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    DR PG TULPULE Application Format - 10.09.18 PDF

    Uploaded by

    Saurabh Suman
    This document is a scholarship application form for the Dr. PG Tulpule Scholarship for 2018-19. It requests information about the applicant such as name, gender, age, nationality, academic and professional details related to public health nutrition. It asks the applicant to provide a 100-word write up on why they should be considered for the scholarship and their intended focus in public health nutrition. It also requests details about any current scholarships or financial assistance and demonstrated financial need. The guidelines state that the scholarship is for Indian nationals applying for the Post Graduate Diploma in Public Health Management program and that applicants with good academics and women will be preferred. The deadline to submit the completed application is October 15, 2018.

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    DR PG TULPULE Application Format - 10.09.18 PDF

    Uploaded by

    Saurabh Suman
    36 views2 pages
    This document is a scholarship application form for the Dr. PG Tulpule Scholarship for 2018-19. It requests information about the applicant such as name, gender, age, nationality, academic and professional details related to public health nutrition. It asks the applicant to provide a 100-word write up on why they should be considered for the scholarship and their intended focus in public health nutrition. It also requests details about any current scholarships or financial assistance and demonstrated financial need. The guidelines state that the scholarship is for Indian nationals applying for the Post Graduate Diploma in Public Health Management program and that applicants with good academics and women will be preferred. The deadline to submit the completed application is October 15, 2018.

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    7.-Dr-PG-TULPULE-Application-format_10.09.18.pdf

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    This document is a scholarship application form for the Dr. PG Tulpule Scholarship for 2018-19. It requests information about the applicant such as name, gender, age, nationality, academic and professional details related to public health nutrition. It asks the applicant to provide a 100-word write up on why they should be considered for the scholarship and their intended focus in public health nutrition. It also requests details about any current scholarships or financial assistance and demonstrated financial need. The guidelines state that the scholarship is for Indian nationals applying for the Post Graduate Diploma in Public Health Management program and that applicants with good academics and women will be preferred. The deadline to submit the completed application is October 15, 2018.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views2 pages

    DR PG TULPULE Application Format - 10.09.18 PDF

    Uploaded by

    Saurabh Suman
    This document is a scholarship application form for the Dr. PG Tulpule Scholarship for 2018-19. It requests information about the applicant such as name, gender, age, nationality, academic and professional details related to public health nutrition. It asks the applicant to provide a 100-word write up on why they should be considered for the scholarship and their intended focus in public health nutrition. It also requests details about any current scholarships or financial assistance and demonstrated financial need. The guidelines state that the scholarship is for Indian nationals applying for the Post Graduate Diploma in Public Health Management program and that applicants with good academics and women will be preferred. The deadline to submit the completed application is October 15, 2018.

    Copyright:

    © All Rights Reserved
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    Dr.

    PG Tulpule Scholarship Application Form, 2018-19


    Candidate Details
    Name ……………………………………………… Surname ……………………………………….

    Gender: Male  Female  Age …………… DOB(DD/MM/YY)…………….


    Nationality: ……………………………………..

    Academic/Professional Details in Public Health Nutrition


     Work Experience in Public Health Nutrition (preference will be given to candidates with NGO work experience or
    working in backward and rural districts of India).

    …………………………………………………………………………………………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………………………………..
     Education/Research Projects focussed on Public Health Nutrition, if any:

    …………………………………………………………………………………………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………
    Scholarship Preferences
    Why should you be considered for Dr PG Tulpule Scholarship?

    (Please provide a 100 word write-up answering the following question; attach answer on a separate sheet indicating
    your intended focus on Public Health Nutrition in proposed course of study at IIPHs)

    Scholarships Availed
    Please fill the following section if you are recieving scholarship/financial assistance from any source at present (at the
    time of submission of the application)
    ……………………………………………………………….
    Name of the source with full address ……………………………………………………………….
    ……………………………………………………………….
    ……………………………………………………………….
    Scholarship amount/cover ……………………………………………………………….
    ……………………………………………………………….
    Scholarship/Financial Assistance to continue up to (month,
    …………………………………………… (MM/YY)
    year)

    1
    Demonstrated Need
    The information provided by you below will help determine the need for support. Please fill details in the self
    declaration format for family income below. Proof of family income issued by the competent authority needs
    to be submitted along with this application.
    Self Declaration of Family Income
    I,……………………………………………………………………. applicant for the Dr PG Tulpule Scholarship for ……………… PGDPHM
    course at IIPH …………………………….. hereby declare that annual Income of my household from all sources is
    Rs……………………………….. in words INR………………………………………………………..…………………..

    If at any stage, it is found that the information given by me is false/not true, all benefits given to the
    student under Dr PG Tulpule Scholarship could be withdrawn and legal action as deemed fit, may be taken
    against me.

    Date:
    Place:
    Signature

    Residential Address …………………………………………………………………………………………..

    Application Guidelines
     Dr PG Tulpule scholarship would only be offered to the Indian nationals
     Dr PG Tulpule scholarship would be offered to the applicants applying for Post Graduate Diploma in
    Public Health Management (PGDPHM) being offered by PHFI through the IIPHs.
     Applicants having good academic background and women applicants will preferred
     A select Scholarship Committee’s will review applicant’s candidature for the said scholarship
     Decision to call a candidate for interview or select a candidate for scholarship will be final and no
    representation in this regard will be entertained
     Incomplete and unsigned/unsubstantiated application forms are liable to be rejected

    Completed application form and all necessary enclosures be submitted at respective IIPHs by 15th October, 2018.
    Eligible students who have already taken admission in PGDPHM program at respective IIPHs, may submit the duly
    filled in scholarship application along with attachments to the Program Officer /Assistant Manager at respective
    IIPHs.

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