SRI LANKA SCHOLARSHIP FUND-BAHRAIN (SSFB) APPLICATION FORM Ref.No:______Photo Please section 10 for the pre- qualification criteria and terms & conditions
1. PERSONAL DETAILS OF THE APPLICANT *Full Name
*Permanent Address
District: Province: *Postal Address (This address will be used for SSFB communications)
District: Province: *Date of birth Day:……… Month:……. Year:……….. *NIC No: *Sex: Male: Female: Tel No Res: Mob: Skype ID: Email: 2. EDUCATIONAL QUALIFICATIONS School Attended *GCE (O/L) *Year Subject Grade Subject Grade 1. 6. 2. 7. 3. 8. 4. 9. 5. 10 *GCE (A/L) *Year Subject Grade Subject Grade 1. 3. 2. 4. *University Waiting for Entrance Already Enrolled Not Qualified
Please fill this application and post it to following address with supporting documents: To: SSFB, C/O Ahmed Rizvi P O Box 26349, Adliya, Kingdom of Bahrain
SSFB-ADM-003-CAF/Rev9 (05/2018) Page 1/4 SRI LANKA SCHOLARSHIP FUND-BAHRAIN (SSFB) APPLICATION FORM
3. COURSE DETAILS AND EXPENSES *Course Name
Contents / Subjects
Note : Specify Part 1, Part II, Finals etc. Require supporting course prospect attached or submitted at interview as proof *Start Date DD-MM-YY: *Duration (In months): Describe course schedule if not Continuous
Detailed Fund Requirement Breakdown (Additional space available below, if required) Year Month Registration Tuition fees Other Fees Examination Fees Other (specify)
Year Month Registration Tuition fees Other Fees Examination Fees Other (specify)
Year Month Registration Tuition fees Other Fees Examination Fees Other (specify)
Year Month Registration Tuition fees Other Fees Examination Fees Other (specify)
SSFB-ADM-003-CAF/Rev9 (05/2018) Page 2/4 SRI LANKA SCHOLARSHIP FUND-BAHRAIN (SSFB) APPLICATION FORM
Describe if payment schedule if not continuous
Own Residence * From where do you *Distance from Accommodation Travel to the Institute Boarding/Relative to Institute (in KM) Expected Assistance Registration Course Exam Food/ Transport from Scholarship for Fee Fee Lodging 4. DETAILS OF THE INSTITUTE *Institute Name Institute Address *Institute Phone : Email : *Contact Name : Position : 5. PAYMENT DETAILS Scholarship Payment Method Direct to Institute To Self Name of Account Account No Name of Bank Branch 6. DECLARATION
*I, the undersigned …………………………………………………………………….……………………. do hereby declare that the information given above by me are correct and I have fully understood the terms and conditions stipulated in section 10 below.
Date : …………………………….. Signature of Applicant:………………………………..… 7. *NON-RELATED REFEREES i *Name ii *Name Position Position Address Address
*Phone *Phone Email Email 8. FOR OFFICE USE ONLY Comments of the Selection Committee: Accepted Rejected Reason:
9.PRE-QUALIFICATION / TERMS AND CONDITIONS 1) The applicant must be under 25 years of age on the closing date of the application. 2) Applicant must possess minimum 6 O/L passes with 3 credits. A/L preferred. 3) Courses ending on or before December this year (Advertised year) are not eligible.
SSFB-ADM-003-CAF/Rev9 (05/2018) Page 3/4 SRI LANKA SCHOLARSHIP FUND-BAHRAIN (SSFB) APPLICATION FORM 4) Courses that would be 50% or more completed by 1st October this year are not eligible 5) University graduates / undergraduates are not entitled for this scholarship scheme. 6) Courses that are free or already financed by other scholarships are not entitled. 7) Only vocational courses will be considered. 8) Courses conducted only by recognized institutions are accepted. 9) Applications received after the closing date will not be considered. 10) Please attach copies of O/L and A/L certificates, NIC and PP size photo along with the application. (Please do not submit original certificates). 11) The Course Prospectus and fee structure must be attached along with the application. 12) The information marked with ‘*’ are mandatory. If not completed your application will be rejected. 13) All applications will be processed, but only the short-listed applicants will be called for an interview. 14) Influencing in any form will be treated as a disqualification. All application must be submitted to mailing address stated in the advertisement. 15) If any information furnished by you found to be incorrect, your application will be rejected and if found to be incorrect after the grant of the scholarship, the assistance will be suspended or stopped without notice. 16) SSFB has the full rights to take appropriate action regarding the assistance upon your progress. 17) You are expected to contribute to the fund after employment. 18) For Multiple level courses Final level s covered by the fund. Specify the Levels that are being followed under ‘Course Details and Expenses’ section.
Year Month Registration Tuition fees Other Fees Examination Fees Other (specify)
Year Month Registration Tuition fees Other Fees Examination Fees Other (specify)
NOTE : You may Apply online www.ssfbonline.com
SSFB-ADM-003-CAF/Rev9 (05/2018) Page 4/4