www.nesobrazil.

org
info@nesobrazil.org

Orange Tulip Scholarship Brazil

Application Form – Academic year 2018/19

Personal Data
This information is for use by Nuffic Neso Brazil only
Full Name
Address
City and State
E-mail (direct)
Telephone (direct)
Birth date
Birth place
Nationality
Sex Male Female

Programme of your Choice

Name of the university and course to which you are applying

University:
Course:

Academic Background
Name of the university from which you graduated (or from which you will graduate)
City and State
Level of degree obtained Bachelor Master PhD Other
Month & year of graduation
Grade point avarage

English exam taken (Please include TOEFL iBT IELTS Cambridge Certificate
a copy of your TOEFL or IELTS diploma, if
applicable)

Score
GRE test result (if applicable)
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GMAT test result (if applicable)

Working Experience
Current or last working experience (if applicable)
Company / Organization
Job position

Short job description

Other work experience(s)

Financing Your Studies

How do you plan to finance your studies at the Dutch higher education institutions (multiple answers
possible)?

My own savings Bank credit

Parents or family Scholarship(s)
Employer Other:

For which other scholarships or credits are you applying. Please specify?

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About…

How did you find out about the Dutch institution as a

possible destination university?

Internet (please specify which page):

Recommendation by friends, family, classmates or professors
Recommendation by Holland alumni
Nuffic Neso Brazil
Fair or events
Announcement in media (radio, newspaper, etc; please
specify):
Other (specify):

How did you find out about Nuffic Neso Brazil?

Internet (please specify which page):

Recommendation by friends, family, classmates or professors
Recommendation by Holland alumni
Fair or events
Announcement in media (radio, newspaper, etc; please
specify):
Other (specify):

How did you find out about the OTS Brazil opportunity?

Internet (please specify which page):

Recommendation by friends, family, classmates or professors
Recommendation by Holland alumni
Fair or events
Announcement in media (radio, newspaper, etc; please
specify):
Other (specify):

Why would you qualify for the Orange Tulip Scholarship? Include your motivation letter as
attached file.
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Checklist

Please fill in the online form https://www.nesobrazil.org/bolsas-de-estudo/orange-tulip-

scholarship/formulario-ots-brazil-2015 and upload there the following scanned/printed screen
documents before the deadline of each Dutch Institution. Incomplete forms and package will not
be taken into account.

Information on how to apply can be found here

Completely filled out OTS Brazil scholarship application form

Copy of our acceptance letter (if already received) or proof that you have started the admission
procedure at a Dutch institution, e.g. electronic application form

Please note that each Orange Tulip Scholarship participating Dutch higher education
institution may require additional documentation, check at www.nesobrazil.org/ots

Place and date

Signature