APPLICATION FORM

for the SBW Berlin Scholarship

Your personal data

First name: Mohamed
__________________________________________________
Last name: Gasmelseed Mohamed Ahmed
__________________________________________________
Birthday:
1
___ / ___
2005
1 / ______ (day/month/year)
Citizenship: Sudan
__________________________________________________
Civil status: Khartoum
__________________________________________________
Academic Status: High school graduate
__________________________________________________
(still in school, studying at university, academic degree, etc.)

Monthly income: N/A

__________________________________________________

Current postal address

Street & number: Port Sudan
__________________________________________________
ZIP code: 33311
__________________________________________________
City: Port Sudan
__________________________________________________
State: Red Sea
__________________________________________________
Country:
Sudan
__________________________________________________

Contact details
Phone (landline): +249 11 765 9623
__________________________________________________
Cell phone: +249 11 765 9623
__________________________________________________
Email address:
[email protected]
__________________________________________________

Social media profiles (fully optional, not required information)

LinkedIn: __________________________________________________
Twitter: __________________________________________________
Youtube: __________________________________________________
Facebook: __________________________________________________

Page 1 of the SBW Berlin Application Form

Your photograph

Data of your mother

First name:
Sawsan
__________________________________________________
Last name: Hassan Osman
__________________________________________________
Sudan
Country of residence: __________________________________________________
Current occupation: Teacher
__________________________________________________
Monthly income: 70000SDG
__________________________________________________

Data of your father

First name: Gasemelseed
__________________________________________________
Last name: Mohamed Ahmed
__________________________________________________
Sudan
Country of residence: __________________________________________________
Current occupation:
Worker
__________________________________________________
Monthly income: N/A
__________________________________________________

Members of your household

Number of siblings: 6
__________
Age of siblings:
32/29/28/25/16/13
____________________________________________
Total number of household members: 8
__________
Total household income: 150000SDG
____________________________________________

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Most recent school or university certificate
School/University name: Alnaji private School
__________________________________________________
City and Country: Sharq Alneel
__________________________________________________
Date of issue:
3 0 2021
___ / ___ / ______ (day/month/year)
Grade point average: 433
____________________
Best possible grade would have been: ____________________
Minimum grade required to pass: ____________________
Main subject(s):
__________________________________________________

Highest school leaving certificate (already obtained degrees only)

School name: __________________________________________________
City and Country: __________________________________________________
Date of graduation: ___ / ___ / ______ (day/month/year)
Grade point average: ____________________
Best possible grade would have been: ____________________
Minimum grade required to pass: ____________________
Main subject(s):
__________________________________________________

Highest university degree (already obtained degrees only)

University name: __________________________________________________
City and Country: __________________________________________________
Date of graduation: ___ / ___ / ______ (day/month/year)
Grade point average: ____________________
Best possible grade would have been: ____________________
Minimum grade required to pass: ____________________
Degree name: __________________________________________________
Main subject(s):
__________________________________________________
Name of thesis: __________________________________________________
Grade of thesis: ____________________

Page 3 of the SBW Berlin Application Form

Current Occupation
Technical University of Berlin
School/University/Employer: __________________________________________________
City and Country: Berlin
__________________________________________________
Title/position: __________________________________________________
Start Date: 0 / ___
___ 2025
0 / ______ (day/month/year)
0 / ___ 2029
0 / ______
Expected end: ___ (day/month/year)
Expected degree: Economy
__________________________________________________
Main subject(s):
__________________________________________________

Desired career (studies and degree)

University/Academy name: __________________________________________________
City and Country: __________________________________________________
Start of studies: ___ / ___ / ______ (day/month/year)
Expected date of graduation: ___ / ___ / ______ (day/month/year)
Name of the desired degree: __________________________________________________
Main subject(s):
__________________________________________________

In case of applications for vocational training

Training company: __________________________________________________
City and Country: __________________________________________________
Expected monthly pay: __________________________________________________

Internships and professional experience

If you have already gained work experience, please fill out the following fields in chronological
order, starting with your latest position. We are interested in all kinds of work experience -
whether as an apprentice, intern, trainee, employee, freelancer or entrepreneur.

1. Last work experience

0 / ___
Start Date: ___ 2021
1 / ______ 1 / ___
End date: ___ 2022
0 / ______ (day/month/year)
Name of the Company: Know Your Field Organization
__________________________________________________
City and Country: Khartoum_Sudan
__________________________________________________
Title/position: Nonprofit organization
__________________________________________________
Department:
Ambassador
__________________________________________________
Areas of Responsibility: Learning

__________________________________________________

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2. Work experience before the one above
Start Date: ___ / ___ / ______ End date: ___ / ___ / ______ (day/month/year)
Name of the Company: __________________________________________________
City and Country: __________________________________________________
Title/position: __________________________________________________
Department: __________________________________________________
Areas of Responsibility:
__________________________________________________

3. Work experience before the one above

Start Date: ___ / ___ / ______ End date: ___ / ___ / ______ (day/month/year)
Name of the Company: __________________________________________________
City and Country: __________________________________________________
Title/position: __________________________________________________
Department: __________________________________________________
Areas of Responsibility:
__________________________________________________

4. Work experience before the one above

Start Date: ___ / ___ / ______ End date: ___ / ___ / ______ (day/month/year)
Name of the Company: __________________________________________________
City and Country: __________________________________________________
Title/position: __________________________________________________
Department: __________________________________________________
Areas of Responsibility:
__________________________________________________

5. Work experience before the one above

Start Date: ___ / ___ / ______ End date: ___ / ___ / ______ (day/month/year)
Name of the Company: __________________________________________________
City and Country: __________________________________________________
Title/position: __________________________________________________
Department: __________________________________________________
Areas of Responsibility:
__________________________________________________

Page 5 of the SBW Berlin Application Form

Foreign languages, IT skills, etc. (please also indicate your level)
IT,I know afew programming language and I love design

English Language/Iam agood at English

___________________________________________________________________________

How did you discover the SBW Berlin scholarship?

From Facebook

___________________________________________________________________________

Have you applied for a scholarship before?

If so, where, when and what was the result?
No

___________________________________________________________________________

Have you already traveled abroad?

If so, when, where and how long did you stay? What did you discover?
No

___________________________________________________________________________

Please name a few of your hobbies or areas of interest:

I like to read alot
Computer skills
Football
___________________________________________________________________________

Page 6 of the SBW Berlin Application Form

Have you already worked as a volunteer for a non-profit organization or have
you ever been involved in a social project in your country?
If so, why, when, where and for how long? What did you learn?
In my developing country, there are thousands of people dying from simple diseases
and lack of medicine, so I made a promise to myself to become a surgeon to meet
the needs of patients all over my country.

I believe in my abilities, so I chose this humanitarian field that serves society in

particular and the world in general.I want to go through challenges and make a lot of
miracles, serve my country and my people. I also aspire to build the largest hospital
in the island state for free treatment because the people of this region suffer from a
lack of health services and facilities. I want to do everything I can to enjoy a
homeland free of serious diseases and epidemics.

___________________________________________________________________________

I declare that all the information I have inserted in this form is true and allow
SBW Berlin to check it if necessary.

Date: 1 / ___
___ 1 / ______
2024 (day/month/year)
Location:
Sharq Alneel_khartoum_Sudan
__________________________________________________
Signature

Page 7 of the SBW Berlin Application Form

Additional documents
Please don’t forget to include at least the following documents in your application:
• a motivation letter (1 or 2 pages long)
• a copy of your last school or university certificate that shows your grade point average
and a grade overview
• a copy of your highest academic degree (high school diploma or university certificate) with
your grade point average and a grade overview

If available, copies of the following documents should be included as well:

• university admission or evidence of your qualification for university entrance
• a copy of an internationally recognized language certificate for the language in which your
studies will be taught 1
• all previous work, training, apprenticeship and internship certificates and references
• if you have already started studying: all so far obtained university certificates and records
of achievements (graded and ungraded)

We recommend all applicants to submit the following additional documents, which are not
mandatory:
• one or two letters of recommendation from professors, schoolteachers, employers, etc.
• evidence of the net household income 2

The application and all enclosed certificates and supporting documents must be submitted in
German or English via email to [email protected]. If a document was issued in another
language, we also ask for a translation into German or English. Simple copies and simple
translations are sufficient for the application.

Your letter of motivation should answer at least the following questions:

• Why have you chosen this field of studies?

• What are your career goals after you have finished your education?
• Why should we select you as one of our scholarship holders?

Applicants with a grade point average equivalent to the German 1.5 up to 2.0 should also outline
their project idea.

Only complete applications can be considered.

Data Protection
Data protection is important to us. All documents that you send us will be handled with the
utmost care. For further details please see the data protection declaration on our homepage.

1
Such a certificate will be required during our verification process at the latest.
2
If you only provide information about your income during the application process, we will ask you for proof
during the the verification process.

Page 8 of the SBW Berlin Application Form