlal ehru ftishiVishwavidyalaya,abalpur MadhyaPradesh)73. JodhpurUniversity,odhpur Rajasthan)74. JiwajiUniversitgr,walior MadhyaPradesh)75. KakatiyaUniversity,WarangalAndhraPradesh)76. KalyaniUniversity.alyani WestBengal)77 . KameshawarSinghSankritUniversity,arbangaBihar)78. KanpurUniversity, anpur Uttarpradesh)79. KarnatakaUniversity, harwad Karnataka)80. KashmirUniversity, azratBal,Srinagar Jammu& Kashmir)81. KashiVidyapith, aranasiUttarPradesh)82. KeralaAgriculturalAgriculturalniversity, ain Campus, iichur Kerala)83. KeralaUniversity, rivandrurnKerala)U. Konkan ftishiMdyapith,Dapoll Maharashtra)85. KumaonUniversity, ainital UttarPradesh)86. Kuruksheha niversity, urukheha (Haryana) '87. L.N. MithilaUniversity, arbhangaBihar)88. LucknowUniversi!, Lucknow(UttarPradesh)89. MaharaniCollege, aipur Rajasthan)

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    90. MahatmaGandhi University,Kottayam Kerala)91. MarathwadalftishiMdyapeeth,arbhani,Maharashtra)92. Maulana uad Collegeof Technology, hopal, MadhyaPradesh)93. M.S.University, f Baroda,Baroda Gujarat)94. MadrasUniversity,Madras TamilNadu)95. MaduraiKamarajUniversity,Madurai TamilNadu)96. MagadhUniversity, odh Gaya(Bihar)97. MahatmaPhule ftishiMdyapith,Phulenagar ahuri Maharashtra)98. MaharishiDag,anand niversity, ohtak Haryana)99. Mangalore niversity, angaloreKarnataka)1m. ManipurUniversity,mphal Manipur)101. MarathwadaUniversity, urangabadMaharastra)102. MeerutUniversity,Meerut UttarPradesh)103. MotherTeresaWomen'sUniversity, odaikanalTamilNadu)104. MysoreUniversity, ysore Karnataka)105. NationalDairyResearchnstitute, amal Haryana)i06. NationalLawSchoolof ndia,BangaloreKarnataka)I07 Nizams nst.of MedicalSciences, anjagutta, yderabad,AndhraPradesh)108. NagarjunaUniversit5r,agarjunagarAndhra adesh)109. NagpurUniversity, agpur Maharashha)110. NarendraDevaUniversity fAgriculture Technology, arendranagarUttarkadesh)111. North EasternHillUniversity, hillong Meghalaya)7L2. North BengalUniversity , arjeelingWestBengal)113. OrissaUniversity f Agriculture Technology, hubaneswarOrissa)114. OsmaniaUniversity, yderabad AndhraPradesh)115. PoorvanchalUniversity, aunpur,MadhyaPradesh116. PunjabUniversity, handigarhI17. PunjabiAgricuituralUniversity. udhiana Punjab)118. PunjabRao {rishiVdyapith,Akola(Maharashtra)119. PatnaUniversity, atna Bihar)I20. PoonaUniversity. une Maharashha)IzL. Pondichemy ental University,Pondichemy7n. PunjabiUniversity, atiala Punjab)7?3. Rajasthan griculturalUniversity, ikaner, Rajasthan)I24. RashtriyaSanskritMdyapeeth,Tirupati,(AndhraPradesh)125. Regional EngineeringCollege,Surathkal,SriniwasNagar(Kamataka)126. Rabindra BharatiUniversity, aipur(Rajasthan)I27. RabindraBharatiUniversity, alcutta WestBengal)128. RajasthanUniversity, aipur(Rajasthan)129. RajendraAgriculturalUniversity, amstipur Bihar)130. RanchiUniversity,Ranchi Bihar)131. RaniDurgawatiMshwavidyalaya,abalpur MadhyaPradesh)132. Ravi SankarUniversity,Raipur, MadhyaPradesh)133. RohilkhandUniversity,Bareilly Uttarkadesh)lY. MohanlalSukhadia University, daipur Rajasthan)135. SilcharfusamUniversity, ilchar Assam)

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    136. SreeChitra.Tirunal nstituteor MedicalSciences Technology,iivandrum Kerala)737. SarnbaipurUniversity. urla Orissa)138. SardarPatelUniversity, allabhvidya agar Gujarat)139. Sampurnanand anskrit ishwavidyalaya,aranasiUttarPradesh)140. Saurashtra niversity.Rajkot Guiarat)141. Sher-e-KashmirAgricultureTechnology niversity, rinagarJammu& Kashmir)142. ShivajiUniversity, olhapur Maharashha)143. S.N.D.T.WomensUniversity, ombay Maharashtra)1214. hriJagannathSarskrit'University,uri (Orissa)145. SouthGujaratUniversity, urat Gujarat)lqr. Sri {rishndevaraya niversip,Anantpur AndhraPradesh747 Shri PadamavatiMahilaMshwavidyala, irupati.(Andhra radesh)148. SriVenkateswara niversity, irupati AndhraPradeshI49. TeluguUniversity, yderabadAndhraPradesh)150. Thapar nst.of Engg.& Tech.Patiala, P/njab)151. TilakMaharashtra dyapeeth, une, Maharashtra)152. TripuraUniversity, gartala, Tripura)153. TarnilNaduAgricultural niversity, oimbatoreTamilNadrl7V. TamilUniversity. hanjavur TamilNadu)155. University fAgricultural cience, harwad Maharashtra)156. University f HealthSciences, ijaywada AndhraPradesh)757. Universip f Jammu, ammu. Jammu& Kashmir)158. University f Kashmir, rinagar,Jammu& Kashmir)159. University f Agricultural cience, angalore,Karnataka)160. UtkalUniversity, hubaneshawarOrissa).161. MdyaSagarUniversity,MidnaporeWestBengal)162. VikramUniversity.Ujjain(MadhyaPradesh)163. MshwabhartiUniversip,Shantiniketan.WestBengal)I&. Banasthali idyapith.BanasthaliRajasthan)165. Central nstitute f English Foregin anguages, yderabad AndhraPradesh)766. DayalbaghEducation;rlnstitute, gra UttarPradesh)167 GandhigramRural nstitute, andhigramTamilNadu)168. GujaratVidyapith,Ahmedabad Gujarat)169. GurukulKangriViswavidyalaya, ardwar UttarPradesh)170. IndianAgriculturalResearchnstitute, ewDelhi777. Indian nstitute f Management. hmedabadGujarat)772. Indian nstitute fManagement, angaloreKarnataka)773. Indian nstitute fManagement, alcuttaWestBengal)I74. Indian nstitute f Science. angaloreKarnataka)775. IndianSchoolofMines,Dhanbad Bihar)176. Internationalnstitute f Papulation ciences, ombay Maharashtra)I77. IndianVeternaryResearchnstitutem,zathagarUttarPradesh)178. Schoolofplanningand architecture,ewDelhi779. Sri SathyaSai nstitute f Higher earning, nantpur AndhraPradesh)180. Tatanstitute f Socialsciences, ombay Maharashtra)181. IndianStaticallnstitute, alcutta WestBengal)

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    TNSTTTUTIONS/ORGANTSATTONSOR LEARNTNGDANCEA{US|C/FINE ARTS ETC.NAME OF THEINSTITUTE NAME OF THECOURSE NAME OF THEGURUINCHARGE

    . Abhinayaa,New Delhi Bharatauatyam Ms, JayahtksiimiEsfrwar

    . Akhil Bharatiya GandharvaMahaVidyalaya,Mumbai Music AcharyaPt. NarayanRao Bodas,Bharat Kalaniah. Chennai Bharatanatyram Mr.V. P.Bhartiya sangeetSadan, New Delhi Katha Kathak. Music Ms. Uma ShanmaBhatkhandeSangeetSansthan,and Lucknow (UttarPradesh) Dance and Music Prof. Vidya Ohar VyasCentre for IndianGassialDances,New Delhi Bharatanatuatn.Odissi Ms. SonalChitambararnAcademy of PerformingArts,Chennai Bharatanatyam Snru Chitra VisweswaranCollegeof Art, New Delhi FineArts Prof. M. Vijay Mohan, PriDhwani. New Delhi Hindustani Ms. Viiswati Mishra

