ISLAMIC DEVELOPMENT BANK (IsDB)

UNDERGRADUATE SCHOLARSHIP PROGRAM

APPLICATION FORM

Please
Please affix one Please affix one
photo here
Please fill in ALL fields in typed form or photo here
written clearly in block letters and sign the
attached Declaration of Intent

BASIC DATA
Student’s Data
First Name
Surname/Last Name
Father’s Name
Gender Male Female
Date of Birth DD/MM/YYYY
Nationality INDIAN
CONTACT DETAILS
Address
Street
Postal Code
City
Area / State
Country INDIA
Telephone (Land line)
Mobile
Email
Skype ID
FIELD OF STUDY
Field of Study, Course
& College

University Name
Date of Admission
Expected Graduation
Date
COURSES AT HIGH SCHOOL
Please clearly indicate marks of subjects you obtained in +2 Board/Council Final Examination
Courses/Subjects Marks obtained Full Marks %
Please ensure to attach the following:
- Copy of your National ID (Aadhaar Card).
- Certified true copy of Birth Certificate.
- Certificate of Good Health from a medical doctor or a hospital.
- Certified true copy of +2 (Sr. Secondary School Examination or Equivalent) mark sheet.
- Certified true copy of University/College Admission.
- Certified translation of any document not in English.

IMPORTANT NOTES:

- All information requested must be provided; otherwise the application cannot be

processed or will entirely be disqualified.
- Short-listed applicants will be interviewed by IsDB.
- Giving false information may result in either cancellation of already approved application or
termination of scholarship.
- Selected students will be notified by the Scholarship Division.
- Selected applicants will be asked to sign a Scholarship Bond, confirming their commitment
to refund the scholarship as highlighted in the Announcement Poster.

DECLARATION OF INTENT TO COMPLY WITH IsDB SCHOLARSHIP TERMS & CONDITIONS

I hereby declare that I fully understand the objectives and the spirit of the IsDB
Scholarship Program and certify that all the information given in this Application Form and
its attachments and documents is complete and correct. Having read the information and
regulations pertaining to the IsDB Scholarship Program, I promise to fully comply with its
terms and conditions.

Applicant's Signature

DATE: / /2018 __________________

Forwarded to IsDB by:

Muslim Education Trust, New Delhi ____________________________Date __________