HCI Scholarship Application Form

Personal Information

Full Name:

Email Address:

Phone Number:

Home Address:

Gender (Optional):

Country:

Passport or National ID (Number):

School/College/University Name:

School Location/Address :

Current GPA; if not available use Honor's classification:

Field of Study/Intended Major:

Please provide a short statement explaining why you need this scholarship:

What makes you an ideal candidate for this scholarship?

Extra-curricular activities (List your activities):

Leadership Roles:

Copy of Passport or National ID:(PDF) (Front)

Copy of Passport or National ID:(PDF) (Back)

Academic Transcripts (PDF):

Highschool/College/University certificate (PDF):

Updated Resume or CV (PDF):

Proof of Financial Need (PDF):

Proof of Community Involvement/Certificate of Participation in any co-curricular or leadership activity (PDF):

Declaration I declare that the information i have given is accurate based on my knowledge.

Consent to Use Information: I agree to allow my information to be shared strictly for selection and award purposes.