    Music,Tabla, Gthak0. GandharvaMahavidyalaya,New Delhi Music& Dance Dr1 . Ganesa Natyaiaya, New Delhi Bharatanatyain& CaniaticMusic Ms. SarojaV'aidyanathan. Kadajiib,Ahmedabad,Gujrat Kathak Ms. Kumudini -akhia

    3. Kaivalvadham. Lonavala (Maharashtra) Yoga Shri R.S. Bhopal.Princ4 KalakshetraFoundationChennai lamil Nadu) MusicandBharatanatvamDance Ms. l-eelaSamson,Director5. Kathak Kendra. New Delhi Kathak Shri J.P. Potdar,Director6. InternationalCentre for Kathakali.New Delhi Kathakali Shri P.V. Sadanam7 . KeralaKalamandatam,Cheruthuruthy

    (Kerala)Kathakali Shri PrabhoChandaranNair.

    President8. KuchioudiDance Centre. New Delhi Kuchipudi Ms. Swapnasundari9. L-alitKalaAcaderny,Mysore Bharatanatyam GuruSmi, Uma Rao

    . Margi Kathakali School, Thiruvanathapuram Kathakali Mr. P. Rama yer, Prog. Chief

    . NalandaAcademy,Mumbai Bharatnatyam,Kathakali,Mohiniattam Ms. Kanak Rele, Director2. National School of Drama. New Delhi Theatre Courses Mr. DcvenderRal Ankur, Director3. Nritvagram,Bangalore Karnataka) Odissi Ms. Lvnn Ferniuides,Managing Trustee4. Nritvam.New Delhi Bharatanatyam Ms. PadmaSampathkumaran

    . Nupur Schoolof Bharatanatyam, angalore Bharatanatyam Srnt. Lalitha Srinivasan6. Tri-kalaaGurukulam,Delhi Carnatic Music Dr. Prof. Leela Omcherrv7 PadatikDance Centre. Kolkata L(athak Dr. JavasriMitra

    . PracheenKala Kendra,Chandigarh Kathak Mr. M.L. Koser, Reg-cum-Secretary9. ShriramBharativa Kala Kendra,New Delhi Dance and Music Ms. MeeraMahapatra,Principal0. Triveni Kala Sanqam. New Delhi Dance and Music Ms. SundariK. Shridharani.Director1 . Umak Centre for Culture.New Delhi Sitar Pt. Debu Chaudhuri

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    1. Name n full (CapitalLetters)

    Indian council for cultural Relations Appendix.PERSONAL PARTICULARS OF THE CANDIDATE

    Sumame FirstNarne MiddlnNu;2. Nationality3. Dateof Birth (inChristianEra)4. Farentage, ot'n

    x (a) Father's ame n full (CapitalLetters)togetherwith hisnationality

    Month Year

    Sumame rrrsr \ame MiddleName(b) Mother'sname nfull (CapitalLetters)togetherwith his/her ationality _ Sumame5. Nameof Spousen full (CapitalLetters)togetherwith his/her ationality incase f

    rrrsr \ame MiddleName

    manieil persons nly).6. Contact Address

    7. PermanentAddress.

    8. Fassport umber,dateand placeofissue nd tsvalidity f available.9. Occupation -No. Dateof Issue Dateof Expiry placeof issue10. Whetherpreviougly isited ndia?If so,dateandplaceof previous isit.* Full name and not initialsare.required.

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    Appendix-7L) INDIAN COUNCILFORCULTURALRETATIONSN,AD BHAVAN,.PESTATE,T{EWEI}II-I10002.

    InternationalScholarshipDivisonJOININGREPORTOF THESCHOLAR

    1,23.4.J .6.7.

    Nameof the scholar.Nameof the schemeunderr,vhich electedCountryof domhileCourseof studyDate of leaving he countyDateof drrivalin IndiaDateofjoiningtheInstituteCIniversityName of the InsitituteiUniversitywhereadmittedDuration of the entirecourse

    8.9. Date Month Year

    from:To:

    11.

