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RTC-BOC SCHOLARSHIP

A P P L I C A T I O N F O R S T U D E N T A D M I S S I O N

P l e a s e f i l l i n w i t h B L O C K l e t t e r s a n d m a r k i n a p p r o p r i a t e b o x e s

Please attach a recent photo (not more than 6 months old) of the applicant here.

SECTION 1 – PERSONAL INFORMATION

First Name: Middle Last Name: Name: Date of Gender: Male Birth: Day Month Year Female Nationality: Citizenship ID Card #: Permanent Village: Mailing Address: Address: Gewog: Dzongkhag: House #: Thram #: Contact Email Details: Address: Mobile #: Phone #:

SECTION 2 – FAMILY/GUARDIAN INFORMATION

1.Father 2.Mother 3.Guardian Names

Occupation/Job title & Organisation Contact address:

E-mail: Mobile: Phone: 4. The applicant lives with (a) Both the parents (b) Father (c) Mother (d) Guardian

SECTION 3 – ACADEMIC INFORMATION

of 3 Please provide schooling history from Class VIII onwards (Students studying outside Bhutan who have not received their results must submit the latest results that are available) % Grade School Name Location Year Board Remarks secured English + Best XII 3 Subjects XI English + Best X 4 Subjects IX VIII

SECTION 4 – SPORTS INFORMATION

Scholarship category applied for (Tick Football Basketball Open Category One): Discipline / Specialisation Current title and standard Yes Yes Active Athlete? National Team Member? No No Have you participated in Yes Date of the last participation any International No in sports: Competitions?

Year Primary Sporting Achievements

You may use additional sheets if required.

SECTION 5 – SELECTION INFORMATION While RTC will endeavour to place qualified applicants in the programmes of their choice, the first choice may not always be available due to excessive or insufficient demand for the programme. Students who are willing to opt for programmes other than their first choice may rank up to 3 choices in order of preference (1=1st choice; 2 = 2nd choice; 3 = 3rd choice)

Be sure to check that you meet eligibility requirements for all three choices. ( Indicating 2 nd and 3 rd choices will not affect your chances of getting into a first choice, but applying early raises your chances of getting your first choice.)

1. Bachelor of Computer Applications (BCA) - for all streams with Mathematics 2. Business Studies (BBA & B.com) 3. Bachelor of Science in Environmental Management (BSc. EM)- For all Streams

of 3 4. Bachelor of Arts (BA) in o English Studies o Dzongkha & English o Development Economics o Sociology & Political Science

ATTACHMENTS: The following documents must be enclosed with this form (originals or copies) Enclosed 1. Scholarship Application form duly signed and dated along with your photograph 2. Academic Transcripts (Class X & XII) 3. Citizenship ID Card copy 4. Security Clearance Certificate 5. Medical Certificate 6. National Team membership proof, if available 7. Recommendation Letter from relevant National Sports Federations 8. Certificate/Evidence of sporting accomplishments 9. CV of the applicant 10. Merit and other Certificates (optional) 11. Cover letter

I hereby certify that all the information provided in this form is correct. In the event any of the above provided information turns out to be false or incorrect, I will abide by any action that the BOC/RTC deems fit. I promise to abide by the rules and regulations of the BOC scholarship policy and the institute.

Full name of Applicant:

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Signature: