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ATSA - Application Form

This document appears to be an application for admission to a fellowship program. It requests basic contact information from the applicant such as name, date of birth, address, educational background, work experience, proposed research project description, references, and a signed declaration. Supporting documents like a resume, letters of recommendation, and passport copy are also required. The program reserves the right to refuse or withdraw admission at its discretion.

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ahuja.ruchika2481
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
37 views

ATSA - Application Form

This document appears to be an application for admission to a fellowship program. It requests basic contact information from the applicant such as name, date of birth, address, educational background, work experience, proposed research project description, references, and a signed declaration. Supporting documents like a resume, letters of recommendation, and passport copy are also required. The program reserves the right to refuse or withdraw admission at its discretion.

Uploaded by

ahuja.ruchika2481
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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please affix

a photograph
here

name

First Name Middle Name Family Name


Note to international applicants - You must list your name exactly as it appears on your passport.

Date of Birth Nationality Sex  Male  Female


Date/Month/Year

address for correspondence


Current mailing address

House No. Street/Colony

City Pincode State

Country Tel. (with STD/ISD codes) Mobile

Email

educational experience

Sno. Name of Institution City/State/Country Attended (from-to) Degree Awarded

**Please list your previous educational experience from graduate level onwards.

present occupation

work experience/projects pursued


List 3 more recent professional engagements below:

Sno. Position Name of Employer (Institution/Individual) Attended (Month/Year)


name, designation and address of two referees
Sno. Name and Designation Address Tel. No. Email
Describe in detail your proposed project and its relevance to your career goals
(Typed statement not exceeding 800 words)

Please add an extra sheet, if required.


Statement of purpose/personal statement
(Typed statement not exceeding 800 words)

Please add an extra sheet, if required.


CHECKLIST OF SUPPORTING DOCUMENTS

 Completed and signed application form

 Current resume or curriculum vitae

 Two letters of recommendation

 Copy of passport in case of an international applicant

declaration of engagement
I hereby certify that the above mentioned information is correct.

I also agree/understand that ARThinkSouthAsia cannot assume responsibility for applications/documents received after the appropriate deadline
or for the loss or delay of applications. It will not process applications for admission until all documents mentioned in the above checklist have
been received. ARThinkSouthAsia reserves the right to refuse admission to any applicant who, in the judgement of the Admissions Committee, is
not qualified or does not have the appropriate academic or professional credentials. Similarly ARThinkSouthAsia reserves the right to withdraw
the admission of any student at any time for any reason deemed sufficient under the rules and traditional practices of the Fellowship.

date signature

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