Application Form for Scholarship under FUSION Project (EU

EACEA 38/2012)
Application from:

Europe

Asia

Program Applied for: Undergraduate

Please explore FUSION site (www.fusion-edu.eu) before you fill this form

Nationality:
Intended Study Program:
Your Preferred Hosting
Universities(priority basis):
(Visit here, for Partner
Universities)

1.
2.

Insert colored
photograph
(passport size)
in jpeg format
(with shortest
possible size)

3.

Personal Information
Full Name (IN BLOCK LETTER)
Contact Address
Date of Birth
Gender
Passport Number (if any)
Email Address
Skype ID (if any)
Mobile Contact Number (with country code)
Have you stayed 12 months or more in any
EU countries in last 5 years? If yes, where
and the reasons for your stay. (this is for the
Asia applicants only)

Current Status
Name of the program
(Currently enrolled)
Name of the Institution:
Credit hours or
Year/Month needed for degree completion
Credit hours or modules completed:
*Earned CGPA or
Result of the completed modules (with list)
Title of Undergraduate and Post graduate
Project or Thesis (if appropriate)

Expire Date

Past Academic result

Type of Exam
Group / Subject

School Final/ O
Level/SSC/GCSE/Equivalent

College Final/
ALevel/HSC/Equivalent

Institution /
College/University

Board
*Division /
Class /GPA/CGPA
PassingYear
Grade points or
marks in major
Subjects

Language Proficiency (English/ French/ German/ others)

Grade point or marks earned in Language
courses in School Final/O
level/SSC/GCSE/Equivalent Exam
Grade point or marks earned in Language
courses in College Final/HSC/A
Level/Equivalent Exam
Grade point/marks earned in Language
courses in Undergraduate Program
IELTS/TOEFL score
(if available)
Other Language test scores
(if any)

Technical Knowledge:

Undergrad

Masters

Please narrate your technical skills relevant to your field of study.

(e.g., for someone studying computer science, skills in Programming Languages, Web
development tools, Database Applications and other Program related software tools may be
narrated)

List of Projects/term papers:

Give a list of projects (term papers) you have successfully completed in pursuing various
theory/lab classes throughout your undergraduate study if applicable.

Scholarship:
Give a list of scholarships you have obtained so far starting from School final/ SSC/ O level/
GCSE/ Equivalent level

Research Publications:
Only include publications published in international workshops/conferences and in
international journals if any.

Research Interest:
Only include areas on which you intend to focus your higher study.

Achievements:
List any other achievements other than academic ones.

Extra Curricular Activities:

List extra-curricular and voluntary/social activities in which you think your contribution is
significant.

Social Status/Vulnerability:
Please mention succinctly (with proof) if you have any sorts of physically challenged
situation or you have come from a minority ethnic/ indigenous group.

Acceptance of Courses/Research carried out in the Hosting University:

If you are selected you have to provide a certificate from the head of the institution you
are currently attending that they will accept the courses/research you will carry out in
the designated Hosting University under FUSION program. Also if you are selected you
need to provide a testimonial from your university mentioning that you have not done
or participated in any activities related to violating university rules.

DECLARATIONS
I hereby attest that if I am nominated for scholarship under FUSION project, I will be
bound by the rules and regulations of the conditions set forth in the offer
I also attest that if I falsify/ withhold any information requested in this application
form, I will not be eligible for any scholarship
I allow FUSION authority to verify the authenticity of the above information by
contacting the institutions referred by me in the application.

Signature of the Applicant

Date:

*Please add evidences at the end of the application

**Please provide supporting papers (mark sheets, language test score etc.)
N.B: After this page (scan and add supporting papers and prepare a single pdf file)