Government of Sierra Leone PHOTOGRAPHS

Ministry of Technical and Higher Education Write your full name

on the back of a
recent (passport size)
Application for Commonwealth Scholarship to pursue Higher Education photograph and attach
here. Your application
This portion is reserved for Official Use only will be deemed
incomplete if your
INTERVIEW CODE: ……………………………………………………… photograph is omitted

1. Applicant Surname: ……………………………………………………………………………………………………………………….

(in block letters)
2. Other Names: …………………………………………………………………………………………………………………………………
(in block letters)
3. Permanent Postal Address: …………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………….
4. Contact Telephone / Cell: ……………………………………………………… Email…………………………………………….
5. (a) Date of Birth: …………………………………………………………………………………………………………………………….
(b) Place of Birth: ……………………………………………………………………………………………………………………………
(c) Age: ………………………………………………….
6. Nationality: ……………………………………………………………………………………………………………………………………..
7. Religion (Denomination): …………………………………………………………………………………………………………………
8. Marital Status, Name and Age (s) of Children, if any: ……………………………………………………………………….
i. ……………………………………………………………………………………………………………………………………………
ii. ……………………………………………………………………………………………………………………………………………
iii. ……………………………………………………………………………………………………………………………………………
iv. ……………………………………………………………………………………………………………………………………………
9. Program / Course: ………………………………………………………………………………………………………………………….
10. Level: B.A: B.SC: M.A: M.SC: MBA: MPA: MPHIL: PHD:
11. Post or Occupation for which the candidate desires to train …………………………………………………………
……………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………….
12. Present Occupation of applicant: …………………………………………………………………………………………………..
13. (a) Father: ………………………………………………………………………………………………………………………………………
(b) Mother: ……………………………………………………………………………………………………………………………………
(c) Or Guardian: ……………………………………………………………………………………………………………………………..
14. Present Occupation of Parents / Guardian: ……………………………………………………………………………………..

COMMONWEALTH SCHOLARSHIP APPLICATION FORM FOR MINISTRY OF TECHNICAL AND HIGHER EDUCATION, 1
PLANNING BUILDING, FREETOWN1USER
15. Institutions (Secondary School / College / Universities) previously attended
Date Secondary School / College / Form / Year Cert. / Dip. / Degree
From To Universities attended obtained and Year

DECLARATION

I, ………………………………………………………………………………………………………………………………….. hereby certify that all

the particulars I have supplied in this form are true and correct.

Date: …………………………………………………… Signature of Applicant: ………………………………………………

Note:
1. Form must be submitted to the appropriate authorities of the Ministry of Technical and Higher
Education.

2. Photocopies of all relevant supporting documents (including Birth Certificate and Academic results)
as outlined in the advert should be attached to this form, if not the application will be cancelled.

COMMONWEALTH SCHOLARSHIP APPLICATION FORM FOR MINISTRY OF TECHNICAL AND HIGHER EDUCATION, 2
PLANNING BUILDING, FREETOWN1USER