F.No. 30- r/20 r 9-8S.3Govemment oflndia

Ministry of Human Resource DevelopmentDepanment of Higher Education

Division

il,To,

The Chairman,

All Ind ia

NelsoD

New Delhi- I 10070

Subject: ChulabhornYear 2020 regarding

Sir,

lnstirule Post-Craduare Scholarship program. in ApEn\ ironmental Toxicology and Chemical-science

2. The Public Notice in rhis regard has alreadysame is enclosed. It is requested that the public noticealso arraDge for further disseminatioD ofthis ofler for i

Encl: As above

en displayed on the Ministry,s website and thesy be displayed on the AICTE,s website. Kindlvwide publicity.

Yours faithfully.

)+t'q{ Visrlakshi Jayaranian )

Undersecretary (Scholarships)

Tetet26t729t1

>-"- (ea)

Vasant Kunj,

Craduate lnstitute post- raduate Scholarship program for the Academic

I am directed to say lhal rhe Chulabhom Uscholarships ro Non,ASEAN applicants for the Acad

ied Biological Sciences: Environmental Health.

West Block-t, Wing - 6,2"d Floor, R.K. puram,

New Delhi- I 10065Dated 09rh August 2019

luate Institute, Bangkok, Thailand is offering l0mic Year 2020 under the .Chulabhorn

Graduate

Xt\bF

tr.c,,/Al,C.

j

a

ru) )CIIUI-AIJI]OIIN

ROYAI, ACADBN1YChulrbhorn (;rndu.n( lnniru(

Ch ulabhorn Graduate Institute post_graduate ScholarshipProgram for NON-ASEAN Applicants

(Acadenric year 2020)

Tl)c Chulabhonr Craduate Iustilutc (CCl) is a nrultjdisciplinary posl-graduate acadcD)icinstitute csrablishcd in 2005, under rhe ioitiative of protlssor'Dr. HJ: noyar UigrncssPtinccss Chulabhorn lvlahidol_ Thc aim of CCI is to employ th" *ust ,e."nt inr.ractiu"teaching tcchniques used in leadirg cducational and rescarch institutions to p;;luce eflaclivcthirkers and Ieaders to better servc thcir countries' needs lowards sustainatle developmcDl.The CCI is preseDtly offcring progmrns teading to Masrer,s and OoctoJ Oegrec in appticaBiological Scicnccs: Environmental Hcallh, Envirorunenla) .l-oxicology, _and

Cl:enricalSc,ence.

This ycar, l0 (tcn) scholarships arc availablc lor NON_ASEAN intcm&tional applicanls r()fursuc a Mastq's l)egrcc study at thc CCL Selection ofapplicants will be based o mcni.

l!ligibilit_v

Scholorships arc opcn to thc ctigiblc applicnnrs u,ho nrccr thc lbllowing qualificalions:

l) Undcr 30 yoars ofagc2J Hold a Bachelor Dcgrec rvilh a cunrularive GpA ofal least j.00 iD onc ofthc

ibllowing fields:o Scicnces: Clremistry. Biological. Biological Soiences, Molecular Biology..

Eoviron entalScier)ccso Nledical Sciences: Medicine. Mcdical l eclDologyo Phafiracy or Phannacculical ScicnccsApplicants from othcr relalc(l ficlds rc tlso \.r,elconre to tpply.

l) Havc expcricncc iu scic[tilic labolalory rcsearch.ll N4usl have dcmo strated linglish prolicicncy. prclerablv on onc of two recognizcd lcst

ol lar)guagc proficicncy (TOEFI-- ll:LTS)5t illust provide a statencnt ofpurposc explaining their intcrcsts in the study

Supporting Document

Ijollo$ing documents |iusl bc subniLltcd togothcr wilh applicalioD fbrm:

l) Full Acadenic Transcript

li l hrcc Ru:onrrncndrtion l-crtcrs

j ) Staternent of Prupose c)iplaining intcrest of study

4) N.{cdicnl His(ory l{cpon

5)Othcr supporrirrg doculrents lo lacililate applicirtion screenillg

Applicrtion Period

Applications for the CGI Post,graduatc Schola$hip program are due on 30 Octollcr 2019

Notification of thc Aryrrd

Successful applicants \vill bc norif-rcd ol tlre outconre by tlrc CCI around January 2020.

Application Form

CCI scholarship application fbnn and medical history report can be fcrund as thc attaclrrrenrs

lior more infornratiort, pleasc contact

Address: 'fhe Chulabhonl Graduarc hslitutc54 Kamphargplrct 6 Road,'fal t Bang KIcn. l,aksi, Bangkok I0210 TllAll.ANt)

E-mail: cgi_academic@cgi.ac.tlr

lvcbsite: wv'\r.cgi-ac.th

TclNos: (662) 554 )900ext. II55.2I.l0lxr Nos: (66 2) 554-1990/ 554-1992

.a

-. .,: ",

l./\ ,/.J(,ttUt,At ltoilN

((lYAl.4(iAl)F:l\lY

Chulabhorn Graduate lnstitutePost-Graduate Scholarship program

Scholarship Application Form(For NON-ASEAN Appticants)

IMPORTANT INSTRUCTTONS:. Each question lnust bc atrswcred clearly ard completely.. Duly cornpleted applicarion fbrms should be fonvarded to rhe Chulabhom Cftduare

lnstitute before deadlille of applicarion. lpcomplctc spDlicltions will not be co[sidcred.

Proposed field ofstudy: n Applied Biological ScieDces: Environme lal Lleatlh

D Envirorlneoral loxicology

E Chemical Sciences

I'lacel']hotograph

l-l ere

PIIISONT\I, DA'I'A

'l'itleFirs^t uxfitcl'an ly nanrc / Srrnarrrc

ts sho\![ in

C] tvlr.

! tvtn.

D u..

Maie

Femalc

Ciry.nd counrry ofbinh D.t. oIAidh

COIlIN,II.JNICT\'I'ION AND JVIAII,INC ADDIITiSS

EDUCA'l'lON RIICORD

,Appl icanr's Ol'lice Addrcss: Applicart's llonrc Address:

orfice rclcphooc NO: I FAX: lldnc Ielephorc NO: I:AX

Cou,,rr!1,\r(.i Nu'nbcr I Lou rearN fibcr L (ounrry ArcalNuir)bcr Cou0lllcc Email

Namc tnd address ol person lo be noliljo{l in c(se ofeDergency:

'felephone No: Relationship:

Pcrsonal l:mailr

lntcrnalionirl Airport / City ofDcpal1ure

Fiucarion hsirul aili/CoLrntry

Degrcas, Diplomas Mrjor ficldGPA-lo

ffi yot, db"* ;il;ilill"iG;dt l,r".r,Mt ..**r,here and ror how lons?

L,.*r .,lyour publi.rri.trrs/rcscil(h(s td,' rrul allc(h dclrrls)

IiillPI-OYI\,! IlN t tutcOlll)

l\ c".,ut ur nrost r.ec",,t

Ycars ol s",vicclI.,,rr-ioy Ycars ol scrvicc (tionr-toI

Title of your. pos?posirion f irle oIyouipoVposiGn

'Iyp" of youioiganizuri.*,

Cov.ntnrept/ Sepr CovernDreDr/ Itivarc/ NCO

l'ype of your organization:

C!I9q.IS!y&!r!9v9mme''u priv;,rc/ NLi(,Nlain funcrion ot rhc ofnn iiorr lvlain function oIthc o.gonir^tiotl:

Descrip-tion of your rvs.k incluaingl6utc.pi ibiliii;jFiAffi;ii-nue ofiuppiiimenr,ryp6gcs if necessary)

otrrc-e "JiGi---- --Office address:

Pagc 4 of 5 pages

EXPECTA f IOr.'s

rterrse aesiriucitre pracric@,.,,,,,-, .the rcsponsihilitics you cxpcct to assumc iol.vorrr rr,;hi.. /Dr^.-., ^^_,:_... -

nd thc condiriou cxisting iu your couDtry in thc ficklol your training. tplcasc conrinue on suppler,r."i",, ,r_". ,ir*".t*ri

LANGUAGES (No considcra(ior will bc Siven to pplicants wirhour language proficiency rcsrdocumelts)

English Proficicncy 1'cst* (plcase a[ach)

EroEr,. r"u,"

E orher lspccifyy

+ Required ln[ornation

E ,urr, ,"0..

SUPPOR].rNC DOCI.'MENTS

E Transcripr 1s)

lJ Lerrcr of I.(ccounrcrxtarion

rirlc institution/colrpany

tit lc insritutiorVcomjany

r illc insritrrrioVcompa[

L] N,tedicat Certifi care

f] Orhers (ptease specify)

Pleqsc rerd the following urd $igt

I understand that withholding pcrrinent intbnnorion requcsted ir &is applicarion fonn or,n(entionatly sivins false informarion wiu m"k. ,"" o";;n;i;;ji;l;"iiit," ii. ,ir,,*,.,considerario, I hcrcby ccrlify lhal m_v cducalron and quarificatioDs are in accordancc wrlh theadmissirrn rcquirem rs antl all rnlirrnrarion givcl rn rllis form is rtu; ---"'*'

Applicanl's Signarure

Dale

Duly coD)pldcd applicalior i'olr should be lbrwarded io:

The Chulabhorn Gradualc Insli(ulc

906 Kanrphar)gphct 6 ttond, I-alat Bang Khen,

Laksi, Bangkok t 02 t0.TIIAII-AND

Ermril: cqi acadcnricrlltcei.ac.lir Ur.lylfyagl4&

l'ago 5 of5 pagcs

UlollLtultollafiL8spollNxnlr ol Nonlince

(i)[ntiv...... - "n go """"

*l'hysical Uxanrilation (.Ib l)c filtcd in bI physician)

Prcsent Status

IlciSht Cnrs. Weight kgs. Illood l,ressurc urn.llg. putsc /rninVision ltighr t cti

a) Do ),{)u cLrn.entry Lrse nny drugs fo, rhe wirh glasscs Milhout grxsses

( ) No lreatnrcnl ol a nledical condilion? (givc na,nc ard rlosagc)

( ) Yes : narnc ofnretlicatiol (

b) A,e you pregnanr.? )' Quanlily ( )

( )No

( )Ycs: ( rno rhs)

c) Arc you allcrgjo to any rncdicario) or lbod?

( )No

( )Ycs i ( )Medicalio i( ) Foo(t :( ) Orh(jr:

Slr)ol c\antinfltioD fol.parasite & ()y

Chcsr X - Ray reporl

Urinc prcenitnc\ tcst ..

Iricld of Study

. Applied Biological Sciunocli: Ellvironmcntal llcllth. Environnrcntal.lb\icology

. Chernical Scicnces

Scholarship Coverage

The scholarship rvill covcr .tuilion and othcr aoademic fees. round h.ip airfare.accornnrodalio,, .lonthry stipend, book allowa*cc- hcal$ ilsurancc ard othcrs_

Arvard Period

Thc scholarship arvard will cover 6 wecks retiesher cours€s and follow by a penod of2 ycars:VIaster's Dcgree study, subject to an alrnual review ofthe sclrolar,s salislactory progrcss.

No(c: Refreshel Courscs will tenlalively conrmel)ce in Junc 2020 \.r,lllc thc acadcn)icprograrn lvill commcncc in Augusl2020.

Application Procedure

Applicants should conrplete the Chulabhom Craduate lnstitulc post _ Craduate scholiushipProgram's application lbr.rr (tbr NON-ASEAN) ard sub ir rogother wirh orhcr supponinSdocumcflrs thrcugh lhe f-ollowing channel:

( I) Selld via c-majl thc scan file ofthe application lbrm and all the supporting docunrcnl to:

Ihe Chulabholo Craduate Institure (CGI Scirolarship l,rogram)54 Kamphangphct 6 Road, Talar Bang Khcn- taksi. Bangkok 10210 THATL NDEmail: cgi acadclnic(a)cgi.ac.th

(2)Alierstq)(I)scD(lalltheo ginal doculncnls via postal scryices to the address as stalcd ir:(r)

Notc: No consideration will be givelr to irpplication with inco plete of supp(,flingdocunrents-

Cl,".k "."t, i;; i, ,;;;;r";r;;

Itcnr

Ccncr'al

SIin. ScirlD

l.rnph nodes

I:!'cs

l.]ills

Oloscopic Or1lDr

Nosc

I'har'1,nx & tonsils

Tecrh

Nornr:ll Abnoutlnl Addilio nl (otunle t

trtrEtlE

nEntrE

'I'hyroid Sland

Lungs

Ileafl

t"ivcr

Splecrr

llcmit

Ertcr'nal genitalia

Itcctal c)ianl

llcllcxes

Mc lal hcllth starus

EtrtlflxTEtlEtlD

nDEEEtl

nUDtltlEtlEtlE

EEEnE

ls thr n.rlrlcr. ablc physicllll rnd@

ls ihe no.rilce jiec lio,;Illariasjs) turl olhcr conditions (such as psyclrosis an(i drug addictiorr) ,rliich-corlct p.csenrrisks lbl a ]ono dLu.ing the I-cllowship pcriocl?

ls rhe norrrincc ablc physically and@

Islhellollrlllcrli,ccti,o,,'i',ti."ri".,*@utIllariasjs) turl olhcr conditions (such as psyclrosis an(i drug addictiorr) ,rliich corlci p.cserisks lbl a ]ono dLu.ing the I-cllowship pcriocl?

Docs lhc ,onrnec hav" rny.unai@lblk>wship pcriod?

Full nalne and address ofExamining physician (prinred)

Physician signaturc ......................._..........M.D.

( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . )