Embassy of India, Kathmandu /
CGI, Birgunj/ Embassy of India, Camp Office, Biratnagar
Scholarship Scheme for Undergraduate/Post Graduate Courses in
Traditional System of Medicine (AYUSH) 2015-16
NOTICE
Embassy of India, Kathmandu invites applications on prescribed ICCR’s form/ data-sheet from
Nepalese nationals desirous of seeking admission to Undergraduate/ Post Graduate courses in
Ayurveda/Unani/Homeopathy system of medicines in Indian institutions for the academic year 2015-16.
2. Eligibility Criteria:
Undergraduate Courses: Candidates must have passed Class-XII or equivalent examination with Physics,
Chemistry, Biology and English as subjects and should have secured a minimum of 50% marks in
English in class XII. The candidate should be between 17 and 22 years of age as on July 01, 2015.
Postgraduate Courses: Candidates must have passed graduation level examination in the recognized
system of medicine with a minimum of 50% marks in English in Class-XII examination. The candidate
should be 30 years or less as on July 01, 2015.
[The age restriction may be relaxable in deserving cases, as deemed by the Embassy.]
3. Selection Process:
(i)
The short-listed candidates will be informed individually for interview, which will be conducted in
Kathmandu / Birgunj / Biratnagar. They are advised to interact solely with the Education Wing, Embassy
of India, Kathmandu or Consulate General of India, Birgunj or Embassy of India, Camp Office, Biratnagar
about the scholarship. The candidates should indicate their address and contact telephone numbers / e-mail
address clearly in the prescribed column of the application form. Any change in address / telephone
number should also be intimated immediately through a letter.
(ii)
Selection will be based on the applicant’s academic record and performance in the interview.
However, nomination of a candidate by the Embassy does not guarantee admission to any Indian
college/university for the above courses. Confirmation of admission by the Embassy will be given only
after receipt of the same from the concerned Indian University. Request for change of college/
institution or transfer of scholarship after placement will not be entertained. If candidates withdraw
or reject the scholarship offered by the Embassy due to non-placement in a college/institution of
their choice, they will be debarred from future scholarship of the Embassy.
iii)
Submission of incorrect information/Incomplete application forms by the candidate may result in
forfeiture of the scholarship at any stage.
iv)
Candidates belonging to Bara, Parsa, Rautahat, Dhanusa, Mahottari, Sarlahi, Makwanpur and
Chitwan districts should submit their applications to Consulate General of India, Shreepur, Birgunj.
(v)
Similarly candidates of Siraha, Udaypur, Saptari, Sunsari, Morang, Dhankuta, Jhapa and IIlam
should submit their forms at Embassy of India, Camp Office, Biratnagar.
(vi)
Candidates belonging to rest of Nepal should submit their application forms to Embassy of India,
Kathmandu.
4. Instructions for filling form:
(i) The ICCR’s application form and data sheet may be downloaded from the Indian Embassy website
www.indianembassy.org.np filled in legibly, preferably typed and should be strictly in the format as
specified. ICCR’s forms in 2 copies and data sheet in one copy along with attested marksheet / transcript
and citizenship certificate duly translated in English which should be certified by Notary Public. Originals
need not be attached at this stage.
ii) Forms may be submitted at only one place i.e. either at Embassy of India, Kathmandu or at
Consulate General of India, Shreepur, Birgunj or Embassy of India, Camp Office, Biratnagar alongwith
the original counter foil of Bank Voucher, showing that the application fee of Rs.400/- has been deposited
in the Education Wing, EOI, Kathmandu’s Account No. 17725240200331 of any Nepal SBI Bank,
anywhere in Nepal or Consulate General of India, Shreepur, Birgunj or Embassy of India Camp Office,
Biratnagar not later than 23rd Jan, 2015.
Forms will be accepted on all working days between 1000 hrs to 1200 hrs only. Application fee once
deposited will not be refunded or adjusted in any case to the candidate.
To be submitted in 1 copy only along
with marksheet /Transcript & citizenship)
Data sheet for AYUSH Scholarship Scheme 2015-16
Course applied for :__________________________________________
First name
Middle name
Affix recent
Passport size
Photograph
1. Name
:
2. Father’s Name & Occupation
:
3. Full Correspondence Address
:
4. District
:
5. Phone/Mobile No.
:
6. E-mail
:
7. Date of birth in Christian era
:
8. Age as on 01 July 2014
:_____Years___Month
9. Total Marks in class XII
Days
Marks Obtained in class XII % in class XII
____________
_____________
10. Marks Obtained in English in class XII
11. Total Marks in Graduation
____________
Last name
________
:
Marks obtained in Graduation
_____________
% in graduation
________
11. I further understand that mere nomination of my name by EOI, Kathmandu does not guarantee
admission to any Indian college/university for the above course. I will not request for change of
college/ institution or transfer of scholarship on receipt of admission offer letter. If I withdraw or
reject the scholarship offered by the Embassy due to non-placement in a college/institution of my
choice, I will be debarred from future scholarship of the Embassy.
12. I certify that information/details furnished are correct to the best of my knowledge and belief. I am also
aware that my application/selection/scholarship will be rejected/ annulled at any stage if any facts stated
above are found to be incorrect/ incomplete.
Signature with date of submission
TO BE FILLED IN BY MISSION AND ATTACHED TO EACH COPY OF APPLICATION
ICCR SCHOLARSHIP APPLICATIONS
CHECK LIST FOR MISSIONS
1.
2.
3.
4.
5.
Application form being used is for the right one.
(
)
One set of the application duly filled in and properly tagged are sent herewith
(
)
Scholarship scheme has been selected/ ticked properly by the scholar
(
)
Course/ University option has been properly indicated by the scholar
(
)
There are five recent passport size photographs, five pasted attached and one photograph pasted
on the form.
(
)
6.
Certified copies have been attached of the syllabi and graduation certificates/ marksheets for all
educational qualification listed
(
)
7.
Marksheets etc. for the minimum qualifications required by the student to qualify for his course of
choice have been attached
(
)
8.
Synopsis of proposed area of research have been attached by the student who is applying for
doctoral/ post doctoral course
(
)
9.
This application is for a B.E. course and has the confirmation the candidate has taken Physics,
Chemistry and Mathematics (PCM) in his/her school leaving examinations (mandatory
requirement) for Engineering courses
(
)
10.
11.
12.
13.
14.
15.
Video/ audio cassettes of students wishing to study performing Arts are enclosed.
(
)
Certified copies of translations of documents which are not in English are attached
(
)
Certified that no original documents attached with this application
(
)
Certificate of Physical fitness is attached
(
)
(
)
16. Certified that student has not been given ICCR scholarship before
(
)
17. Certified that student is not already studying in India
(
)
18. Certified that application form is complete in every respect
(
)
Certificate by Mission including certification of student’s English skills are attached
Undertaking has been given by student that he will abide by terms and conditions of ICCR
scholarships
(Note: If s/he has already availed of an ICCR scholarship, please attach HOM’s
recommendation as to why s/he should be given scholarship for the second time)
(Note: If student is already studying in India, please attach HOM’s recommendation as to
why s/he should be converted into an ICCR scholar)
Signature___________________
Name______________________
Designation_________________
Mission____________________
APPLICATION FORM
Space for recent
passport size
photograph
1. Full name (IN BLOCK LETTERS)
(Mr. / Mrs. / Miss)
2. Male (
) Female (
)
3. Contact details:i.
Tel:
ii. Fax:
iii. Email:
iv. Postal address:
4. Permanent home address (IN BLOCK LETTERS)
5. Date of birth _______________
Nationality ______________________________
6. Country of residence _________________________________
7. Passport No. _______________________________________
i.
Date of issue _______________________
ii. Date of expiry ________________________
iii. Place of issue ____________________________________
8. Details of Father / Guardian
Name:
Relation (F/G):
Occupation:
Nationality:
Address of permanent:
residence of Father / Guardian
9. State in order of preference the Universities / Institutes in India in which you seek admission:
1.
2.
3.
NOTE: There is no guarantee of admission in your choice of University / Institution. In case of non-availability of a
particular course in a particular Institution, the Council will forward the application to other Universities/Institutions
where such courses are available.
The Council would try to accommodate the candidates as per their choice of course/institute. However, the Council
reserves the right to offer admissions for any course or institution in India even if these are not among the
candidate’s preferred choice. While the candidate may decide whether or no to accept such an offer, it may be
noted that once accepted, no change in either course or University will be permitted.
10. State in order of preference the courses which you would like to study in India.
1.
2.
3.
NOTE: Candidate should be very specific and clear about the course of study, which he /
she wishes to pursue in India. Scholarships are not available to pursue more than one
course. The candidates must refer to the Universities/Institute Website to know the
eligibility criteria for the courses of their choice.
11. PREVIOUS EDUCATIONAL QUALIFICATIONS (Fill in all columns which are applicable to you):
Certificate / Degree
Country
Name of School/
University / Board
Year of
Percentage
Graduation
School Leaving
(equivalent to Grade XII in
India)
Undergraduate
(equivalent to three years course
after grade XII in India)
Post graduate
(Two years’ Masters’ course after
the above mentioned
undergraduate or five years’
Masters’ course after grade XII)
Accepted
DOCTORAL (Ph.D)
(After Masters’ Degree)
OR
Not yet
accepted
Note: Details of any course in Indian Universities / Institutes which the scholar is currently attending or has attended
in past may be given below.
Year
Name of University / Institute
Course
12. Have you ever availed of ICCR Scholarship earlier? If so, please give full details .
(i) Year of Scholarship.
(ii) Name of Course
(iii) Name of the Institute/University
(iv) Total duration of Stay in India on Scholarship.
Date
Place
Signature of Applicant
I hereby declare that the particulars given above are true to the best of my knowledge and belief, that I have
understood the terms and conditions of the Scholarship Scheme as given above and in Annexures II and III and
hereby undertake to abide by them, and that I also undertake to return to my country after completion of my studies
in India.
Signature of Applicant
CERTIFICATE TO BE FURNISHED BY THE INDIAN DIPLOMATIC REPRESENTATIVE
Certified that I am satisfied
that Mr./Mrs./Miss
_____________________________________________________________________
(Name of candidate)
is permanently domiciled in
_____________________________________________________________________
(Name of country)
and on completion of his / her
studies in India will return to
_____________________________________________________________________
(Name of the country of domicile)
Certified that all entries in the application form have been checked with the original documents and that the
application is complete in all respects. Attested copies of certificates, diplomas or degrees of examination passed
are enclosed.
Certified that the candidate’s knowledge of English is sufficient to enable him/her to follow lectures and instructions
given in English and to take examinations in that language.
Date ____________________
Signature ______________________
Place ___________________
Designation _____________________
CERTIFICATE OF PHYSICAL FITNESS
Name of Applicant :
Sex
: M (____) F (____)
Marital status
:
Age
:
Blood Group
:
Nationality
:
Address
:
City
:
Country
:
Email ID
:
Certified that the applicant has been examined by me and necessary tests carried out and
he/she is not suffering from any disease. He/ she is physically fit to travel to India and join
the University.
Date:
Name of Doctor:
Address:
Signature: