Please attach your recent photo here
The British Chevening Awards Application Form 2002/2003
• Applicant should read the British Chevening Awards scheme requirements before completing this form.
• Please complete all parts of this form in black ink or typescript and attach a recent photograph in the space above.
• DO NOT attach CVs or resumes or any other papers instead of completing any section of the application form.
• Please submit the completed application form to the British Council by Email, Fax or mail Incomplete forms will not be accepted.
1 FULL NAME
2 SEX(please tick) Male Female
!
3 NATIONALITY 4 MARITAL STATUS
Single
!
Married!
5.
PLACE & DATE OF BIRTH6.
ADDRESS FORCORRESPONDENCE Telephone / Mobile Phone, Fax number and Email Address 7. DETAILS OF YOUR
UNIVERSITY/COLLEGE EDUCATION
* Please mark with an E any field conducted wholly (or almost wholly) in English
** Please be as precise as possible about the qualification obtained, including the grade. For degrees, please state the GPA.
Institutions Field of Study* Dates Attended
Qualification **
Obtained
8.
PAST AND PRESENT JOBSPlease give brief details of the positions, starting with the most recent (please give dates)
9.
BRIEFLY DESCRIBE YOUR CURRENT DUTIES (It is not sufficient simply to state the Department / Section in which you are employed)10.
HOBBIES /INTERESTSPlease explain what you do with your free time and why
11.
WHAT FIELD OF STUDY DO YOU PROPOSE TOUNDERTAKE IN THE UK?
12.
WHY HAVE YOU CHOSEN THIS FIELD OF STUDY?13.
HOW DO YOU THINKSTUDYING IN THE UK WILL AFFECT YOUR CAREER?
14.
HOW WILL YOUR STUDYING IN THE UK BE OF BENEFIT TO INDONESIA GENERALLY?15.
WHAT JOB, OR POSITION, DO YOU HOPE TO HOLD IN TEN YEARS’ TIME?16.
THIS SCHEME IS HIGHLY COMPETITIVE. WHY SHOULD YOU BE CHOSEN FROM AMONG MANY GOOD APPLICANTS?17.
GIVE NAMES OF TWO PEOPLE WHO ARE WILLING TO PROVIDE ARECOMMENDATION LETTER (With Title, Occupation, Address, etc)
17.
IN WHICH CITY WOULD YOU PREFER TO BEINTERVIEWED?
(please tick)
Jakarta Bandung Yogyakarta
Surabaya Denpasar Medan
Balikpapan Makassar Jayapura
Kupang
19. PLEASE GIVE DETAILS OF TWO EXPERIENCES WHICH HAVE MOST INFLUENCED YOUR LIFE AND EXPLAIN WHY
SIGNATURE:………. DATE:……….
