ICCR FORM-2

8/3/2019 ICCR FORM-2

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INDIAN

COUNCIL FOR

CULTURAL

RELATIONS

SCHOLARSHIPS FOR FOREIGN NATIONALS

Name of Scholarship Scheme

AZAD BHAVAN, INDRAPRASTHA ESTATE, NEW DELHI-110 002TEL: 23379309, 23379310, 23379315,

Fax: 00-91-11-23378783, 23378639, 23378647, 23370732

Website : http://www.iccrindia.org

Email: [email protected]

GENERAL

INSTRUCTIONS TO APPLICANTS

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1) Five complete sets of application forms are to be submitted to the Indian Mission.

2) Candidate should clearly mention the course and university to which he/she is seeking

admission. The applicants are advised to go through the Universities Handbook

available with our Mission before giving these details.ICCR would not be able to entertain a subsequent change in course of study or University

once admission of a scholar is confirmed and the scholar has arrived to join the course.

3) Certified copies of all documents should be accompanied with English translations.

A syllabus of the last qualifying exam application.

NOTE:

a) Students applying for doctoral/post doctoral courses or architecture should include asynopsis of the proposed area of research.

b) Students wishing to study performing arts should, if possible, enclose Video/audio

cassettes of their recorded performances.

4) Candidates must pass English Proficiency Test conducted by Indian Mission.

5) ICCR will not entertain applications which are sent to ICCR directly by the students or

which are sent by local Embassy/High Commissions in New Delhi.

6) Priority will be given to students who have never studied in India before.

7) No application will be accepted for admission to courses in medicine or dentistry.

8) Candidates may note that Indian universities/educational institutions are autonomous andindependent and hence have their own eligibility criteria. Forwarding of applications is

thus not a guarantee of admission. A scholarship is awarded only when admission is

confirmed by ICCR.

9) Students must carry a proper visa. Scholars for structured undergraduate and postgraduate

courses should carry full term Student Visas while for Ph.D. students Research Visasfor a specific period of 4-5 years is required. Students should ensure that they get the

correct visa from the Indian Embassy/High Commission. Govt. of India guidelines

stipulate that if a scholar arrives without proper visa and his actual admission at the

University/Institute does not materialize, he/she will be deported to his/her country.

In the case of students who require Research Visas, an additional application for the

Research Visa has to be filled and submitted in six copies alongwith six photographs &synopsis. Applicants may note that clearance of Research Visa can take as long as six to

eight months.

10) Before departing for India the scholars should seek a full briefing from the IndianDiplomatic Mission in their country about living conditions in India/the details of

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scholarship/the type and duration of the course to which he/she is admitted. Scholars

should inform the Indian Embassy/High Commission of their travel schedule well in

advance so that ICCR can make reception and other arrangements for them.

11) Hostel accommodation is not guaranteed and is an exception rather that an assured

facility. The accommodation allowance that ICCR gives, allows 2 to 3 students to chumup, and share a small flat.

12) Scholars are advised to carry some money to meet some incidental expenditure onarrival.

13) All intending candidates should in their own interest obtain a certificate that they are free

from AIDS prior to their departure for India. Even in India, the applicant would have togo for AIDS test before the admission is finally given to overseas scholars. In case any of

the nominees is found to be HIV positive in India the scholar will be repatriated

immediately and the Council would not bear any expenses on this account.

14) The scholars who are awarded scholarships should bring with them all documents

relating to their qualifications in original for verification by the respectivecollege/university at the time of admissions.

15) This application form contains a tear-out sheet at Appendix-7 titled Joining Report of

the Scholar. This form should not be submitted alongwith the main application. Instead,the Joining Report form should be removed and submitted to ICCR by the scholar in the

event the scholar has been granted scholarship and only after the scholar has joined an

educational institute in India. This form should be submitted with the required stamp &signature of the Institute authorities.

16) For information not available in the Universities Handbook or from the IndianMissions abroad, applicants are welcome to contact the ISD Division at any of the

following telephone/email address:-

1 Director (S) 23370118

2 Programme Director (ISD-I) 23370391

3 Programme Director (ISD-II) 23379364

4 Programme Director (AS) 233704135 Programme Officer's (ISD-I & II) 23370784

Email :-

[email protected]@iccrindia.org

[email protected]

[email protected]

INSTRUCTIONS TO CANDIDATES FOR FILLING THE APPLICATION FORM

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1) All entries except the signature in the application should, as far as possible, be

typewritten or in block letters.

2) Five copies of application properly tagged should be submitted.

3) All the five copies of the application should be accompanied by the following documents:i) A recent passport size photograph (taken not earlier than a year before the date of the

application) should be pasted on the application form in the space provided for the

purpose. The name should be written on the photograph for purpose of identification.

ii) Certified photostat copies of official records in triplicate from Secondary School,

Universities or Professional School, etc. attended.

iii) A certificate of physical fitness in the prescribed form (attached), Appendix-2

iv) Two certified copies of the syllabi, curricula, etc. of courses covered in schools, colleges,universities attended (except the Senior Cambridge, High Cambridge and London

General Certificate of Education examination) will full details. If this information is

not supplied, your application will not be considered.

v) Certified photostat copies of Certificate, Diplomas or Degrees of Examinations passed.

ORIGINALS SHOULD NOT BE SENT AS PAPERS ATTACHED TO THE APPL

ICATION AS THESE WILL NOT BE RETURNED TO THE APPLICANT.

vi) A certificate of Proficiency in English language (Appendix-3).

vii)Certificate copies of relevant pages of candidates valid passport.

4. One additional photograph not pasted to any form.

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CERTAIN IMPORTANT INSTRUCTIONS FOR FILLING UP OF THE FORM

1.Fill 1 letter per box and 1 box must be left empty between words. Only capital lettersmust be used while filling information in the boxes. For Example:

J A B H A T T

2. Important : The name of the scholarship scheme should be mentioned by the student atthe front page of the application form.

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APPLICATION FORM

1. Full Name (IN BLOCK LETTERS)(Mr./Mrs./Miss)

1. Sex (F/M)

2. Postal Address (IN BLOCK LETTERS)

3. Permanent Home Address (IN BLOCK LETTERS)

4. Date of Birth (a) Nationality

5. Country of

Residence

7. Passport No.

a. Date of Issue b. Date of Expiry

c. Place of Issue

8. Details about Father/Guardian

I N D O N E S I A

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(a) Name

(b) Relation (F/G)

(c) Occupation(d) Nationality

(e) Address of

Permanent

Residence of

Father/Guardian

9. Previous educational qualifications

(See attached Sheet)

10. Knowledge of proficiency in English

Written Good ( ) Fair ( ) Poor ( )

Spoken Good ( ) Fair ( ) Poor ( )

Specify level of examination passed in English and grades obtained.

11. Knowledge of any other languageWritten Good Fair Poor

Spoken Good Fair Poor

Understand Good Fair Poor

12. Give details, if any

(a) Proficiency acquired in games, sports & athletics and

(b) Part taken in other extra-curricular or social activities

13. State in Order of preference the courses which you

would like to study in India; Name of courses etc.(Candidate should be very specific and 1

clear about his course of study, which 2

he/she wishes to pursue in India. 3

Scholarships are not available for multiple studies).

14. The course which the scholar would like to

pursue in India

15. State in order of preference, the Universities/Institutes 1

in India in which you seek admission 2

(this column must be filled in by the candidate) 3

Please see list at Appendix. - 5* Please refer to Universities Handbook of India available with the Indian Diplomatic Mission

in your country. However there is no guarantee for admission in the choice ofUniversity/Institution. In case of non-availability of a particular course in a particular Institution,

the Council will forward the application to other Universities/Institutions where such courses are

available.

The Council would try to accommodate the candidates as per their choice of course/institute but

they must be prepared to join other institutes also if they are not found suitable in the institution

chosen by them.

16. PREVIOUS EDUCATIONAL QUALIFICATIONS:

I N D O N E S I A

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CERTIFICATE/DEGREE COUNTRY UNIVERSITY/

BOARD

YEAR PERCENTAGE

_____________________

SCHOOL ____(Grade XII)__

(To be filled by Student)

(For Office Use)

______________

(To be filled by

Student)

(For Office Use)

____________________

UNDERGRADUATE ______

(Three years course after Grade XII)

(To be filled by Student)

(For Office Use)

(To be filled by

Student)

(For Office Use)

____________________

POSTGRADUATE ________(Two years Masters course after the abovementioned undergraduate or five years

Masters course after grade XII)

(To be filled by Student)(For Office Use)

(To be filled byStudent)

(For Office Use)

___________________

DOCTORAL _____________

(After Masters Degree)(To be filled by Student)

(For Office Use)

(To be filled by

Student)

(For Office Use)

Note: Details of any course in Indian Universities which the scholar is currently attending or

has attended in past may be given below:

Year Name of Institution Course

17. Give below the names of two persons whom you have asked to testify from their personalknowledge to your character, etc. on the form prescribed for the purpose. (They must not

be related to you and should have direct knowledge of your academic pursuits).

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(a) Name ____________________________________________

Status ____________________________________________Address __________________________________________

(b) Name ____________________________________________Status ____________________________________________

Address __________________________________________

18. Name (s) and address (es) of close relative (s) or friends, if any, in India. (Also

indicate also relationship)

19. Have you travelled or lived in India? If so, mention places visited and dates ofsuch visits.

20. Have your ever availed of ICCR Scholarship? If so, give details.

21. Any general remarks which you would like to offer (if the space is not sufficient,

attach a separate sheet and sign the same).

Date

Place Signature of Applicant

I hereby declare that the particulars given above are true to the best of my knowledge and belief,

that I have understood the terms and conditions of the Scholarship Scheme and that I undertaketo return to my country after completion of my studies in India.

Signature of Applicant

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Appendix-1

CERTIFICATE TO BE FURNISHED BY THE INDIAN DIPLOMATIC REPRESENTATIVE

Certified that I amsatisfied

that Mr./Mrs./Miss _____________________________________________________(Name of candidate)

is permanently domiciled in _____________________________________________________

(Name of Country)and on completion of his/her

studies in India will return to ______________________________________________________

(Name of the country of domicile)

Certified that the entries in the application form, particulars about examinations passed, marks

and divisions obtained, subjects studied and the syllabi covered have been checked with theOriginal documents and that the application is complete in all respects. Attested copies of

certificates, diplomas or degrees of Examination passed are enclosed.

Date _____________ Signature ___________________________

Place _____________ Designation _________________________

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Appendix-2

(CERTIFICATE OF PHYSICAL FITNESS)(To be filled by a Registered Medical Practitioner

in the applicants country of normal residence)

Name of Applicant____________________________________________________________

Age ___________________________________________________________

Nationality _________________________________________________________

Address ___________________________________________________________

(Street and Number) ___________________________________________________________

(City) ___________________________________________________________

(Country) ___________________________________________________________

I. HISTORY

Check after each disease and symptom with (+) for positive findings and (-) for negative findings:

Scarlet Fever Diphtheria Tuberculosis

Rheumatic Fever Pneumonia Vertigo

Typhoid Malaria Scabies

Small Pox Cholera Spots

Geng Headache Deafness Epistaxis

Ears. tinnitus Obstruction Cough

Nose Chest Pain Haemoptysis

Cardiorespiratory system Short of breath pain Tachycardia

Expectoration Sweat Type

Palpitation Night Sweat AIDS

Give details of any injury, illness or operation during the past five years (be sure to list all

illnesses or injuries)

Month & Year Period of disability

Injury or illness from to

from to

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Operations. from to

II. PHYSICAL EXAMINATION

Medical condition of:- Height ____________________ Weight_____________________

Chest ___________________ __________________________ Describe abnormalities: _______

Head ___________________Nose _______________________Lungs _____________________

Eyes ___________________ Pharynx ____________________Heart _____________________

Ears ____________________Neck ______________________Reflexes ___________________

III. LUNGS

Comment more fully on condition of applicants lungs.

IV. SUMMARY

I believe this applicant IS/IS NOT physically able to carry on a full-course of study, involving

long hours of work in a college or university in India. In my opinion the applicants health and

physical condition in general are:

Excellent

Good

Poor

She/he was successfully vaccinated against smallpox on (Date)___________________________

She/he was successfully inoculated against smallpox on (Date)___________________________

She/he presents no evidence of communicable disease or of any fatigue and has no physical

defects.

REMARKS

Date _____________ Signature _____________________

Address ______________________

_____________________________

IMPORTANT:

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As a protective measure, those planning to study in India are strongly advised to get

vaccinated against typhoid/cholera before coming to India.

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Appendix-3

CERTIFICATE OF PROFICIENCY IN ENGLISH LANGUAGE

Mr./Mrs./Miss.

____________________________________________________________is a scholar from

____________________________________________________________

and has applied for the

award of a scholarship

under the

____________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___

He/She has passed the English Proficiency Test conducted by the Mission.

Place __________________________ Signature ___________________________

Date __________________________ Designation _________________________

Seal of the Indian

Diplomatic Mission _____________________________________________________________

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Appendix 4

TYPES OF SCHOLARSHIP SCHEMES

______SCHOLARSHIP SCHEMES_______________________________________________

1. Commonwealth Scholarship/Fellowship Plan

2. Cultural Exchange Programme Scholarship Scheme

3. General Cultural Scholarship Scheme

4. Bangladesh Scholarship Scheme

5. Sri Lanka Scholarship Scheme

6. Mauritius Scholarship Scheme

7. ICCR Scholarship Scheme for Dance and Music

8. Reciprocal Scholarship Scheme

9. Africa Day Scholarship Scheme

10. Okita Memorial Scholarship Scheme

11. Craft Instructors Scholarship Scheme

12. T.C.S. of Colombo Plan Scholarship Scheme

13. Aneurin Bevan

14. Silver Jubilee Scholarship Scheme

15. SAARC Chair/Fellowship Scheme

16. DADOO NAICKER

17. Meakong Ganga Cooperation

18. Aid to Maldives

19. AYUSH Scholarship for Bimstec Member Countries

20. Post Doctoral Mauritius Scholarship Scheme

21. Afghan Scholarship Scheme

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Appendix 5

LIST OF UNIVERSITIES AND OTHER

INSTITUTIONS OF HIGHER LEARNING1. University of Hyderabad, Central University P.O. Hyderabad - 500 046 Andhra Pradesh2. Maulana Azad National Urdu University, Gochibowli Hyderabad - 500 032 Andhra Pradesh3. Assam University, Silchar - 788 011 Assam

4. Tezpur University, Napaam, Tezpur - 784 028 Distt. Sonitpur Assam

5. University of Delhi, Delhi - 110 007 Delhi

6. Indira Gandhi National Open University, Maidan Garhi New Delhi - 110 068 Delhi

7. Jamia Millia Islamia, Jamia Nagar New Delhi - 110 025 Delhi

8. Jawaharlal Nehru University, New Mehrauli Road New Delhi - 110 067 Delhi

9. Mahatma Gandhi Antarrashtriya Hindi Vishwavidyalaya, Post Box No.16, Panchtila, Umri Village, Arvi

Road Wardha-442 001 Maharashtra10. Central Agricultural University, Iroisemba Imphal - 795 001 Manipur

11. North Eastern Hill University, P.O. NEHU Campus Mawkynroh Umshing, Shillong - 793 022 Meghalaya12. Mizoram University, Aizwal - 796 012 Post Box No.910 Mizoram

13. Nagaland University, P.B. 341, H.Q. Lumami Kohima - 797 001 Nagaland

14. Pondicherry University, R Venkataraman Nagar, Kalapet Pondicherry - 605 014 Pondicherry

15. Aligarh Muslim University, Aligarh - 202 002 Uttar Pradesh

16. Babasaheb Bhimrao Ambedkar University, Vidya Vihar Rae Bareli Road Lucknow - 226 025 Uttar

Pradesh- 17 -

17. Banaras Hindu University, Varanasi - 221 005 Uttar Pradesh

18. Visva Bharti, Santinik etan - 731 235 West Bengal

19. Central Institute of English & Foreign Languages, O U Campus, Hyderabad 500 007 Andhra Pradesh

20. Rashtriya Sanskrit Vidyapeetha, Tirupati - 517 507 Andhra Pradesh21. Sri Sathya Sai Institute of Higher Learning, Prasanthi Nilayam, 515 134 District Anantapur Andhra

Pradesh

22. International Institute of Information Technology, Gachibowli Hyderabad - 500 091 Andhra Pradesh

23. National Institute of Technology, Warangal - 506 004 Andhra Pradesh24. National Institute of Technology, Silchar - 788 010 Assam

25. Bihar Yoga Bharati, Ganga Darshan Fort Munger Bihar - 811 201 Bihar

26. Punjab Engineering College, Chandigarh Chandigarh

27. Indian Agricultural Research Institute, New Delhi - 110 012 Delhi28. Jamia Hamdard, Hamdard Nagar New Delhi 110 062 Delhi

29. National Museum Institute of History of Art, Conservation and Museology, Janpath New Delhi - 110 011

30. School of Planning and Architecture, 4, Block - B, Indraprastha Estate New Delhi - 110 002 Delhi

31. Shri Lal Bahadur Shastri Rashtriya Sanskrit Vidyapeeth, Katwaria Sarai, New Mehrauli Road New Delhi -

110 016 Delhi

32. TERI School of Advanced Studies, Darbari Seth Block, Habitate Place Lodi Road, New Delhi - 110 003

Delhi

33. Rashtriya Sanskrit Sansthana, 56, 57, Institutional Area Janakpuri New Delhi - 110 016 Delhi

34. Indian Institute of Foreign Trade, IIFT Bhawan, B-21, Qutab Institutional Area New Delhi - 110 016 Delhi35. Dharmsinh Desai Institute of Technology, Post Box No 35, College Road Nadiad - 387001 Gujarat

36. Gujarat Vidyapeeth, PO Navjivan, Ashram Road Ahmedabad - 380 014 Gujarat

37. Sardar Vallabhbhai National Institute of Technology, Surat - 395 007 Gujarat

38. National Dairy Research Institute, Karnal - 132 001 Haryana- 18 -

39. National Brain Research Centre, SCO 5, 6 & 7 Sector XV, Part-II Gurgaon - 122 001 Haryana

40. National Institute of Technology, Kurukshetra - 136 119 Haryana

41. National Institute of Technology, Hamirpur - 177 005 Himachal Pradesh

42. National Institute of Technology, Srinagar Srinagar J&K

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43. Birla Institute of Technology, Mesra Ranchi - 835 215 Jharkhand

44. Indian School of Mines, Dhanbad - 826 004 Jharkhand

45. National Institute of Technology, Jamshedpur Jharkhand - 831 014 Jharkhand

46. Indian Institute of Science, Bangalore - 560 012 Karnataka

47. Manipal Academy of Higher Education, Madhav Nagar Manipal - 576 119 Distt. Udupi Karnataka48. National Institute of Mental Health & Neuro Sciences, PB No.2900, Hosur Road Bangalore 560 029

Karnataka49. Swami Vivekananda Yog Anusandhana Samsthana, No.9, Appajappa Agrahara Chamarajpet Bangalore -

560 018 Karnataka

50. National Institute of Technology Karnataka, Surathkal P.O. Srinivasnagar - 575 025 Karnataka

51. Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur Campus Jakkur Bangalore - 560 064

Karnataka

52. National Institute of Technology, Calicut Kerala - 673 60153. Lakshmibai National Institute of Physical Education, Shaktinagar, Gwalior - 474002 Madhya Pradesh

54. Maulana Azad National Institute of Technology, Bhopal - 462 007 Madhya Pradesh

55. Indian Institute of Information Technology and Management, Gwalior Gwalior Madhya Pradesh

56. Bharati Vidyapeeth, Lal Bahadur Shastri Marg Pune - 411 030 Maharashtra

57. Central Institure of Fishries Education, PB No. 7392, Kakori Camp Jaiprakash Road Versova Mumbai 400

061 Maharashtra

58. Deccan College Post Graduate and Research Institute, Pune - 411 006 Maharashtra

59. Gokhale Institute of Politics & Economics, 846, Shivajinagar (DG), Pune - 411 004 Maharashtra60. Indira Gandhi Institute of Development Research, Gen. Vaidya Marg, Santosh Nagar Goregaon (E),

Mumbai - 400 065 Maharashtra61. Institute of Armament Technology, Girinagar, Pune - 411 025 Maharashtra

62. International Institute For Population Sciences, Govandi Sation Road Deonar Mumbai - 400 088

Maharashtra- 19 -

63. Tata Institute of Social Sciences, Sion - Trombay Road Deonar, Mumbai - 400 088 Maharashtra

64. Tilak Maharashtra Vidyapeeth, Gultekadi, Pune - 411 037 Maharashtra

65. Tata Institute of Fundamental Research, Homi Bhaba Road Mumbai - 400 005 Maharashtra

66. Symbiosis International Education Centre, Senapati Bapat Road Pune 411 004 Maharashtra

67. Padmashree Dr. D.Y. Patil Vidyapeeth, Vidyanagar Sector 7, Nerul Navi Mumbai 400 706 Maharashtra

68. Visvesvaraya National Institute of Technology, Nagpur - 440 011 Maharashtra

69. Dr. D.Y. Patil Vidyapeeth, Pimpri Pune - 411 018 Maharashtra70. Narsee Monjee Institute of Management Studies, Mumbai - 400 056 Maharashtra

71. National Institute of Technology, Rourkela - 769 008 Orissa

72. Kalinga Insitute of Industrial Technology, Bhubaneshwar Bhubaneshwar Orissa

73. Thapar Institute of Engineering and Technology, P B No.32, Patiala - 147 001 Punjab

74. Dr. B.R. Ambedkar National Institute of Technology, G.T. Road By Pass Jalandhar - 144 004 Punjab

75. Banasthali Vidhyapith, Banasathali -304 022 Rajasthan

76. Birla Institute of Technology & Science, Vidya Vihar Pilani - 333 031 Rajasthan

77. Jain Vishva Bharati Institute, Post Box No.6 Ladnun - 341 306 Distt. Nagaur Rajasthan78. Institute of Advanced Studies in Education, Gandhi Vidya Mandir Sardarshahr Rajasthan 301 401 Rajasthan

79. Malviya National Institute of Technology, Jaipur - 302 017 Rajasthan

80. Janardan Rai Nagar Rajasthan Vidyapeeth, Udaipur Rajasthan

81. Mody Institute of Technology and Science, Lakshmangarh, Sikar, 332 311 Rajasthan

82. Avinashlingam Institute for Home Science & Higher Education for Women, Coimbatore - 641043 Tamil Nadu83. Gandhigram Rural Institute, Gandhigram PO 624 302 Dindigual District T.N. Tamil Nadu

84. Sri Chandrasekharendra Saraswathi Viswa Mahavidyalaya, Enathur, Kanchipuram - 631 561

Kancheepuram District Tamil Nadu85. Sri Ramachandra Medical College and Research Institute, 1, Ramachandra Nagar, Porur Chennai - 600116

Tamil Nadu86. Vinayaka Mission's Research Foundation, NH 47,, Sankari Main Road, Ariyanoor, Salem - 636 308 Tamil Nadu