    12.

    13.74.

    15.

    10. Durationof summervacation hom:To :

    Nameof hecompettintauthoritynwhose ame hemaintenancellowancetc.should esent.Hostel r residentialddressof hescholaratthealce fstudynIndia.Fassportumberwithdurationofthepassport.Whetherallotedostelaccommodation fso.name f hehostelRollNo.Eeg.No./I.C.No.

    Note: This oage may be trornout and kept with candidate,Upon completionof all registration ormalities hisformi may be returned to ISD Section, ICCR in personor by post. Pleaseensurethat the form is dulystamped nd signed y concerne.duthoritiesn the nstitutio.nUniversity here he scholaroins.

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    L4. COMPUI-SOFYFEES

    Tuition eeAdmissioneeEnrolmentfeeRegistrationeeLaboratoryfeeCollegeExam.eeUniversity xam. eeMarkssheet eeIdentityCard eeLibrary eading oom feeGyrnkhana/GamesiAthleticeeUnion eefusociation eeRecreationeeMedicalfeeVsualfeePoorStudentAicieeNameof anyother eewhichiscompulsory.Hostel ent Room ent,water&electricityharges ith breakup)

    I I IMIVVYR. YR. YR. YR. YR.

    Any other chargesnot covered above & details hereof:-In case h e scholarhas not been allottedany hostelaccomodation or himselfdue to non-availability ofaccommodation in the hostel, a certificate o this effect stating that "This is to certify that as no hostelaccommodation was available, the scholar could not be provided hostel accommodation and helshe hadh i r e d p r i v a te a c c o m m o d a t i o n fo r w h i c h h e i s p ay i n g R s ' - P M . t ot h e l a n d l o r d ' ' m ay b e s e n tto the Council separately.

    Signature fHeadof the nstitute

    Name n BlockLetterDesignation nd sealIrnportantStudentsmaykindlynote hat n any utureconesspondenceith ICCR, henameof thecountry, cholarshipcheme ndyearof oiningmustbe mentioned.

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    10)

    11)

    12)13)

    14)

    15)

    Before departing for India the scholarsshouldseeka full briefing from the IndianDiplomatic Mission n their countryabout living conditions n India/the detailsofscholarshipthetype anddurationof thecourse o whichhe/sheis admitted.Scholarsshould nform the Indian Embassyz/High ommissionof their travelschedulewell inadvance o that ICCR can make receptionand otherarrangementsor them.Hostel accommodation s not guaranteedand is an exceptionrather than an assuredfacility. The accommodationallowance hat ICCR gives,allows 2 to 3 students o"chum up", and sharea small lat.Scholars are advised to carry some money to meet some incidentalexpenditure on arrival.All intendingcandidates hould n their own interestobtaina certificate hat thev arefree from AIDS prior to their departureor India.Even n India, he applicantwouldhave to go for AIDS test before the admissions finallygiven o overseas cholars. ncaseany of the nominees s found to be HIV positive n India the scholarwill berepatriatedmmediately nd he Councilwouldnot bearanyexpenses n thisaccount.The scholarswho are awardedscholarships houldbring with them all documentsrelating o their qualificationsn orginal for verificationby the respectivecollege/universityat the time of admissions.Thisapplication orm containsa 'tear-out'sheetat Appendix-7 itled"JoiningReponof the Scholar".This form shouldnot be submitted longwith he main application.Instead, he 'Joining Report' form should be removed and submitted toICCR by the scholar in the event the scholar has been granted scholarshipand only after the scholarhas joined an educationalnstitute n India. This formshouldbe submittedwith the required tamp& signature f the Instituteauthorities.For information not availablen the "UniversitiesHandbook" or from the IndianMissions broad,applicants re welcome o contact he "lSD Division"at any of thefollowing telephone/e-mailaddress:

    Director(S)ProgrammeDirector(ISD-DProgrammeDirector SD-ll)ProgrammeDirector (AS)ProgrammeOfficer's lSD-l& ID

    Email :-urmil. [email protected]. [email protected]@iccrindia.orgkewal. rishan@ccrindia. rg

    2337A77823370397233793642337047323370784

    16)

    123A+5