IMPORTANT : Please clearly mark your State of origin:
BAYELSA
DELTA
RIVERS
PLEASE STATE YOUR LOCAL GOVERNMENT AREA:
…………………………………………………………………….
Proof of origin will be required at every stage of
the process.
SPDC Niger Delta Post-Graduate Scholarship Scheme
Imperial College London
Scholarship Application Form
A scholarship application should accompany, or follow, a University Graduate Entry Application.
Scholarship applications will not be considered until the applicant has been accepted by Imperial
College London to undertake an eligible programme of postgraduate study.
Applicants must personally complete this form by entering the information requested in the
appropriate blocks. A fully completed scholarship application form must reach the University by 15th
February 2013.
Applicants must :
 display intellectual ability and leadership potential;
 have a high standard of English, and meet the university’s language requirements;
and
 be aged between 21-28 years;
 originate from one of the Delta States in Nigeria, namely Rivers, Delta or Bayelsa and
currently reside in Nigeria;
 intend to return and take up permanent residence in Nigeria after completion of the
proposed programme of study
 intend to study one of the following courses:
(i)
MSc Petroleum Engineering
(ii)
MSc Petroleum Geoscience
(iii)
MSc Petroleum Geophysics
(iv)
MSc Engineering Geology
 have obtained a degree of at least an equivalent standard to a UK Upper Second Class
Honours Degree;
 be neither a current nor former employee (who have left employment less than 5 years
before)of SPDC, the Royal Dutch Shell Group of Companies or Wider Perspectives
Limited, or current employee's relatives;
 not already have had the chance of studying in the UK or another developed country.
Undertaking by applicants
By completing this form applicants attest to the accuracy of the information given and to their
intention to return to and settle in Nigeria/ the Delta States on completion of the proposed
programme of study.
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Please note that whilst successful scholarship winners are not prevented from applying to SPDC for
employment after the completion of their course, employment is not guaranteed
1. Personal Details
Family name
(as in passport)
Other names
Gender
(male/female)
State of origin
Date of birth
(day/month/year)
Place of birth
(town/state)
Addresses for correspondence
Post:
Telephone:
Fax:
Email:
2. Family Details
Status
(single/married)
You should be aware that this scholarship does not provide for spouse or child allowances; stipends are intended to cover the
expenses of the scholarship holder only. Accommodation in all cases is for a single person.
3. University/College Education
Please enter details of your tertiary education, in date order.
Institution
Course
Dates
Mark with (E) those courses conducted
almost entirely in English
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Qualification obtained
Please state class of degree and/or grade or
percentage and position in class
4. Professional Background
Please give details of all work experience you have undertaken since completing your first university/college degree.
Please also give details of your NYSC.
Dates
Employer
Position/Responsibility
5. Proposed Study
Please name the university at which you have applied to study and your proposed programme.
University
Academic Year
Programme
Date of Application
Admission status
Have you applied to any
other universities for MSc
courses? (yes/no)
If Yes, please provide
details.
6. English Language
If you have taken any English language tests (i.e. IELTS or TOEFL) please give the dates taken and your scores.
IELTS/TOEFL/OTHER
Date
Score
If you have not taken an English language test please explain why it might not be necessary for you to take one.
7. Funding
Have you previously been awarded a scholarship by anyone?
(yes/no)
If Yes, please provide details:
Have you applied for/ been
awarded a scholarship for this
course? (yes/no)
If Yes, please provide details:
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8. References
Please give the name and address of one person who is prepared to write in support of your non-academic qualities.
(Note: please do not submit references)
Name
Address
E-mail address
9. Personal Skills
(a) Please describe, in no more than 120 words, your most outstanding non-academic achievement involving other
people.
(b) Please describe, in no more than 150 words, your significant past non-academic achievements and
responsibilities. Why were you involved, what was your role?
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(c) Please provide, in no more than 150 words, more detail on any previous work experience in the petrochemical
field (or linked fields).
(d) Please provide an outline of your ambitions and career plan.
Data Protection
The personal data you provide on this application form and otherwise as part of the scholarship application process will be held and
processed for the purpose of the selection process of the SPDC Niger Delta Post Graduate Scholarship Scheme.
The information will be retained only for as long as is permitted by local legislation and then destroyed. In order to process the
personal data you provide on this application form and otherwise for the purposes indicated, your personal data may be
transferred to other relevant third party organisations around the world. The SPDC Niger Delta Post Graduate Scholarship
Scheme will try to ensure that your personal data is protected adequately wherever possible, even where countries outside the
European Economic Area to which it is transferred may provide a different level of legal protection of personal data from that
offered in the European Economic Area or do not have laws to protect it. Countries, to which your application form and other
personal data you have supplied have been transferred, can be provided on request. By signing and returning this application
form or otherwise submitting it you (1) declare that you have read, understood and accepted the statements set out in this data
protection clause (2) are declaring that the information given in this form is complete and true and (3) are giving your consent to
the processing of the information contained in this application form and any other personal data you may provide separately in
the manner and to the extent described in this form and (4) are authorising The SPDC Niger Delta Post Graduate Scholarship
Scheme to verify or have verified on their behalf all statements contained in this application form and to make any necessary
reference checks.
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