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|NLNG Post Graduate Scholarship Scheme |
|Application form |
|British Council, 20 Thompson Avenue, Ikoyi, Lagos. |
|British Council, 127 Olu Obasanjo Road, G.R.A. 2, Port Harcourt. |
|British Council, 3645 IBB Way, Maitama, Abuja. |
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Please complete all parts of this form in black ink or typescript. Submit the completed form via email along with a recent passport photograph of yourself.

A note at the end of this form explains who will see the information you supply to us, and why.

Part A Personal details

|Family name | |
|(as in your passport) | |
|Other name(s) | |
|Title | |Mr | |
|Status | |
|Home town, Village or | |
|Community | |
|Number of children (if | |
|applicable) | |

Will members of your family accompany you to the UK? If yes, please specify who they are and state how you propose to meet their expenses. Under the NLNG Post Graduate Scholarship scheme, Nigeria LNG or the British Council will not be responsible for any marriage, child or any other expenses. On successful award of the scholarship, any stipend you receive is intended to cover your expenses as a beneficiary of the scheme only.
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|Your address; where we should send letters |Name and address of next of kin or person back home in Nigeria who should be|
| |contacted in the event of an emergency (please state relationship). |
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|E-mail | |E-mail | |
|Telephone number | |Telephone number | |
|Mobile number | |Mobile number | |

| |Please tick this box to confirm that you have told your emergency contact that you have given us their details. |

|If you are currently working, please provide details of your post, grade and main responsibilities. |
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|Contact details of line manager |
|Name of your line manager | |
|Position | |Department | |
|Organisation | |
|Address | |
|Telephone number | |Fax | |
|E-mail | |

Part B Academic background

Please list all academic qualifications gained since completing your secondary education, stating the institutions attended, the main courses of study, and when the courses started and finished.

|Qualification |Institution |Subject |From |To |
|(including class or level) | | | | |
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Part C Professional background

Please list any work positions held since completing your secondary or tertiary education.

|Position |Organisation/institution |From |To |
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Part D Proposed course of study in the UK

What qualification(s) would you like to obtain, and in which subject(s)? If there are alternatives to your first choice, please state order of preference.
|1 | |
|2 | |
|3 | |

At which institution(s) would you like to study in the UK? If there are alternatives to your first choice, please state order of preference. If you have no particular preferences and would like the British Council to identify a suitable institution for you, please do not complete this section.
|1 | |
|2 | |
|3 | |

|Have you already been in contact with the institution(s) of your choice? | |Yes | |No |
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|Have you ever visited the UK on holiday or for other purposes? | |Yes | |No |
|If ‘yes’, please indicate when and what the purpose of your visit was. |
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|Are you applying for any other scholarships or awards to study in the UK? | |Yes | |No |
|If ‘yes’, please give full details. |
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|Have you ever studied in the UK? | |Yes | |No |
|If ‘yes’, please give full details. Including details of the course and institition. |
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|How did you get to know about the NLNG Post Graduate Scholarship Scheme? |
| |Internet search | |A colleague or friend | |Promotional literature |
| |Television / Radio news | |Newspaper | |Other – please specify |
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Part E Referees

Please provide details of two referees (both of whom should be academic). Please note that they will be expected to send in letters in support of your application for the NLNG Post Graduate Scholarship should you be shortlisted.

First referee
|Title and name | |
|Position | |
|Telephone number | |Fax | |
|E-mail | |
|How long have you known this referee? | |
|What is his/her professional relationship to you? | |

Second referee
|Title and name | |
|Position | |
|Telephone number | |Fax | |
|E-mail | |
|How long have you known this referee? | |
|What is his/her professional relationship to you? | |

| |Please tick this box to confirm that you have informed your referees that you have given us their contact details. |

Part F Statements about yourself and your plans

Personal statement
What are your reasons for applying for the course you wish to study? Explain how it will help your career and personal development on your return to Nigeria. Be brief – try to do this in no more than 250 words. We can explore the details at interview if necessary.

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Your plans for the future, ambition and vision
Please provide an outline of your ambitions and career plan. Reason for applying for this course.How do you intend to ‘make a difference’ in Nigeria? Try to do this in no more than 250 words. We can discuss your plans at interview.

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How do you demonstrate integrity and command respect?
Describe one of the most difficult decisions you ever made. What made it so difficult? What process did you use to make the decision? Give examples of this. Try to do this in no more than 250 words. We can discuss it further at interview.

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Important information that you should read and understand before signing this application form

Anyone applying for the NLNG Post Graduate Scholarship should be aware of the following:

i) Application: your application (including anything you add at interview or afterwards) should be accurate, not omit any facts that are relevant and not be misleading. If we find that there are significant errors or omissions in the information you have supplied to us in the course of your application you will not be offered a Scholarship, or you will have your Scholarship withdrawn or terminated. ii) Selection: the selection process will be fair. No applicant will have, or should seek or accept, any unfair advantage. No member of the British Council or Nigeria LNG Limited will unfairly promote or disadvantage the interests of any applicant. If we find that you have secured an unfair advantage in the selection process we reserve the right not to offer you a Scholarship, or withdraw or terminate your Scholarship. iii) Finding a course of study: we encourage applicants to identify the course [ within the identified and approved disciplines] and institution that fits their precise needs, to apply independently and secure a conditional place on the course as early as possible. Many of the most popular courses at top institutions are filled very early. However, this is not a requirement. We will help Scholars who are successful at interview to find a course and institution that fits their requirements. But if we cannot find a suitable course at a suitable institution (perhaps because all the places have already been allocated) then we reserve the right to withdraw the offer of a Scholarship. Our policy is not to allow applicants to defer. An applicant who has not secured a place on a suitable course will have to reapply. You must not make commitments, especially commitments with financial consequences, until you know that you have a confirmed place on a suitable course. iv) Medical: we expect all applicants to reveal all relevant details in the medical form that accompanies their application, if necessary provided in confidence, in a sealed envelope, addressed to the NLNG Post Graduate Scholarship Manager at the British Council to ensure your privacy is protected. If you are offered a Scholarship it will be conditional on a further satisfactory medical report. If that medical report is not satisfactory we reserve the right to withdraw the offer of a Scholarship. If you are successful at interview, it will be in your interest to arrange for your medical report to be completed as soon as possible. You must not make commitments, especially commitments with financial consequences, until you know that your medical report is satisfactory. v) Entry clearance: you must tell us when you apply if there is anything (such as previous convictions or associations with terrorist organisations) that may be an impediment to securing a visa or entry clearance to study in the UK. If we find that we cannot provide you with a visa for any reason then we will withdraw the offer of a Scholarship. You should not make commitments, especially commitments with financial consequences, unless you are certain that there will be no impediment to you securing a visa or entry clearance to study. vi) Changes of circumstances: if your circumstances change by an event or events that are genuinely beyond your control, or in ways that are generally unexpected, you should contact us immediately. We will take reasonable steps to ensure that you can take up your Scholarship, perhaps by providing extra support or finding an alternative course at an institution that can provide such support. But we reserve the right to withdraw the offer of a Scholarship if we feel that the circumstances are such that this is in the best interests of the applicant or Nigeria LNG Limited.

Data Protection
Thank you for providing us with information about yourself on this form. We will look after the information carefully and use it to consider your suitability for a Scholarship and to manage the application process. It will be made available to staff at the British Council and Nigeria LNG Limited. It may also be made available for the same reasons to members of any panel that interviews you. If you are successful, the information (and the information you tell us at the interview and at other times) may be passed to external consultants to obtain advice on suitable courses or other training opportunities in the UK. Your information may also be passed to UK higher education institutions to help secure a place on a course in the UK. After we know that you have a confirmed place on a course we will ask you again for permission to use the information in new ways that will become necessary as you proceed to take up your Scholarship. If you are unsuccessful the information will be held securely and destroyed in due course.

In signing this application form for NLNG Post Graduate Scholarship you accept that you will be bound by these conditions.
You also accept that we will use the information you have given us in the ways we have described.
Your typewritten name in the signature box will be accepted as signature.

|Signature | |Date | |

Submit your application to nlngpgscholarship@ng.britishcouncil.org
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----------------------- (October 2012)