golden jubilee 2014 15

8/10/2019 Golden Jubilee 2014 15

1/6


2/6

Form. Any change in address/ telephone number should also be intimated immediately

through letter bearing candidates signature.


3/6

iii) 100 scholarships will be reserved for students belonging to districts (25)

identified by Government of Nepal as educationally disadvantaged. These are Morang,

Dhading, Sindhuli, Kavrepalanchok, Nawalparasi, Sindhupalchok, Rupandehi, Nuwakot,

Kanchanpur, Dangdeukhuri, Sunsari, Banke, Makwanpur, Kapilvastu, Parsa, Saptari,

Sarlahi, Rautahat, Mahottari, Dhanusha, Bara, Kailali, Bardiya, Siraha and Rasuwa.

iv) Children of retired/ serving Nepalese soldiers in Indian Army are required to

furnish a certificate to this effect that he/she is a child of serving/ex-serviceman

personnel of Indian Army and send their application through Asstt. Military Attache

(Welfare), Embassy of India, Kathmandu.

v) Candidates belonging to or studying in Dhanusha, Mahottari, Sarlahi, Rautahat,

Bara, Prasa, Makwanpur and Chitwan may send their applications to Consulate General

of India, Shreepur, Birgunj. However, candidates from above districts presently

studying in Kathmandu may submit their application to Education Wing, Embassy of

India, Kathmandu. All other candidates should submit their application forms at

Embassy of India, Kathmandu.

6. Instruction for filling Application Form

i) The Application Form may be downloaded from the Indian Embassy website

www.indianembassy.org.np and should be filled-in legibly, preferably typed and should

be submitted in one (01) copy only.

ii) Candidates should attach one attested photograph, attested photocopies of

citizenship certificate, mark-sheet of class XII (Transcript only) and parental incomecertificate issued by CDO/VDC only where the student is studying.Originaldocuments

need not be attached at this stage. Candidates who are not in possession of

citizenship certificates should enclose copy of citizenship certificate either of mother or

of father. Dalits and physically challenged candidates should enclose a copy of

certificate from CDO or district authorities to support their claim.

7. Application should be strictly in the format specified in the Indian Embassy

websitewww.indianembassy.org.np.Incomplete application would be rejected.

8. Application may be submitted either by post/courier (preferably) or personally

(between 09:30-12:30 hrs on working days) to Education Wing, Embassy of India, P.O

Box- 292, Kapurdhara Marg, Kathmandu not later than 21st Nov 2014.
http://www.indianembassy.org.np/http://www.indianembassy.org.np/http://www.indianembassy.org.np/http://www.indianembassy.org.np/http://www.indianembassy.org.np/http://www.indianembassy.org.np/http://www.indianembassy.org.np/


4/6

GOLDEN JUBILEE SCHOLARSHIP SCHEME 2014 15

EMBASSY OF INDIA, KATHMANDU

CONSULATE GENERAL OF INDIA, BIRGUNJ NEPAL)

[FOR UNDERGRADUATE COURSES IN NEPAL]

Note: 1.

Application form is to be submitted with required enclosures, duly attested by the Principal, College Campus Chief,Head of the College Administration branch or a gazetted officer/Notary.

2. All entries should be made in Capitalletters. Read the instructions carefully before filling the Application Form.

1. Course Studying: (MBBS / BE / Other Courses - BA, BSc,

BBS, BBA, B.Com etc.) [Indicate only one]

2. District to which candidate belongs[100 scholarships will be reserved for students belonging to 25 districts

identified by Government of Nepal. See details in advertisement]

3. Eligibility: Marks in Class 12th

[at least 70% marks in aggregate]

Age as on July 1st, 2014[between 17 and 22 years]

Family Income of the Candidate[must be less than NRs. 1,20,000/- per annum]

4. Personal particulars:Name

Date of Birth a) In Christian Era:

b) In Bikram Samwat:

c) Age as on 01 July 2014Years Month Day

Fathers Nameand

Occupation

Mothers Name and

Occupation

Permanent Residential

Address

Correspondence

Address

Telephone No./

E mail address

5. Details of Nepalese Citizenship Certificate number:

Nepalese citizenship

certificate number

[Candidates who are not holding citizenship certificate can enclose copy of citizenship

certificate either of mother or of father.]

Paste copy of

recent passport size

photograph and

then get it attestedby competent

authority.


5/6

Date and place of issue

(Please attach copy of citizenship certificate)

6. Educational Qualification: Class XII

Name of Institute fromwhere you passed class XII

with phone/FAX

Number(*)

Year of passing

Class XII

(Class XI marks not to be included)

Total Marks Marks Obtained Overall Percentage

7. Details of Institution/college in Nepal where student is studying in 1stYear/1stsemester:

Name of Institute with

phone/ FAX Number(*)

Name of Undergraduate

course and duration of

course(Please attach certificate from College/ University concerned)

8. Details of Annual family income (NRs):

Certified that the annual family income of Mr/Ms. is less than

NRs,1,20,000/-.

Signature of CDO/VDC Head with stamp/seal

9.

A. Whether children of serving/ex-servicemen (soldiers) of Indian Army. If

yes, attach a copy of relevant certificate issued by competent authority.

(Yes/ No)

B. Whether the student is receiving full or partial scholarship from any other

organization/govt. If yes please specify details.

Signature of College Principal with stamp/seal

(Yes/ No)

I certify that information/details furnished in the above Application Form are correct to the best of my knowledge

and belief. I am also aware that my application/selection will be rejected/ annulled if any facts stated above are


6/6

found to be incorrect. I also undertake that if selected, I will furnish the mark sheet within a period of 30 days after

the declaration of the result of first year and thereafter every subsequent year failing which my scholarship would

be discontinued. I also certify that I have not received scholarship from any other institutions.

Date: Signature of the

candidate

Note: (*) Phone No/ Fax No. of College/ University required by the Embassy to verify details furnished by the candidate. Applicants are

advised to check Indian Embassy websitewww.indianembassy.org.np regarding their short listing for interview and date, time and venue

of interview.
http://www.indianembassy.org.np/http://www.indianembassy.org.np/http://www.indianembassy.org.np/http://www.indianembassy.org.np/

golden jubilee 2014 15

Documents