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SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr....

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T o, No.F. l 2- l/20 12-ES.3 Government of In dia SPEED POST Ministry of Human Resource Development (Department of Hi gher Education) The Candidate < refer list appended > External Scholarship Divisi on, 2nd Fl oor, Wing 6, West Block-I, R.K.Puram. Delhi - I I 0066 the 4 /f. January, 2013 Subject: Israel Government Scholarship 201 3 for Research/ Speciali zati on in < refer list appended > Sir/ Madam, With ref erence to your application on the subject mentioned above, you are hereby requested to appear fo r an intervi ew before the Selecti on Committee on the < 23 I 24 1 h > January 2013 (10.30 a.m. I 1.30 p.m.) in External Scholarship Division, 2"d Fl oor, Wing 6, West Bl ock-1 , RK Puram, De lhi- 11 0066 (in front of Sewa Bhavan, Gate No.2, within a kil ometer from Hotel Hyatt Regency). 2. To appear in interview you must bring the foll owing papers/documents; appli cati on duly fill ed-in, co mpl ete in all respects. i) All Ori gin al Certifi cates/Degrees including Experience Certifi cate(s) for verification. i i) Th ree copies of each relevant document in support of age, educati onal qua li fi cati on and experience etc; duly attested by a Gazetted Offi cer. iii) Three passport size photographs pasted on the enclosed appli cation form (in trip li cate). Th e medical certifi cate in the form shoul d be duly certifi ed. iv) No Ob jecti on Certifi cate from your employer, if employed. v) Bring your Journey Tickets (o ri gin al ticket of inward-journey and photo-copy of ticket fo r outward-journey) for TA Claim. 3. Outstation candidates will be paid second class sleeper ticket fare by MaiVExpress train (and/or l ower class bus fare where trai n facilities are not available) by the shortest ro ute from thei r place of duty/ residence/study-in-India to Delhi/ New-Delhi and back. TA claim fo rm (enclosed) may please be completed and handed over to the concern ed before the interview. Pl ease keep in view (while arranging return journey ticket) that the intervi ew may continue t ill even in g. 4. 1t must be clearly understood that the date/time of your intervi ew is fi xed and ca nnot under any circumstances be al tered. You are therefore advised to take a ll precautions to arrive in ti me. 5. Kindly also bring- -attested Engli sh version of degrees/ ce rti ficates which are in language other than English. - copies ofletters/e-mails exchanged with universities/supervisors in Israel. -hard copy of your application (if application was sent on-line) with project/ proposal of study/ research to be undertaken in Israel (at least 500 wo rd s). Encl os ure: as above Yours faithfu ll y, (Jyoti Prakash Agarwal) Assistant Educati onal Adviser {Techni cal) Tete. No. 261 72492/ 26172917
Transcript
Page 1: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

To,

No.F. l2- l/20 12-ES.3 Government of India

SPEED POST

Ministry of Human Resource Development (Department of Higher Education)

The Candidate < refer list appended >

External Scholarship Division, 2nd Floor, Wing 6, West Block- I,

R.K.Puram. Delhi - I I 0066 the 4 /f. January, 2013

Subject: Israel Government Scholarship 201 3 for Research/ Specialization in < refer list appended >

Sir/ Madam,

With reference to your application on the subject mentioned above, you are hereby requested to appear for an interview before the Selection Committee on the < 23 I 241

h > January 2013 (10.30 a.m. I 1.30 p.m.) in External Scholarship Division, 2"d Floor, Wing 6, West Block-1 , RK Puram, Delhi- 11 0066 (in front of Sewa Bhavan, Gate No.2, within a kilometer from Hotel Hyatt Regency).

2. To appear in interview you must bring the following papers/documents; application duly fill ed-in, complete in all respects.

i) All Original Certificates/Degrees including Experience Certificate(s) for verification. ii) Three copies of each relevant document in support of age, educational quali fication and

experience etc; duly attested by a Gazetted Offi cer. iii) Three passport size photographs pasted on the enclosed application form (in triplicate).

The medical certificate in the form should be duly certifi ed. iv) No Objection Certificate from your employer, if employed. v) Bring your Journey Tickets (original ticket of inward-journey and photo-copy of ticket

for outward-journey) for TA Claim.

3. Outstation candidates will be paid second class sleeper ticket fare by MaiVExpress train (and/or lower class bus fare where train facilities are not avai lable) by the shortest route from thei r place of duty/ residence/study-in-Ind ia to Delhi/ New-Delhi and back. TA claim form (enclosed) may please be completed and handed over to the concerned before the interview. Please keep in view (while arranging return journey ticket) that the interview may continue till evening.

4. 1t must be clearly understood that the date/time of your interview is fixed and cannot under any circumstances be altered. You are therefore advised to take all precautions to arrive in time.

5. Kindly also bring--attested English version of degrees/ certificates which are in language other than English. - copies ofletters/e-mails exchanged with universities/supervisors in Israel. -hard copy of your application (if application was sent on-line) with project/ proposal of study/

research to be undertaken in Israel (at least 500 words).

Enclosure: as above

Yours faithfully,

~ (Jyoti Prakash Agarwal)

Assistant Educational Adviser {Technical) Tete. No. 261 72492/ 26 172917

Page 2: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

BIO-TECHNOLOGY (Date of Interview: 23-01-2013,10:30 a.m.)

S.No. Name of the Candidate. Date of Birth 1. Mr. Om Singh Rathore 01-07-1987 2. Mr. Gollapati Samuel Raju 10-09-1988 3. Mr. Swapnil Ganesh Sanmukh 07-11-1985 4. Mr. Ranjeet Singh Mahla 01-08-1984 5. Mr. Amit Dubey 07-02-1987 6. Mr. Satya Prakash 26-12 .... 1988 7. Miss. Parul Srivastava 12-06-1987 8. Mr. Daspute Abhijit Arun 07-01-1987 9. Mr. Yogendra Kumar Verma 15-04-1982 10. Miss. Avnika Singh 27-02-1984 11 . Mr. Asheesh Kumar Pandey 15-09-1980 12. Mr. Swapnil Baburao Kadam 18-07-1983

BIOLOGY (Date of Interview: 23-01-2013,10:30 a.m.)

S.No. Name of the Candidate Date of Birth 1. Mr. Sumit Pal 01-08-1985 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 5. Mr. Vindhya Vikram Singh 01-07-1987 6. Miss. Ekta Singh 22-06-1985

MIDDLE EAST STUDIES (Date of Interview: 23-01-2013,1 :30 p.m.)

S.No. Name of the Candidate Date of Birth 1. Md. Muddassir Quamar 01-04-1984 2. Mr. Hriday Ch. Sarma 25-08-1985 3. Mr. Alok Kumar Satapathy 11-06-1987

AGRICULTURE (Date of Interview: 23-01-2013,1:30 p.m)

Name of the Candidate Date of Birth Mr. Ravindra Pal Sin h 04-05-1983

( f/P. )

Page 3: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

ENVIRONMENTAL STUDIES (Date of Interview: 24-01-2013,10:30 a.m.)

S.No. Name of the Candidate Date of Birth 1. Mr. Aviral Singh Rana 27-03-1988 2. Mr. Mahesh Kumar 02-12-1985 3. Mr. Navaneet Chaturvedi 14-01-1984 4. Mr. Chidambara T. 04-05-1987 5. Mr. Abhay Deshmukh 01 -10-1982

BUSINESS MANAGEMENT (Date of Interview: 24-01-2013,10:30 a.m.)

S.No. Name of the Candidate Date of Birth 1. Mr. Naveen Kumar 02-08-1969 2. Mr. S. Radhakrishnan 12-06-1984 3. Mr. Peter Varghese 26-05-1976 4. Mr. Midhun V Mathew 08-08-1986

MASS COMMUNICATION (Date of Interview: 24-01-2013,1:30 p.m.)

Name of the Candidate Date of Birth Mr. Vishnudas Sheshrao Cha ke 15-05-1983

CHEMISTRY (Date of Interview: 24-01-2013,1:30 p.m.)

S.No. Name of the Candidate Date of Birth 1. Mr. G. Thiyagarajan 19-12-1984 2. Mr. Ravi Kumar 30-10-1988 3. Mr. L Narayana Swamy Pulagam 08-05-1990

Page 4: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

.. -~~---------------------------~~--~~--------~----Instructions for completing the application forms for a scholarship to

study in Israel

Please read carefully and follow th.: instructions

l. Application forms should be filled in 3 copies. To each copy you should attach a copy of all the documents required for this application. One· copy goes to the embassy, one to the Ministry of Foreign Affairs and one to the university. This is why each set has to be a complete set of documents. ,

2. Academic year: It should be the following academic year. Example: lfyouapply in December 2006 you should apply for t.he academic year 2007-2008.

3. Country of origin: You should apply in the country of your citizenship even if you are outside your country. You will need to compete with can~idates from your country of origin and therefore you should apply there. You cannot apply directly to the Israeli Ministry of Foreign Affairs and in most countries you need to apply through the local authority and not directly through the Israeli emba<;sy. Students that hold another citizenship of a country that is on the list of countries on our website can apply in both countries.

4. Photograph: Please staple one photo to each copy of your application.

5. Scholarship required: You can choose from a short-term scholarship or a long-term scholarship. If you wish you can apply to both but you can be granted either a short or a long program.

5.1. Short Term Scholarship- It is granted for a Summer Language Course (Uipan). At presentthe Ulpan courses that we offer are a 3-4 weeks program in the U\pan ofHaifaUniversity. Ulpans of other universities and other Summer Courses, are not accepted. Haifa University Ulpan: www.uhaifa.org ·,

5.2. Long Term Scholarship- It is granted for a period of maximum 8 months (one academic ye11r). Students can apply to the programs that are listed below in the order of preference and priority of the Ministry:

5.2.1. Post Doctorate Program: Students will need to present a research plan and an acceptance letter from an Israeli supervisor from one of the Israeli universities.

5.2.2. Research program: Students .can fonn their own research program . under the supervision of an Israeli . supervisor · from one of the Israeli universities. Candidates will need to present a research phin and an acceptance letter. .

5.2.3. Ph.D Students: It is possibl~t for Ph.D students who are registered to Ph.D studies to &pply for one-year scholarship ..

···~

Page 5: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

-····~-------from the Ministry. This scholarship is not renewable and the student will need to find other sources to finance the full degree. Registration to the' Ph.D program is at the student's rdponsibllity~·'The student will need to meet the university requirements for the Ph.D program.

5.2.4. M.A. students: It is possible fe-r M.A. students who are registered to M.A. studies to apply for one-year scholarship from the Ministry. This scholarship is not renewable and the student will need to find other sources to finance the full degree. Registration to the M,A. program is at the student's responsibility and the student will need to meet the university requirements for the M.A. program.

5.2.5. Overseas program: It is possible to register to one of the overseas programs under the following restrictions: The· scholarship will be given for one year only and NOT the full program. The scholarship will include Health Insurance and either tuition fees or living expenses but not both. Students can apply for scholarships from other funds in order to complete the high. cost of. the. overseas programs. Tuition fees will not include ·extra courses such · as summer Ulpan, Arabic Ulpan or any other additional . . course offered by the overseas program.

6. Personal details: Please fill up your personal details as clear as possible, preferably printed. This information will be used to contact you during the process of application, so please specify any other mailing address, additional telephone numbers and additional e-mail addresses (please print clearly!).

7. Universities: You can apply to any of the fol\0\~ng universities: Tel Aviv University, The Hebrew University, Haifa University, Bar llan University, Ben-Gurion University, Technion,· Bezalel School for Art, the Volcani Center/Agricultural Research Organization, and the Weizmann Institute.

Each university has a different procedure of registration:

The Hebrew University

The Hebrew University is very strict with its requirements for enrollment. Except for Ph.D and M.A. students that are registered directly as regular students in the university, all other overseas students must register through the Rothberg International School of Overseas Students. Students who wish to study at The Hebrew University must fill up on top of this application form the Rothberg School application form in order for us to understand which program they are applying for. They will also need to enclose the entire required document by The Hebrew University and by us. Information about studying at Rothberg International School can be found at: http:/ /overseas.huj i .ac.il

- ·-·-------------~-------

I

Page 6: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

-----···-··---·-----------------------------··'-'-'·-"· The application for The Hebrew University can be downloaded from:

0 hltpj'oy.:rsc,;as.hujj_,1t£. illw:ad · apply..J!df ~v;/ "\f'\ ...

l'rot.uams at The Hebrew Univer§:i!y: Visiting Student, Visiting Graduate Student, Visiting Research Student, Visiting Research Fellow, M.A. program

Please note that all programs except for Visiting Research Fellow are full \\ programs that require full tuition fees. For these programs the Ministry's ~ scholarship covers either tuition fees or living expenses but NOT both.

In the Visiting Research Fellow (VRF) the Ministry's scholarship, covers both tuition fees and living expenses. However, The Hebrew University's policy regarding VRF students does not allow them to participate in the university courses and does not allow VRF students to be eligible for dormitory accommodation. Students have to take this into consideration when applying for VRF status.

Another important remark: Students who are eligible for dormitory accommodation at The Hebrew University are required to pay the dorms fee , for the whole year in advance ($1700). · --· ----· . --"--..:.

Tel Aviv Universitv

Research students at Tel Aviv University enjoy a special status. They do not have to go through the regular procedure of registration as long as they have a supervisor that is willing to host them. In this case the procedure is fairly easy. The applicant's file is transferred to the Academic Secretary that verifies with the supervisor that he/she is willing to guide the candidate in his/her department. The supervisor will coordinate with the candidate a research._plall and will· follow the progress of the research. Research students will be exempt from 'tuition fees and will be entitled for a living expenses grant.

The option for Tel Aviv University is The Lowy Overseas School that offers few programs. For details please check: http://www.tau.ac.il/overseas Please note: The Ministry's scholarship for the overseas program students covers tuition fees or living expenses but NOT both. Extra courses such as Hebrew Ulpan and Arabic' Ulpan are not covered by the scholarship. Candidates for the 1\-t.A. program need to fill up also the Tel Aviv M.A. program application forms that can be mailed directly to the overseas program or to the Ministry.

Students who are registered for Ph.D or M.A. as regular students at Tel Aviv University need to fill only the Ministry's application form but they need to register to the university on their own.

Page 7: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

-----------.-.;c,.~. ----·-· --------------------..,---· The application for The Hebrew University can be downloaded from: h 1J pj_oy.,;r~~as. b!ljL.f!.!;.,_il/ g1:ad apgl y .Jl<if

Programs at The Hebrew University: Visiting Student, Visiting Graduate Student, Visiting Research Student, Visiting Research Fellow, M.A. program

Please note that all programs except for Visiting Research Fellow are full \\ programs that require full tuition fees. For these programs the Ministry's p scholarship covers either tuition fees or living expenses but NOT both. ·

In the Visiting Research Fellow (VRF) the Ministry's scholarship,covers both tuition fees and living expenses. However, The Hebrew University's policy regarding VRF students does not allow them to participate in the university courses and does not allow VRF students to be eligible for dormitory accommodation. Students have to take this into consideration when applying for VRF status.

Another important remark: Students who are eligible for dormitory accommodation at The Hebrew University arc required to pay the dorms fee • for the whole year in advance ($1700). - · - ----·------

Tel Aviv University

Research students at Tel Aviv University enjoy a special status. They do not have to go through the regular procedure of registration as long as they have a supervisor that is willing to host them. In this case the procedure is fairly easy. The applicant's tile is transferred to the Academic Secretary that verifies with the supervisor that he/she is willing to guide the candidate in his/her department. The supervisor will coordinate with the candidate a research .. plan and will · follow the progress of the research. Research students will be exempt from 'tuition fees and will be entitled for a Jiving expenses grant.

The option for Tel Aviv University is The Lowy Overseas Scliboi that offers few programs. For details please check: http://www.t_au.ac.il/overseas Please note: The Ministry's scholarship for the overseas program students covers tuition fees or living expenses but NOT both. Extra courses such as Hebrew Ulpan and Arabic· Ulpan are not covered by the scholarship. Candidates for the M.A. program need to fill up also the Tel Aviv M.A. program application forms that can be mailed directly to the overseas program or to the Ministry.

Students who are registered for Ph.D or M.A. as regular students at Tel Aviv University need to fill only the Ministry's application form but they need to register to the university on their own.

Page 8: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

~/

---···------..,_~---~---------------------

or..,. Haifa University

Haifa University also offers anov~rseas.prp~ram. For details: www.uhaifa.org Please note: The Ministry's scholarship for oversea~ students covers tuition fees or living expenses but NOT both. Extra courses, such as Hebrew Ulpan, are not covered by the scholarship.

Students who are registered for Ph.D or M.A. as regular students at Haifa University need to fill only the Ministry's application form but they need to register to the university on their own. ·

The overseas unit hosts research students on the condition that they have a supervisor who is willing to guide them. · ·

Technion

Candidates for the Technion have to go through the long and complicated process of registration to the Technion. Only once they are registered and accepted, the scholarship could be granted depending on the program that the candidate has chosen.

Contact person at the Technion for registration: rod!ca(a)tx.technion.ac.il

Ben-Gurion University, Bar Han University, Weizmann Institute and Volcani Center/Agricultural Research Organization

These institutes are offering programs for research students only. The candidates should find their supervisor and try to present an acceptance letter by the supervisor.

Bezalel School for Art

Candidates for the Bezalel School for Art need to find a program that would suit their needs and be accepted by the Bezalel School. Due to the high tuition fees at Bezalel School for Art the scholarship will cover tuition fees or living expenses but not both. It is important to know that the scholarship does n0t cover materials required for any specific art . and· that the cost of such • materials could be quite significant.

8. Current and previous University Education: Please specify any· previous academic experience you have including your currel\t enrolment. It is important to know when you started the degree, how long would it take and what degree will you receive when you graduate. It is extremely important for us to know if you are from a country that . . .

Page 9: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

~:---~--~~----------------- ·-the regular academic course leads directly to M.A. and there is no separate degree for B t\. Such students will need to complete at least three years of studies in their degree.

,,., 9. · Language Skills: Please try to be as accurate as possible with your language skills

description. If you conduct your research.lstudi~ in English (and you are from a none English speaking country) you will need to present a proof of studying English in a sufficient level from an academic institute or present the result of one of the common English tests such as: TOEFL, GRE, IEL TS and GMAT. If you intend to do your research/studies in Hebrew, you will need to present a proof of sufficient Hebrew knowledge such as the Ulpan results or the psychometric exam.

l 0. Present occupation: It is important for us to know if the scholarship has anything to do with your present occupation and whether it could help you upgrade or improve the quality of your current occupation. It is also advisable to specify if you Will need permission to leave your current working place for a year of study in IsraeL

11. Medical Health Certificate: It is extremely important to complete· this form by your family doctor accurately. Failing to do so or giving ou.t false information might result difficulties with the health insurance company that insures our students. Application forms that lack this form will not be accepted. ·

After you have read this long instruction sheet; you are welcome to complete the application forms.

Please make sure you enclose to this application forms the foliowing documents:

1. Detailed letter describing the field you intend to study in Israel, specifying the University you wish to attend

2. Curriculum Vitae 3. Copies of letters exchanged with Israeli universities or the Israel supervisor

(in the case of a research project) 4. Official original (or notarized copy) academic records of all relevant studies

and test scores, diplomas attesting the completion of an academic degree, · including transcript of the student's records

5. At least two (2) ·letters of recommendation from lecturers/profesliors who taught the candidate

6. Three (3) photographs

We would like to wish you best ofluck. If you have any other questions please send it toE mail address: [email protected],il ·

MINISTRY OF FOREIGN AFFAIR JERUSALEM

Page 10: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

IsRAE--L-~GO-VE_RN __ M_E_N'""':"T~SCH--,-. 0-L-ARS--H-I-P-S -(Ac--ad_e_J!ll-.c-y-e-ar:-. 2-0-~-. ---20-~-. --.,-~.

APPLICATION FORM

To be filled in. in English. in triplicate

Counttyoforigin: ____________ _

Scholarship required:

1. Short term Scholarship: Language Summer Course (Ulpan)

'•

Recent Photograph

2. Long term Scholarship (One Academic Year= 8 months onlJ7: Post Doctorate/ Research /Ph.D I M.A I Overseas program

1. Surname:

2. First name:

3. Place of birth:

4. Gtizenship:

5. Date of birth:

6. Gender: Male I Female

7. Permanent address:

8. Passport no.:

9. Telephone: Cellular Phone: '· '•

10. Fax:

11. E-mail:

12. Marital status:

13. At which institution do you wish to pw'Sue your studies or undertake research work?

A ____________________ ___

B·------~------------------

Page 11: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

~- ... ....._. . c -. ~"\., Do you have a supervisor already? (for post doctorate and researt:h students only) .

. YES Name of supervisor

(If yes, please enclose any letter you have from yow· supervisor.)

NO . 15. Have you been in contact, or have you registered to any university or professor in Israel?

' .. (Please indicate.)

16. . Have Y?u been accepted by any university or professor in Israel? (Indicate and

enclose a letter of acceptance).

17. Grrrent and Previous University Education:

List in chronological order, starting with your current erirollment, all colleges and

' universities you have attended.

Name and Place of Major No. of Date of Degree

Institution Years Graduation

-

'

.

' ..

Page 12: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

------------------------------------------------------------~/ !!i'"9w In which language will you conduct your research/ studies in Israet..,) ~~ ...... --

[ 19. Language Skills: (x - none ; xx - poor ; xxx - fair ; xxxx - good ; Xxx.xX - fluent)

Languages Reading --r---.-

Spea king

Hebrew

English -t--·-------'----

-~--

Other---------t-

!---·-------------------· -----· ------·-+--------------1

-- --·~-------------- ----------1

~- --'-· -- ----·-·

20. Type of proof for language skills: __ --:--

21. Present occupation:----------

22. Detailed program for your studies in Israel. {If this space is insuffK;jent, please use

a separate sheet and attach it to this form as an appendix).

-------------------~-~---

----------------

---··--------------------·

----·-------~--------

23. Other details that yo consider important for the evaluation of your application.

----------j------------------+-----------·---------·-------

. ·---··-·--·----------a

Page 13: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

l .•. · /

I ,,!VIQICAL HEALTH CERTIFICATE

1. Name:

2. Place of birth:

3. Date of birth:

4. Address:

5. Person to be notified in case of emergency:

Name: ----------------------------Full address: ----------------------------Telephone no.:--------------------­Cell phone no.

Fax no.:---------------~-----E-Mail: _____________ . __ _

W•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

The following details are to be supplied by a registered medical pr-actitioner:

1. Past medical history: -------,----------------

2. Present state of health: -----------------------------

3. Results of general examination:

Blood pressure: Weight:----· Height:----

Page 14: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

4. Is the applicant suffering from:

An infectious disease? ----------------------A skin disease? ---------------------------------------A psyt:hological disorder?------ --------

Cardiac condition?-------------------------------­

Any other diseases? 5. Re~: ______________________ , __

6. Is the applicant in good health and able to physically and mentally engage

in intensive studies in a foreign country? ---------------

Name of examining physician Signature of examining physician

Date of examination: ---------------

To be signed by the applicant:

I, the undersigned, declare that all of the above information in this application fonns is

complete and aecurate to the best of my knowledge. I am aware that giving incorrect ans-wers

to any of the above questions may lead to the cancellation of my application.

Date: ---'------ Signature: ---'------

--~--------~-----

Page 15: SPEED POST - Ministry of Human Resource Development · 2. Mr. Brijesh Singh Yadav 10-07-1981 3. Mr. Chhabi Lal Rathore 26-01-1982 4. Mr. Manish Dwivedi 16-06-1985 ... Course (Uipan).

Government of India Ministry of Human Resource Development

Department of Higher Education ES -3 Section

CLAIM FOR JRA VELLING ALLOWANCE FOR A TrENDING INTERVIEW

I. Name of the candidates (in Block Letters)

2. Full Postal Address

3. Name of the Scholarship Israel Government Scbolarsbio -2013

4. Date of Interview -------Subject:----------

5. Particulars of journey (Particulars of both ways journey i.e. journey to place of interview and back should be given)

From To Mode of Journey Second Class Rail fare & Without or lower class bus filre reservation charge

6. Name of the nearest Branch of State Bank/Reserve Bank/Treasury of which R. T.R. is required

7. Certified that:-a) The above entries are correct b) The journey was performed by me by a class not lower than for which the amount has been

claimed; and c) The return/confessional rail ticket was available at the reduced rates irrespective of the fact that

the candidate has spend more on this amount. d) In case I am not available at the address given above I authorize Shri/Smt.!Km

(Name ofthe nominee with full address).

,-;-;-,,-,----;-;-;c;-------------------to receive the payment of this claim on my behalf.

Received the amount due from the Ministry of Human Resource Development, New Delhi, in settlement of the T.A. claim for attending the interview.

(Signature ofthe candidate)

Certified that the second-class railway fare exclusive or Reservation Changes/Sleeper Charge by passenger/Mail/Express Train from to by the shortest route is Rs. ___ _

---------------

(Signature and stamp ofthe Station Master)


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