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:
Email:
2. FAMILY DETAILS & INCOME
Parents Divorced / Father Mother
Status Separated Deceased Deceased
*Monthly Income *No of Bros.& Sisters
Father & Mother Rs. Less 4 Years
Brothers & Sisters Rs. 5 to 18 Years
Other Income Rs. 19 to 25 Years
*Total monthly income: Above 25 Years
Amount if Scholarship Recipient Rs.
3. 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

SSFB-ADM-003-CAF/Rev5 (03/2010) Page 1/3

 SRI LANKA SCHOLARSHIP FUND-BAHRAIN
(SSFB)
APPLICATION FORM

4. 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

Registration Fee Rs. *Total Course FeeRs. Exam Fee Rs.

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
5. DETAILS OF THE INSTITUTE
*Institute Name
Institute
Address
*Institute Phone : Email :
*Contact Name : Position :
6. PAYMENT DETAILS
Scholarship Payment Method Direct to Institute To Self
Name of Account Account No
Name of Bank Branch
7. 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:..

8. *NON-RELATED REFEREES
i *Name ii *Name
Position Position
Address Address

*Phone *Phone
Email Email
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 SRI LANKA SCHOLARSHIP FUND-BAHRAIN
(SSFB)
APPLICATION FORM
9. FOR OFFICE USE ONLY
Comments of the Selection Committee:
Accepted Rejected
Reason:

10.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 posses at least 3 passes in GCE Advanced Level examination.
3) Courses ending on or before December this year (Advertised year) are not eligible.
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) Only vocational courses will be considered.
7) Courses conducted only by recognized institutions are accepted.
8) Applications received after the closing date will not be considered.
9) 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).
10) The Course Prospectus and fee structure must be attached along with the application.
11) The information marked with * are mandatory. If not completed your application will be rejected.
12) All applications will be processed, but only the short listed applicants will be called for an
interview.
13) Influencing in any form will be treated as a disqualification. All application must be submitted to
mailing address stated in the advertisement.
14) 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.
15) SSFB has the full rights to take appropriate action regarding the assistance upon your progress.
16) You are expected to contribute to the fund after employment.
17) For Multiple level courses Final level s covered by the fund. Specify the Levels that are being
followed under Course Details and Expenses section.

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