APPLICATION FOR MIND
UNDERGRADUATE SCHOLARSHIP

APPLICATION FOR UNDERGRADUATE SCHOLARSHIP

IMPORTANT:

Please read the instructions carefully prior to filling the form. Due to the large number of applications received, candidates will be shortlisted according to information furnished in this form. Any incorrect information furnished by the applicant will result in disqualification of the applicant from the scholarship program.

Only full-time 3rd year students who are citizens of Sri Lanka are eligible to apply for scholarships under this programme.
The details of education and the present performance at the university will be verified with the Dean of the faculty.
In the event of false information being discovered after the scholarship has been awarded, MIND reserves the right to cancel the same. Applicants need to produce original certificates (educational, sports, etc.) if they are called for an interview.
Applications that are incomplete and not received on the closing date will be rejected.

PERSONAL INFORMATION

1. Full Name *

2. Permanent Address *

3. Contact Number *

4. Email *

FINANCIAL STATUS

Original copies of relevant documents must be brought to the interview.

Details of family income (Please include all members of the family living with you, including self)

Family Member 1

5. Family Member 1 (Relationship to applicant) *

6. Occupation of Member 1

7. Place of work (if applicable)

8. Annual Income (if applicable)

Family Member 2 (optional)

9. Family Member 2 (Relationship to applicant)

10. Occupation of Member 2

11. Place of work (if applicable)

12. Annual Income (if applicable)

Family Member 3 (optional)

13. Family Member 3 (Relationship to applicant)

14. Occupation of Member 3

15. Place of work (if applicable)

16. Annual Income (if applicable)

17. If you are now receiving a scholarship or any other funds from the government/other institution, state the amount and other details.

State all other income derived from estates, land, houses, shares, etc., by the family

18. Source 1

19. Amount Earned

20. Source 2

21. Amount Earned

22. Source 3

23. Amount Earned

24. Other income sources and amount

EDUCATION AND ACADEMIC PERFORMANCE

25. University *

26. Faculty *

27. Year of GCE (A/L) examination from which you qualified to enter University *

28. Field of study *

29. Present level (year) at the faculty *

30. GPA for 1st Year * Documentary proof must be brought to the interview

31. GPA for 2nd Year * Documentary proof must be brought to the interview

32. Grade obtained in the O/L English language *

33. Grade obtained in the A/L English language *

PROFESSIONAL QUALIFICATIONS / EXPERIENCE

Study courses followed (e.g., CIMA or part exam, Diplomas, English courses, etc. work experience, etc.)

34. Courses

EXTRA CURRICULAR ACTIVITIES

State in brief the activities e.g. school prefect, member debating team, cricket team or any other field of sport, music, drama, religious activities etc. in school, University or in private capacity.

35. Extra Curricular Activities

APPLICATION FOR MINDUNDERGRADUATE SCHOLARSHIP

IMPORTANT:

Family Member 1

Family Member 2 (optional)

Family Member 3 (optional)

APPLICATION FOR MIND
UNDERGRADUATE SCHOLARSHIP