Application Form for

“KiK makes the difference” Scholarship Attach Photo Here

Personal Details

1. Applicant’s Name: ................................................................................................................

2. Student ID: .............................................................. Current Level/Term:.......................

3. NID/Birth Certificate No:............................................ Date of Birth: .........................

4. Mother’s Name: ....................................................................................................................

5. Mother’s Occupation: .............................................. Monthly Income: .................... BDT

6. Father’s Name: ....................................................................................................................

7. Father’s Occupation: ............................................... Monthly Income:..................... BDT

Contact Details

8. Present address: ................................................................................................................

..................................................................................................................................................

9. Permanent address: ............................................................................................................

.................................................................................................................................................
………………………………………………………………………………………………………….

10. Mobile No:......................................................................................................................

Email: ............................................................................................................................

Current Education details:

Level L1T1 L1T2 L2T1 L2T2 L3T1 L3T2 L4T1

CGPA

Any previous failed subjects (with GPA on that subject): ……………………………………….

…………………………………………………………………………………………………………..
………………………………………………………………………………………………………….

11. a) Name of any other scholarship/stipend that Applicant receives: .....................................

…………………………………………………………………………………………………………….

b) Amount of that scholarship/stipend:.................................................................................

Application Form for “KiK makes the difference” Scholarship

 12. Necessary attachments with this form:
Documents attached Tick
• CV (in English or Bengali): Please attach a separate CV of the 
student either in Bangla or in English
• Motivational letter (in English or Bengali): Motivation letter should 
outline why the student should receive this stipend. Student's socio-
economic background and previous life struggles, social, family
responsibilities and activities will play a big role in deciding their
eligibility for this scholarship. Along with good grades and academic
achievements, we value applicants’ predisposition in taking
responsibility for a family and the successful mastering of obstacles in
their own lives and educational path. In addition to that, special
successes at school and/or university, social engagement will be
considered.

• Certified copy of educational qualification certificate 

• SSC and HSC or equivalent
• Result copies of different semesters of the university

• Proof of income of parents (e.g., bank statements, payslip, income 

statement from chairman, union parishad, school/college principal
etc.)

• Letter of recommendations (e.g., from former teachers, Head of the 

Department, University Faculty etc.)

• Copy of National ID Card/ Birth Registration Certificate 

• Copy of student ID card 

• Language certificates (if available) 

• Any other certificates that you feel appropriate (e.g., extra-curricular 

activity, community service etc.)

I hereby declare that all the above information is correct and true to the best of my
knowledge and behalf.

Date: Signature of the Applicant

Application Form for “KiK makes the difference” Scholarship