Vous êtes sur la page 1sur 24

PAKISTAN NATIONAL COUNCIL

FOR UNITED WORLD COLLEGES


15th January, 2010

Dear applicant,

Please carefully read the following instructions while completing the application form.

1. Application forms are graded and therefore should be completed in full and to the best of your abilities.
Please do not leave sections incomplete. Read the instructions carefully and do complete and attach the
checklist given at the end of the form.
2. In the section to be completed by your teachers/school, please ask them to also complete the form in its
entirety.
3. Your forms need to be completed and returned to the office from where you got them either personally or
by courier before 28th February 2010. Applicants failing to submit a completed test form will not be
permitted to sit the tests, which will follow shortly after.
4. All information provided by you will be subject to verification.
5. Details of scholarships available for 2010 entry are as under:
# of College Scholarship To be paid by the Additional Info
Seats Amount scholar

01 UWC Maastricht - 60% 40% Travel and pocket money to be covered by the
Netherlands student / family.

02 Atlantic College - UK Nil 100% Placement – all expenses to be covered by the


student / family.

01 Red Cross Nordic UWC – 90% 10% Travel and pocket money to be covered by the
Norway student / family.

01 Li Po Chun – 80% 20% Travel and pocket money to be covered by the


student / family
Hong Kong

01 Waterford KaMhlaba – 25% 75% Travel and pocket money to be covered by the
Swaziland student / family

01 UWC of the Adriatic - 100% Nil Travel and pocket money to be covered by the
Italy student / family

• Payment amounts will be discussed when making the final recommendation


• Above costs are on an annual basis
• The above may be subject to change depending on college quotas
• Scholarship may or may not cover medical deposit – subject to college approval
Good luck and look forward to seeing you at the interview stage.

Sincerely yours,

Khawar Ansari

Regional Chairperson, PNC for UWC

1
GUIDELINES TO STUDENTS FOR FILLING APPLICATION FORM
(NOT TO BE RETURNED WITH FORM)

1. Writing valid email address(es) is mandatory for all applicants as needed for correspondence.

2. Please see the checklist at the end for documents to be attached and fill it in and submit it
alongwith this form. All documents stated in the check list are compulsory except where
indicated otherwise.

3. Specify age clearly i.e. in years and months. The applicant shall be minimum 16 years to maximum 17.5
years of age on 1st September 2010. An applicant who is even one day older or younger than the
maximum/minimum will not be eligible and should not apply.

4. Only students who have already passed or are appearing for final Matric or GCE “O” Level exams prior to
September 2010 are eligible and should apply.

5. Relevant certificates should be attached as proof where indicated in the form.

6. Applicants are required to complete the Application Form in all respects. Incomplete forms will disqualify
the applicant from participating in the selection process.

7. Two individuals from the same family cannot avail scholarships i.e. siblings cannot avail scholarships.
Different surnames cannot be used.

8. SECTION D of the Application Form - The applicant will be required to sit for a written test comprising of
three Essays and an objective General Knowledge test. The date for this Test will be advised to applicants
in due course.

9. The applicant must hold single Pakistani Nationality. Candidates holding multinational/non-Pakistani
Nationality are required to apply separately to the Committee for placement through the International
Quota for which Scholarship funds are not available. In other words, applicants for placement under
International Quota are required to bear full costs themselves.

10. Principals / Heads of Schools are required to clearly specify and enumerate objectively all the non-academic
interests of the applicant in the Confidential Report – Section “E” of the Application Form IN A SEALED
ENVELOPE WITH SCHOOL STAMP attached with the Application Form, or, separately to the
National/Regional Committee. (See further guidelines in the form)

11. Students are advised to come in school uniform for the written test and selection interviews when
intimated. In the event that the school does not have recognized uniform, the applicant may then come
suitably attired.

12. List of applicants who have submitted application forms will be displayed on the website:
www.uwcislamabad.org within a week after the deadline.

13. There are three ways to pay the application processing fee of Rs. 500/-. Please do any ONE.
a. Deposit the fee in cash at ‘Bank Alfalah, I-8 Markaz Branch, Current Account #: 0146-01001184,
Account Title: United World Colleges ’. Attach the original deposit slip with the application form and
retain a photocopy of the deposit slip for your own record. Depositing fee in any other Bank Alfalah
Branch might incur minimal bank charges.
b. Attach a Pay Order / Demand Draft in favour of “United World Colleges” of Rs. 500/- with the
application form and retain its photocopy for your own record.
c. Pay the fee cash at Sahil’s Office (address given on page 4). Make sure that the name on the
receipt matches with the name of the candidate in the form. The original receipt to be submitted
with the application form

14. The completed form can either be submitted personally or couriered at the address given on page 4.

2
PAKISTAN NATIONAL COUNCIL

For

UNITED WORLD COLLEGES

STUDENT APPLICATION FORM

Form No. _____________________

Year: 2010 - 2012

Please read all parts of this form carefully, including the information in the enclosures, which form an
integral part of this form, but should not be returned with the form. The checklist given at the end of
the form should be filled in carefully and returned with this form.

PNC reserves the right to verify all information given in the form from independent sources.

SECTION A: to be completed by the applicant (please use capital letters).

1. Family Name: _____________________________ First Name: ____________________________________

2. Date of Birth: Day _____________________Month ______________________Year_____________________

3. Age on 1st September in year of entry: _________________________________________________________

4. Sex: ________________Nationality:________________________ Country by Birth: ____________________

Country of (a) Current Residence: _____________________(b) Permanent Residence: __________________

(c) Specify countries of dual nationalities if applicable _____________________________________________

(d) Have you or your parents applied for immigration to another country? Yes _________ No _________

5. Home Language: _____________________________Other Languages _______________________________

3
6. Home Address: ____________________________________________________________________________

Telephone (Res): ________________________________ (Mobile): _______________________________

Email (Compulsory Field) 1. _______________________________________________

2. ________________________________________________

7. Present School (Name, Address and Telephone) __________________________________________________

_____________________________________________________________________________________

8. Dates of Attendance: _______________________________________________________________________

9. Please list below the colleges in order of your preference (see note below).

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

Note:

Kindly refer to UWC Press Release/Notice to Schools for number and extent of scholarships available or visit
www.uwcislamabad.org

Information on colleges available on International UWC Web Site www.uwc.org

Or for any queries write to info@uwcislamabad.org

10. If you are applying for a specific scholarship, please give its name:

_______________________________________________________________________

4
If you are applying for a specific scholarship, you will be considered for the available scholarship(s) to the
College(s) of your choice, or as available.

11. Attach two recent Passport size photographs with your name on the back, duly attested by the school, and also
affix one at the place provided on the front page of this application.

State all Nationalities / Passports held: ________________________________________________

Issued by:

PAKISTAN NATIONAL COUNCIL FOR UNITED WORLD COLLEGES: ISLAMABAD/RAWALPINDI REGION

Submitted by:

This form should be returned (either personally or by courier) to:

Mr. KHAWAR S. ANSARI

C/O SAHIL

Office No. 13, 1st Floor, Al-Babar Centre,

F-8 Markaz, Islamabad

Phone: (051) 226 0636 or (051) 285 6950

Submission timings: 9 – 5 pm ( lunch break 1 – 2 pm ) , Monday to Friday

Email: info@uwcislamabad.org

Website: www.uwcislamabad.org

TO BE RECEIVED NO LATER THAN 28th February, 2010

5
SECTION B: to be completed by the applicant.

1. List, in order of preference, the subjects that interest you most in school:

First preference: ____________________________________________________________________________

Second preference: __________________________________________________________________________

Third preference: ___________________________________________________________________________

2. Which careers interest you? Specify: ____________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

3. Do you regularly take part in any physical activities at school or outside school? If so, please describe them:

In school __________________________________________________________________________________

Outside school ______________________________________________________________________________

4. Do you have strong musical, craft or artistic interests? Give details:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

6
5. Do you have any experience of social service or community work? Give details and attach Certificates:

__________________________________________________________________________________________

__________________________________________________________________________________________

6. List extra curricular clubs or activities in which you participate at school, along with your responsibilities (Drama,
Debates, Student Council, Year Book, other clubs):

Participation: _______________________________________________________________________________

Responsibilities: _____________________________________________________________________________

7. List any organization of which you are member outside school and your responsibilities:

Name of Club/Activity Office or Position held (if any) Years of Membership

8. Describe special achievements and your best qualities you would like the Selection committee to know about:

7
__________________________________________________________________________________________

__________________________________________________________________________________________

9. How did you first hear about United World Colleges? _______________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

10. All information provided in the application is accurate to the best of my knowledge. I have read the entire form
and submit that all information and representations herein on my behalf by my parents/guardians and teachers are
to the best of my knowledge, accurate and true statements.

11. UNDERTAKING: I also undertake that if successful in obtaining a scholarship to a United World College. I will
contribute towards the cost of financing other deserving students selected by the Pakistan National Council for
United World Colleges, as and when able to do so. Alternatively I will devote at least 100 hours per annum to the
cause of United World Colleges as proposed by the National / Regional Committee.

Signed: ___________________________________________

Name: ____________________________________________

Date: _____________________________________________

8
SECTION C: to be completed by the applicant’s Parent (s) or Guardian.

1. Full name of Father or Guardian: _______________________________________________________________

Nationality: ________________________________________________________________________________

Full Name of Mother: ________________________________________________________________________

Nationality: ________________________________________________________________________________

2. Address – workplace of Father/Guardian:________________________________________________________

__________________________________________________________________________________________

Telephone number-Workplace: _____________________________Home: _____________________________

3. Day-time telephone number(s) and email for contact with Parent (s) /Guardian:

Father/Guardian Tel: ______________________________ Email: _____________________

Mother Tel: ______________________________ Email: _____________________

4. Please indicate the state of your son’s/daughter’s/ward’s physical and mental health. You may enclose a medical
statement from your doctor if you wish. Please note that the Colleges will accept applications from candidates who
have known handicaps over which they have control and which will not deteriorate significantly while the are at
UWC.

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

9
5. Is there anything of special note that you would like to bring to the attention of the Selection Committee or the
College Head? A separate letter may be enclosed.

__________________________________________________________________________________________

__________________________________________________________________________________________

6. I/We have read the application for scholarship to a United World College made by our son/daughter/ward; we
have discussed all aspects of the commitment involved and this application has our full approval. We understand
that under the terms of the United World Colleges` scholarship policy parents may be asked to make a financial
contribution to the costs of attendance, if my son/daughter/ward is accepted. We will be willing to discuss a
contribution to the scholarship costs based on our ability to pay. Should the application be successful, we hereby
undertake for ourselves and for him/her to observe the rules and regulations of the College made or to be make by
the Head and Governors.

While our son/daughter/ward is in residence at a United College, We wish and authorise the college to act as
Guardian in our place of decisions involving his or her personal care and welfare. We also undertake that upon
completion of the course of studies at a United World College, our son/daughter will contribute towards the cost of
financing other deserving students selected by the Pakistan National Council for United World Colleges as and when
he/she is able.

Signature of parent/guardian: _________________________________________________________________

Date: ___________________________

Relationship to Applicant: _____________________________________________________________________

10
PAKISTAN NATIONAL COUNCIL

For

UNITED WORLD COLLEGES

Years of Scholarship: 2010 to 2012

SECTION – 1

FINANCIAL AND PERSONAL INFORMATION

- To be filled in and signed by both parents.


- Please check (√) or write, as appropriate.

1. PERSONAL INFORMATION OF CANDIDATE

1.1 NAME OF STUDENT: __________________________________________________________________

1.2 AGE ON 1ST SEPT OF PROPOSED

YEAR OF ENTRY - ENCLOSE PROOF Years Months

Birth Certificate

School Certificate

Others, Please Specify

___________________________________________________

1.3 Grades/Percentage in Your Last Examination _______________________________________________

Mention Last Examination Cleared ________________________________________________________

1.4 Name and address of Last School Attended_________________________________________________

____________________________________________________________________________________

11
1.5 Indicate Language Most Commonly Spoken at Home ____________________________________________

1.6 Indicate your ability to communicate in English:

SPEAK: FLUENTLY WITH EASE WITH DIFFICULTY

READ: FLUENTLY WITH EASE WITH DIFFICULTY

WRITE: FLUENTLY WITH EASE WITH DIFFICULTY

2. The applicant Lives with His/Her: (Tick one)

PARENTS FATHER STEPFATHER

MOTHER STEPMOTHER GUARDIAN

3. Father’s/Stepfather’s/Guardian’s Name:

________________________________________________________

Occupation _________________________________________________________________________________

Business Address ____________________________________________________________________________

Father/ Mother/
Other Earnings/Family
Per Month Stepfather/ Stepmother/
Members
Guardian Guardian
Income from business/
profession/
employment Rs.

Income from
investments Rs.

Income from property:


i. Commercial Rs.

ii. Residential Rs.

iii. Agricultural Rs.

Any other income Rs.

TOTAL Rs.

TOTAL FAMILY INCOME PER MONTH: Rs. ______________________________

12
4. Family members supported by this income:

NAME RELATIONSHIP OCCUPATION AGE

1. __________________________________________________________________________________________

2. __________________________________________________________________________________________

3. __________________________________________________________________________________________

4. __________________________________________________________________________________________

5. __________________________________________________________________________________________

6. __________________________________________________________________________________________

7. __________________________________________________________________________________________

8. __________________________________________________________________________________________

9. __________________________________________________________________________________________

10. __________________________________________________________________________________________

11. __________________________________________________________________________________________

12. __________________________________________________________________________________________

5. Give the following details in respect of your children who are studying:

Name of Child Name of Institution Education Expenditure


Per Month*

1. __________________________________________________________________________________________

2. __________________________________________________________________________________________

3. __________________________________________________________________________________________

4. __________________________________________________________________________________________

5. __________________________________________________________________________________________

6. __________________________________________________________________________________________

7. __________________________________________________________________________________________

*Include fees, books and transportation (if applicable).

13
6. Details of Current Place of Residence: Check (√) as appropriate.

FLAT TOWN HOUSE BUNGALOW

STATUS:

RENTED OWNED PROVIDED BY COMPANY/GOVERNMENT

NUMBER OF ROOMS: _____________________________________________________________

7. Do you have the following facilities in your house?

(Tick appropriate section)

YES NO IF YES, THEN HOW MANY?

Air Conditioner (s) ____ ____ _______________________

Telephone Connection (s) ____ ____ _______________________

Television (s) ____ ____ _______________________

VCR (s) ____ ____ _______________________

8. Do you own a Car (s) Yes NO

If yes, how many: _____________________________________________________________

Details of Car (s): ______________________________________________________________

Make / Model: ________________________________________________________________

Does the family employ a Driver (s)? YES NO

9. Are you a member of any Club(s)? If yes, please list names:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

14
10. Have you or any of your family members been abroad in the last two years?

YES NO

11. If yes, please give the following detail:

How many family members have travelled abroad in the last two years?

_______________________________________________________________________________________

Number of Countries Visited: _______________________________________________________________

Total number of trips abroad by all family members in the last two years:

Trips Financed By Number

_______________Company ___________________

_______________Self ___________________

_______________Others ___________________
(Tick as applicable)

12. In case the applicant is offered a placement to any UWC are you prepared to bear:

Full Half Quarter Cost

Of Education, Lodging, Boarding, etc.? (Tick (√) as applicable)

13. In case the applicant is not successful for the scholarship, what are his/her immediate plans for study and
the course proposed to be undertaken?

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Where do you plan to study? Abroad Pakistan

15
14. Have you or your family applied or intend to migrate to another country? If yes, state the name of the
country:

__________________________________________________________________________________________

15. This is to confirm that the candidate holds single Pakistani Nationality. Proof enclosed: (Photocopy of
Passport, Domicile, Nationality Certificate or any other).

16. Please fill in details for any ONE of the following according to the mode of payment of application fee:

a. Bank Alfalah Deposit Slip #: __________________________________ OR

b. Pay Order / Demand Draft #: _________________________________ OR

c. Sahil’s Cash Receipt #: _______________________________________

16
I/We hereby certify that the information on this form is true, correct and complete. I/We understand and accept
that the submission of false or inaccurate information on this form may result in the disqualification of our child’s
application for UWC Scholarship.

SIGNATURE OF BOTH PARENTS/GUARDIAN

1. _____________________________________________Date: _____________________________________

2. _____________________________________________Date: _____________________________________

DECLARATION BY PARENTS

This is to confirm that in the event that my child is selected for full Scholarship. I will bear the cost of travel, pocket
money and clothing etc. and agree to make a contribution to the funds of the college as per discussion with
Regional and National Committee of United World Colleges.

I also confirm that I will accept any Scholarship offered within three (3) days if considered suitable by me for my
child and after acceptance, I would abide by the decision. Failure to respond within the time limit will be deemed to
be refusal of the scholarship offer.

I have no objection if the National Committee wishes to check my Financial Statement with my employer or any
other source.

I also confirm that I will deposit a sum of Rs. 35,000/- (thirty five thousand only) in the form of pay order in favour
of Pakistan National Council for United World Colleges as Security Deposit if the applicant is awarded the
Scholarship. I accept that the Security Deposit will be returned, after deduction of Rs.2, 500/- as handling charges,
after the College confirms to you that my child has joined.

I hereby consent to special terms/conditions that may be prescribed by the PNC to ensure the execution of the
undertaking herewith including any form of advance payments, bank guarantees etc.

Furthermore PNC will have the right to recommend withdrawal of my son/ward/daughter in the event of breach of
terms entered in to by us and for poor performance in the college.

In the event that the Scholarship awardee, after accepting the Scholarship, refuses (under any circumstances) to
conform to the terms and conditions of scholarship or declines to accept the scholarship or does not join the
college, the amount so deposited would stand forfeited as liquidated damages.

Date: _________________________________________ ______________________________


Signature of Parent (s) Guardian

Place: ________________________________________

17
SECTION D - Consists of four written Tests, three essays and a general knowledge test, taken under supervision
of the committee on a specified date which will be notified to the applicants separately.

TO THE APPLICANT

In connection with your application a confidential statement will be required from your school Principal. Section E of
the application form is for this purpose. Please pass section E to the Principal of your school who will be responsible
for its completion.

You are also requested to invite two teachers (other than the Principal), with your Principal’s authorization, to write
a letter of recommendation in a sealed envelope with official stamp on your behalf. It is preferable to select
teachers who know you well, so that they might comment not only on your academic abilities, but also on your
qualities of character, attitudes, social adaptability and emotional stability. If you have only recently joined your
present school, one of the teacher recommendations may be from your previous school. Please name the teachers
who will write your recommendation letters:

1. ______________________________________________________________________

2. ______________________________________________________________________

Please request your Principal and request him/her to complete the confidential Statement in Section E and put it in
a sealed envelope with official stamp. Hence, you will have a total of three sealed envelopes (two
reference letters and one completed Section E). All the three envelopes should accompany your completed
application to the UWC Selection Committee at the address given on Page 4.

You or your institution might chose to send the Section E directly to the UWC Selection Committee. If they are to be
sent separately, please send Sections A, B, C and two sealed reference letters yourself and ensure that your school
knows the address to which Section E is to be sent and the date by which it is required there.

In either case, please ensure that all sections of this form are received at the correct address by the deadline
shown on Page 4.

Issued by:

PAKISTAN NATIONAL COUNCIL FOR UNITED WORLD COLLEGES: ISLAMABAD/RAWALPINDI REGION

18
SECTION E

UNITED WORLD COLLEGES


ENCLOSURE TO SCHOLARSHIP APPLICATION FORM
REFERENCES FROM APPLICANT`S SCHOOL

To be filled and assembled with the two reference letters in a sealed envelope with official stamp

APPLICATION PROCEDURES

No applicant can be considered for entry without a good, confidential recommendation from the Head Teacher of
his/her current school or from other teachers with the Head’s authority. This part of the form is for the reference
(s) to be provided by the school. It should be sent to the appropriate UWC selection committee at the address
shown below.

Applicants will be short listed on the basis of the information in their application forms, written tests and their
teacher’s references, and their national or regional UWC selection committee will interview short listed candidates.

The decisions of selection committees are recommendations to the Heads of United World Colleges, not firm offers
of places. An applicant is enrolled only after receiving written acceptance by the Head of the College to which the
application has been made.

TO THE APPLICANT

Please make sure that you and your family read all the information given in this enclosure so that you understand
the basis on which UWC students are selected. Then discuss your application with the appropriate teacher(s) at
your school and arrange for the necessary reference (s) to be sent to the UWC selection committee.

In order to be sure that this form reaches the selection committee at the correct address by the given deadline,
please fill in items 1-8 before passing this form on.

1. Name of applicant __________________________________________________________________________

2. Name of School _____________________________________________________________________________

3. Address of School ___________________________________________________________________________

_________________________________________________________________________________________

4. Telephone number of school _________________________________________________________________

5. Fax number of school ________________________________________________________________________

6. Name of person to address inquiry to __________________________________________________________

Designation/Position _________________________________________________________________________

7. Address of UWC Selection Committee to which this form is to be sent (this address should be the same as the

one on the front page of this application form): ___________________________________________________

__________________________________________________________________________________________

19
8. Deadline by which this form is to be received by the committee: TO BE RECEIVED NO LATER THAN
28th February, 2010.

You or your institution might chose to send the Section E directly to the UWC Selection Committee. If they are to be
sent separately, please send Sections A, B, C and two reference letters yourself and ensure that your school knows
the address to which Section E is to be sent and the date by which it is required there. For Section D you will be
required to write a personal statement of 300 words, and essays as well as an objective test on a date to be
notified later. Short listed candidates will be called for interviews.

TO THE HEAD TEACHER / PRINCIPAL OF THE APPLICANT`S SCHOOL

We would be obliged if you (and two members of your staff with your authority) would write a brief assessment
of the applicant’s suitability for attending a United World College. Kindly attach relevant documentation and
include comments on the factors listed below:

i. Academic ability – please give information on the applicant’s recent performance (e.g. By listing
public examinations taken or to be taken, with grades/percentages achieved or anticipated; or by
providing transcripts or other records of grades awarded).

ii. Personality and character.

iii. Non-academic interests and activities.

Information about UWC and its selection criteria are provided separately. Please read this section carefully
before writing your recommendations.

1. Grades achieved by the Applicant (other than grades for subjects already taken externally) should be that
of the mid term exam in the final year. Marks equivalents are:

A-1,A 80% and above

B 70% to 79%

C 60% to 69%

D 50% to 59%

E 49% and below

2. Special effort should be made in grading Personality and Character objectively.

NOTE: School Heads should be familiar with the Guidelines for students which are attached with
each application

When this form has been completed, it should be sent to the UWC selection committee whose
address is given on page 4, to arrive by the deadline shown.

20
Confidential statement by the school Principal

i. Academic ability
Please Check (√) in the appropriate boxes to indicate the grades the candidate has obtained in the
most recent examination for which he/she appeared in the current academic session.

Examination taken in Class _________________________


Examination conducted by:

School (internal)

Pakistan Board (external)

GCE “O” Level (external)

Subject/Grade A-1, A B C D E
1. English Language
2. Urdu/Sindhi
3. Mathematics (Adv. &
Gen)
4. Pakistan Studies
5. Islamiat
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

*Please add other subjects not listed in the table.

Important: Please enclose copies of the student’s school/external (matric or O-level) annual
examination marks for the last three years including the most recently conducted exam
in the current academic session. For O’ level students copies of all O’ level exam
certificates for any subjects already taken eg. Islamiat / Pakistan Studies / Urdu.

21
ii. Personality and Character.

Please rate the applicant on the grid below by Checking (√) in the appropriate boxes, bearing in mind
that a grading of outstanding indicates a quite exceptional person in this respect when compared with
his/her peers:

Below Average Good Outstanding


Average

1. Willingness to work with others

2. Adaptability

3. Communication ability

4. Concern for others

5. Creativity/Originality

6. Enthusiasm/energy

7. Initiative/motivation

8. Maturity/balance

9. Integrity

10. Self confidence

11. Self discipline

12. Determination/perseverance

22
iii. Involvement in extra-curricular activities.

Please list the name of the clubs/societies/associations in which the applicant is/has been involved:

Name of Club/Society Activity Position Held if any Years of Membership

Please list outstanding performance in games, athletics, cultural/social activities the applicant has achieved:

School Prize awarded


School Year Activity Participation within Representation (1st, 2nd, etc.)
school (Yes/No)

200___________ 1.

2.

3.

200___________ 1.

2.

3.

If you wish to support this application with a personal recommendation, please do so.

Please affix school seal or rubber stamp.

Signature of Principal ______________________________________ Date: _________________________

Name (in block letter) _____________________________________

School _________________________________________________

Telephone No. ___________________________________________

23
CHECKLIST
(TO BE RETURNED WITH THE FORM)

Please tick in the box on the left if the specific document is attached

Where required copies of All documents to be submitted on standard A4 paper. All documents stated below are
compulsory for application processing except where specified otherwise.

Completed section A, B and C


Completed section E in sealed envelope (if not sent separately by school)
Two reference letters from teachers in sealed envelopes
Three passport size photographs :
Two photographs attested by the school with the name at the back, attached on the first page
One pasted in the space provided on the first page
Please attach copy of any one of the following as proof of nationality and date of birth
Form – B
Domicile
Passport
Mid term result for the current academic session (2009-2010) or any other latest examination
held during the current academic session (2009-2010)
Three annual examinations results (internal or external exams) conducted in the last three years:
Results for Annual Exams 2009
Results for Annual Exams 2008
Results for Annual Exams 2007
Result of O’ level exams already taken e.g. Urdu, Islamiat, Pakistan Studies (for O’ level students
only)
Original of any one of the following attached for application processing fee payment:
Original Bank Alfalah deposit slip of Rs. 500/-
This can be done at ANY branch of Bank Alfalah against the following details
Account Title: United World Colleges
Current Account #: 0146-01001184
Branch: I-8 Markaz, Islamabad
Depositing fee in any other Bank Alfalah branch might incur minimal bank charges
Please retain a photocopy for your own record
Demand Draft / Pay order of Rs. 500/- in favour of “United World Colleges”. Please retain a
photocopy for your own record
Original receipt of Rs. 500/- paid in cash at Sahil’s Office (address given on page 4). Make sure that
the name on the receipt matches with the name of the candidate in the form.
Other documents attached and purpose of attachment (optional):

1._________________________________________________________

2._________________________________________________________

3._________________________________________________________

4.__________________________________________________________

5.__________________________________________________________

24

Vous aimerez peut-être aussi