www.studyinnl.
org
ots@nesoindonesia.or.id
Jl. H. R . Rasuna Said Kav S-3
Jakarta 12950 – Indonesia
Orange Tulip Scholarship (OTS) Indonesia
Academic year 2023-2024
Application Form
(save with this format: Application Form_targeted university_your name)
1. PERSONAL INFORMATION
Full name
Address
City & postcode
E-mail
Mobile phone & telephone
Birthday (dd/mm/yyyy)
Birthplace
Nationality
2. STUDY PROGRAMME IN THE NETHERLANDS
Current application status
Are you also applying to
other institutions under the
Orange Tulip Scholarship?
Click here to enter text. ☒ Male ☐ Female
Click here to enter text.
Click here to enter text. Click here to enter text.
Click here to enter text.
Click here to enter text. Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
☐ I am currently applying to one of the eligible programmes
Study programme: Click here to enter text.
Institution: Click here to enter text.
☐ I have been accepted by the eligible Dutch institution in one of the eligible study
programme
Study programme: Click here to enter text.
Institution: Click here to enter text.
Student ID: Click here to enter text.
(See list of eligible programmes and participating institutions at www.studyinnl.org/ots)
☐ No
☐ Yes (please specify below)
Institution Study programme
Click here to enter text. Click here to enter text.
Click here to enter text. Click here to enter text.
Click here to enter text. Click here to enter text.
Click here to enter text. Click here to enter text.
You can apply to more than one OTS schemes. For each scheme, a separate OTS application
form needs to be submitted.
Orange Tulip Scholarship Indonesia 2023-2024 Application Form
© 31/10/2022
www.studyinnl.org
ots@nesoindonesia.or.id
Jl. H. R . Rasuna Said Kav S-3
Jakarta 12950 – Indonesia

3. ACADEMIC BACKGROUND
Name of last/current
Click here to enter text.
education institution

City & country Click here to enter text. Click here to enter text.

Study programme Click here to enter text.

Level of degree (to be)
☐ High school ☐ Bachelor ☐ Master ☐ PhD
obtained

(Expected) month & year of

Click here to enter text.
graduation (mm/yyyy)

GPA
out of

☐ IELTS ☐ iBT (month+year):

English exam score & month
(month+year): Click Click here to enter ☐ I have not taken an exam yet
+ year taken
here to enter text. text.

GRE test result Click here to enter text. Month & year taken: Click here to enter text.
(if applicable)

GMAT test result Click here to enter text. Month & year taken: Click here to enter text.
(if applicable)

4. WORKING EXPERIENCE
Current or last working experience (If applicable). Please include your curriculum vitae on a separate file

Company/ organization: Click here to enter text.

Job position: Click here to enter text.

Short job description (max. 2 lines): Click here to enter text.

Other working experience(s) (max. 2 lines): Click here to enter text.

5. FINANCING YOUR STUDIES

How do you plan to finance your studies at the Dutch higher education institutions (multiple answers possible)?
☐ My own savings ☐ Bank credit/loan
☐ Parents or family ☐ Scholarship(s)
☐ Employer ☐ Other: Click here to enter text.

Please specify other scholarships that you are applying to:

Click here to enter text.

,
6. CHECK REQUIRED DOCUMENTS

Orange Tulip Scholarship Indonesia 2023-2024 Application Form

© 31/10/2022
www.studyinnl.org
ots@nesoindonesia.or.id
Jl. H. R . Rasuna Said Kav S-3
Jakarta 12950 – Indonesia

Check the required documents of each scheme at http://www.studyinnl.org/ots

Send the required documents to Nuffic Neso Indonesia (ONLY softcopy to ots@nesoindonesia.or.id) before 1 April 2023 (unless the
institution for which you are applying mentions a different deadline on the Orange Tulip Scholarship website. Incomplete forms and
packages will not be taken into account.

Make sure that some universities require applying OTS through its online application system as well. Nuffic Neso Indonesia don’t take
any responsibility if you miss this step.

PLEASE NOTE THAT EACH ORANGE TULIP SCHOLARSHIP SPONSOR MAY REQUIRE ADDITIONAL DOCUMENTATION.
PLEASE READ CAREFULLY THE INFORMATION THROUGH http://www.studyinnl.org/ots

All data will be treated strictly confidential by Nuffic Neso Indonesia and the selected Dutch higher education institutions, solely for
the purpose of the Orange Tulip Scholarship Indonesia programme application.

I certify that the information I have provided in this form is true, complete and correct.

Place : Click here to enter text.

Date : Click here to enter text.

Name : Click here to enter text.

Signature : Click here to enter text.

Orange Tulip Scholarship Indonesia 2023-2024 Application Form

© 31/10/2022