************************************************************************ PLEASE COMPLETE AND INCLUDE THIS FORM WITH YOUR APPLICATION ************************************************************************
2018 IFITT ICT4D Scholarship Submission Checklist
Name: _____________________________________________________________________
Research title: _______________________________________________________________
Status of research: ____________________________________________________________
I hereby declare that the following documents are enclosed in my application: [ ] Motivation Letter
[ ] Research Outline and Relevance to Local Development [ ] Curriculum Vitae
[ ] Proofs of IFITT ICT4D eligibility (please refer to eligibility criteria)
How did you hear about the competition? __________________________________________
[ ] I hereby confirm that I have read and understood the eligibility criteria of the ICT4D scholarship competition.
[ ] I hereby confirm that I have read and understood the terms and conditions of the ICT4D scholarship competition.
Date Signature