87. Shanmugha Arts, Science, Technology & Research Academy, Tirumalaisamudram Thanjavur 613402 Tamil

Nadu

88. Vellor Institute of Technology, Ranipet Katpadi Road Vellor 632 014 Tamil Nadu

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89. Sathyabama Institute of Science and Technology, Jeppiaar Nagar Old Mamallapuram Road Chennai -

600 119 Tamil Nadu

90. Bharat Institute of Higher Education & Research, 173, Agharam Road Selaiyur Chennai - 600 073 Tamil

Nadu

91. Amrita Vishwa Vidyapeetham, Ettimadai Post Coimbatore - 641 105 Tamil Nadu92. M.G.R. Educational and Research Institute, 121, G.N. Chetty Road T Nagar Chennai - 600 017 Tamil

Nadu93. National Institute of Technology, Tiruchirapalli Tamil Nadu

94. Meenakshi Academy of Higher Education and Research, No. 12, Vembuliamman Koil Street

Virugambakkam Tamil Nadu

95. Karunya Instituute of Technology and Sciences, Karunya Nagar, Coimbatore - 641 114 Tamil Nadu

96. S.R.M Institute of Science and Technology, 2, Veerasamy Street West Mambalam Chennai-600 033

Tamilnadu97. Allahabad Agricultural Institut e, Allahabad - 211 007 Uttar Pradesh

98. Bhatkhande Music Institute, I- Kaiserabagh Lucknow Uttar Pradesh

99. Central Institute of Higher Tibetan Studies, Sarnath Varanasi - 221 007 Uttar Pradesh

100. Dayalbagh Educational Institute, Dayalbagh Agra - 282 005 Uttar Pradesh

101. Indian Institute of Information Technology, Nehru Science Centre Kamla Nehru Road,

Allahabad 211002 Uttar Pradesh

102. Indian Veterinary Research Institute, Izatnagar Bareilly - 243 122 Uttar Pradesh

103. Motilal Nehru National Institute of Technology, Allahabad Uttar Pradesh104. Forest Research Institute, P.O.I.P.E. Kaulagarh Road, Dehradun 248195 Uttaranchal

105. Gurukula Kangri Vishwavidyalaya, Hardwar - 249 404 Uttaranchal106. National Institute of Technology, Durgapur West Bengal

107. Maulana Mazharul Haque Arabic and Persian University, Sandal Nagar, Mahendru, Patna - 800 006

108. Indira Gandhi Krishi Vishwavidyalaya, Raipur 492006

109. Acharya N.G. Ranga Agricultural University, Rajendranagar Hyderabad - 500 030 Andhra Pradesh

110. Andhra University, Waltair Visakhapatnam - 530 003 Andhra Pradesh

111. Dr. B.R. Ambedkar Open University, Prof. G. Ram Reddy Marg Road No.46, Jubilee Hills

Hyderabad - 500 033 Andhra Pradesh

112. Dravidian University, Kuppam - 517 425 Chitoor District A.P. Andhra Pradesh113. Jawaharla Nehru Technological University, Kukatpally Hyderabad - 500 072 Andhra Pradesh

114. Kakatiya University, Vidyaranyapuri Warangal - 506 009 Andhra Pradesh

115. Nagarjuna University, Nagarjunanagar - 522 510 Andhra Pradesh116. National Academy of Legal Studies and Research University, NALSAR University of Law, 3-4-761,

Barkatpura Hyderabad 500 027 Andhra Pradesh

117. Osmania University, Hyderabad - 500 007 Andhra Pradesh

118. Potti Sreeramulu Telgu University, Public Gardens, Nampally Hyderabad - 500 004 Andhra Pradesh

119. Sri Krishnadevaraya University, Anantapur - 515 003 Andhra Pradesh120. Sri Padmavathi Mahila Visvavidyalayam, Tirupati - 517 502 Andhra Pradesh

121. Sri Venkateswara University, Tirupati - 517 502 Andhra Pradesh

122. Andhra Pradesh University of Health Sciences, Vijayawada 500 030 Andhra Pradesh

123. Arunachal University, Rono Hills Itanagar - 791 112 Arunachal Pradesh

124. Assam Agricultural University, Jorhat - 785 013 Assam

125. Dibrugarh University, Dibrugarh - 786 004 Assam

126. Gauhati University, Gopinath Bardoloi Nagar Guwahati - 781 014 Assam

127. Babasaheb Bhimrao Ambedkar Bihar University, Muzaffarpur - 842 001 Bihar128. Jai Prakash Vishwavidyalaya, Chapra - 841 301 Bihar

129. Kameshwar Singh Darbhanga Sanskrit University, Kameshwar Nagar Darbhnaga - 846 008 Bihar130. Lalit Narayan Mithila University, Darbhanga - 846 008 Bihar

131. Magadh University, Bodh Gaya - 824 234 Bihar

132. Nalanda Open University, Reshmi Complex, 7th Floor Kidwaipuri Patna - 800 001 Bihar

133. Patna University, Patna - 800 005 Bihar

134. Rajendra Agricultural University, Pusa, Samastipur 848 125 Bihar

135. Tilka Manjhi Bhagalpur University, Bhagalpur - 812 007 Bihar

136. Veer Kunwar Singh University, Arrah 802 301 Bihar

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137. Vinoba Bhave University, P B No.31 Hazaribagh - 825 301 Bihar

138. Bhupendra Narayan Mandal University, Madhepura 852 113 Bihar

139. Panjab University, Chandigarh - 160 014 Chandigarh

140. Hidayatullah National Law University*, Civil Lines Raipur 492 001 Chhatisgarh

141. Guru Ghasidas University, Bilaspur - 495009 Chhattisgarh142. Indira Kala Sangeet Vishwavidyalya, Distt. Rajanandgaon Khairagarh - 491 881 Chhattisgarh

143. Pandit Ravishankar Shukla University, Raipur - 492 010 Chhattisgarh144. Goa University, Sub Post Office Goa University Galeigao Plateau Goa - 403 206 Goa

145. Bhavnagar University, Gaurishanker Lake Road Bhavnagar - 364 002 Gujarat

146. Dr. Babasaheb Ambedkar Open University, Near Dafnala, Shahibaug Ahmedabad - 380 003 Gujarat

147. Gujarat Agricultural Uiversity, Sardar Krushinagar Dantiwada Campus (Distt. Banaskantha) - 385 506

Gujarat

148. Gujarat Ayurved University, Jamnagar 361008 Gujarat149. Gujarat University, PB No.4010, Navrangpura Ahmedabad 380 009 Gujarat

150. Maharaja Sayajirao University of Baroda, Fatehganj Vadodara - 390 002 Gujarat

151. Hemchandracharya North Gujarat University, PB No. 21 University Road Patan - 384 265 Gujarat

152. Sardar Patel University, Vallabh Vidyanagar - 388 120 Gujarat

153. Saurashtra University, Univer sity Road Rajkot 360 005 Gujarat

154. South Gujarat University, University Campus Udhna Magdalla Road Surat - 395 007 Gujarat

155. Nirma University of Science & Technology, Sarkhej, Gandhinagar Highway, Village-Chharodi

Ahmedabad-382481 Gujarat156. Ch. Charan Singh Haryana Agricultural University, Hissar - 125 004 Haryana

157. Guru Jambeshwar University, Hisar - 125 001 Haryana158. Kurukshetra University, Kurukshetra - 136 119 Haryana

159. Maharshi Dayanand University, Rohtak - 124 001 Haryana

160. Chaudhary Devi Lal University, Sirsa Haryana

161. Dr. Y.S. Parmar University of Horticulture & Forestry, Nauni - 173 230 Distt. Solan Himachal Pradesh

Himachal Pradesh

162. Chaudhary Sarwan Kumar Himachal Pradesh Krishi Vishwavidyalaya, Palampur - 176 062 Himachal

Pradesh

163. Himachal Pradesh University, Summer Hills Shimla - 171 005 Himachal Pradesh164. Jaypee University of Information Technology, Waknaghat, P.O. Dumehar Kandaghat District-Solan-

173 215 Himachal Pradesh

165. Shri Mata Vaishno Devi University, Camp Office: 27 A/D, Gandhinagar, Jammu-180004 Jammu166. University of Jammu, Babasaheb Ambedkar Road New Campus, Jammu (Tawi) - 180 006 Jammu

and Kashmir

167. University of Kashmir, Hazbartbal Srinagar - 190 006 (J&K) Jammu and Kashmir

168. Sher-e-Kashmir University of Agricultural Sciences And Technology, Shalimar Campus, PB No.262

GPO Srinagar Srinagar 190 121 (J&K) Cam Office : Railway Road Jammu - 180 004 Jammu AndKas hmir

169. Birsa Agricultural University, Kanka Ranchi - 834006 Jharkhand

170. Ranchi University, Ranchi - 834 008 Jharkhand

171. Siddu Kanhu University, Santal Parganas, Dumka 814 101 Jharkhand

172. Kachchh University, CS-60 Jubilee Ground Bhuj 370 001 Kachchh

173. University of Agricultural Sciences, G.K.V.K. Campus Bangalore - 560 065 Karnataka

174. University of Agricultural Sciences, Krishinagar Dharwad - 580 005 Karnataka

175. Bangalore University, Jnana Bharathi Bangalore - 560 056 Karnataka176. Gulbarga University, Jnana Ganga Gulbarga - 585 106 Karnataka

177. Kannada University, Hampi, Vidyaranya Hospet Taluk - 583 276 Bellary Distt. Karnataka178. Karnataka State Open University, Kanasagangotri Mysore - 570 006 Karnataka

179. Karnataka University, Pavat Nagar Dharwad - 580 003 Karnataka

180. Kuvempu University, Gnana Sahyadri Shankaraghatta - 577 451 Shimoga Distt. Karnataka

181. Mangalore University, New Administrative Building Mangalagangothri Mangalore 574 199 Karnataka

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Appendix - 6

Indian Council for Cultural Relations

PERSONAL PARTICULARS OF THE CANDIDATE

1. Name in full (Capital Letters) ___________________________________________________Surname First Name Middle Name

2. Nationality __________________________________________________________________

3. Date of Birth (in Christian Era) __________________________________________________

Date Month Year

4. Parentage :

* (a) Fathers name in full (Capital Letters) together

with his nationality _____________________________________________________

Surname First Name Middle Name

* (b) Mothers name in full (Capital Letters) together

with her nationality _____________________________________________________

Surname First Name Middle Name

5. Name of Spouse in full (Capital Letters)together with his/her nationality (in case of

married persons only)._______________________________________________________

6. Contact Address

_____________________________________________________________________________

_

_____________________________________________________________________________

_

7. Permanent Address

_____________________________________________________________________________

_

_____________________________________________________________________________

_

8. Passport number, date and place of

issue and its validity if available.___________________________________________________

No. Date of Issue Date of Expiry Place of issue

9. Occupation __________________________________________________________________

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10. Whether previously visited India?

If so, date and place of previous visit. ______________________________________________

_____________________________________________________________________________

_

* Full name and not initials are required.

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Appendix - 7

INDIAN COUNCIL FOR CULTURAL RELATIONSAZAD BHAVAN, I.P.ESTATE, NEW DELHI 110002.

International Scholarship Division

JOINING REPORT OF THE SCHOLAR

1. Name of the scholar : ___________________________________________

2. Name of the scheme under

which selected : ___________________________________________

3. Country of domicile : ___________________________________________

4. Course of study : ___________________________________________

5. Date of leaving the country : ___________________________________________

6. Date of arrival in India : ___________________________________________7. Date of joining the

Institute/University : ________________________________________

8. Name of the Institute/

University where admitted : ___________________________________________9. Duration of the entire course : Date Month Year

From:

To:

10. Duration of summer vacation From:

To:

11. Name of the competent authority

allowance etc. should be sent. :12. Hostel or residential address

of the scholar at the place of

study in India. :.13. Passport number with validity

of the passport. : ____________________________________________

14. Whether allotted hostel

accommodation? If so,name of the hostel :____________________________________________

15. Roll No./Reg. No./ I.C. No. : ____________________________________________

_____________________________________________________________________________

_ Note: This page may be torn out and kept with candidate, Upon completion of all registration

formalities this form may be returned to ISD Section, ICCR in person or by post. Please ensure

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that the form is duly stamped and signed by concerned authorities in the Institution/ University

where the scholar joins.

14. COMPULSORY FEES : I II III IV VYR. YR. YR. YR. YR.

Tuition Fee : ________ ________ ________ ________

Admission fee : ________ ________ ________ ________Enrolment fee : ________ ________ ________ ________

Registration fee : ________ ________ _________ ________

Laboratory fee : ________ ________ ________ ________

College Exam. Fee : ________ ________ ________ ________University Exam. Fee : ________ ________ ________

________

Marks sheet fee : ________ ________ ________ ________Identity Card fee : ________ ________ ________ ________

Library reading room fee : ________ ________ ________ ________

Gymkhana/Games/Athletic fee : ________ ________ ________ ________Union fee : ________ ________ ________ ________

Association fee : ________ ________ ________ ________

Recreation fee : ________ ________ ________ ________Medical fee : ________ ________ ________ ________

Visual fee : ________ ________ ________ ________

Poor Student Aid fee : ________ ________ ________ ________

Name of any other feewhich is compulsory : ________ ________ ________ ________

Hostel rent

(Room rent, water & electricitycharges with break up) : ________ ________ ________ _ _______

Any other charges not covered above & details thereof:-

In case the scholar has not been allotted any hostel accommodation for himself due to

nonavailability of accommodation in the hostel, a certificate to this effect stating that This is to

certify that as no hostel accommodation was available, the scholar could not be provided hostelaccommodation and he/she had hired private accommodation for which he/she is paying

Rs._______ P.M. to the land lord may be sent to the Council separately.

Signature of Head of the Institute:

:_________________________________________

Name in Block letterDesignation and seal ________________________

______________________________________________________________________________

Important: Students may kindly note that in any future correspondence with ICCR, the name of

the country, scholarship scheme, year of joining and File Number must be mentioned.

Documents

ICCR FORM-2