Chevening Fellowship
Application form
Please complete all parts of this form in black ink or typescript. If completing this form electronically, print out the completed form,
sign, date and attach the photographs to the printed copy.
Title of course applied for
Part A Personal details
Family name
(exactly as on your passport)
Other name(s)
(exactly as on your passport)
Title
Sex
Mr
Mrs
Miss
Professor
Other (please specify)
Male
Female
Ms
Dr
Date of birth (date/month/year)
Your residential postal address for correspondence in your
home country*
Name and address of your next of kin who should be
contacted in the event of an emergency (please state their
relationship to you).
Your telephone
number.*
Telephone number
of next of kin
Your e-mail address
(please state NONE if
you do not have an
e-mail address)
* This is essential in case the course provider needs to courier pre-course documents to successful candidates.
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Part B Academic background
Please list all academic qualifications gained since completing your secondary education, stating: (a) the class or level of the
qualification awarded (b) the institutions attended; (c) the main subjects of study; (d) when the courses started and finished. Please
note that the institution in the UK providing the Fellowship course may wish to see your original academic certificates.
Qualification awarded
(including class or level)
Institution attended
Subject
Start date
Finish date
Qualification awarded
(including class or level)
Institution attended
Subject
Start date
Finish date
Qualification awarded
(including class or level)
Institution attended
Subject
Start date
Finish date
Qualification awarded
(including class or level)
Institution attended
Subject
Start date
Finish date
Where appropriate please also provide details of any current studies or training. If you are pursuing a course that will not be
complete before the Fellowship begins please explain how you would proceed if your application is successful.
If you have ever received an award or scholarship to study in the UK, please give full details.
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Part C Professional career
Please provide details about your professional career showing the following information for your recent employment history (in
chronological order, beginning with your current or latest position): (i) organisation/institution; (ii) position/title and grade; (iii) start
and end dates; (iv) main responsibilities.
Organisation/institution
Current Position/title and grade
Start date
End date
Main responsibilities
Organisation/institution
Position/title and grade
Start date
End date
Main responsibilities
Organisation/institution
Position/title and grade
Start date
End date
Main responsibilities
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Organisation/institution
Current Position/title and grade
Start date
End date
Main responsibilities
Organisation/institution
Position/title and grade
Start date
End date
Main responsibilities
Please also provide information on any other major achievements, activities and offices held.
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Part D Statements and additional information about yourself
Personal statement
Please provide us with a statement as requested in the Annexe to this form.
Availability
Please confirm that if you are offered a Fellowship place you will be available to participate from January to April next year and if
appropriate will seek permission from your employer to be absent from work.
Yes, I will be available
Additional information
Is there any additional information you would like to bring to the attention of the selectors?
Photograph
Please attach two recent passport-style photographs of yourself
(facing forward and without sunglasses)
Signature
Please sign and date this application to show that you have read and understood the following statements on data protection.


The Foreign & Commonwealth Office (FCO) of the UK (including the Embassy or High Commission/Consulate in your country)
will treat the information you have provided with proper respect and in accordance with the Data Protection Act 1998.
For the purpose of selection and administration of Chevening Fellowships, you agree that the Foreign & Commonwealth Office
of the UK may share and process the information and data you have provided with other interested parties, namely:

the organisation/institution providing the particular Chevening Fellowship cited above which, if you are selected, may use
information provided by you to prepare a pen-picture of you to share with other successful participants on your course

organisations that may provide work placement opportunities

other UK government departments, agencies, devolved administrations or the Police, who are involved in delivery of the
programme or immigration or security issues

the Agency that administers Chevening Fellowships on behalf of the FCO (currently the British Council) who may in turn
inform other Chevening award-holders of your name, course and institution in the UK as a way of encouraging networking.
Signature
Date
Submission
Please send this completed form and your passport-style photographs and a copy of your passport to your British Embassy or High
Commission/Consulate by the deadline you have been given.
Good luck with your application.
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Annexe
Your personal statement
Please provide us with a statement in not more than 1,000 words explaining:



how the Fellowship would fit with your career plans or personal aspirations;
how your Chevening Fellowship might contribute to achieving change and improvement in your home country; and,
how you would plan to build on your Fellowship experience and diseminate what you will have learned.
Applicants are advised to complete the application form fully and not to add their CV as an annexe. Selectors are under no
obligation to read any documents submitted with this application.
Please continue overleaf or on a separate sheet, if necessary
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