THE MULJIBHAI MADHVANI FOUNDATION Guidelines THE2015/2016 MULJIBHAI MADHVANI FOUNDATION and Application form 2015/2016 Guidelines and Application form www.madhvanifoundation.com 1.0 BACKGROUND The Muljibhai Madhvani Foundation is a Charitable Trust which was set up with the primary objective of promoting scientific and technical education for the betterment of the people of Uganda. It is in pursuit of this objective that the Board of Trustees of the Foundation set up a Scholarship Committee and instituted a University scholarship programme starting in the 2003/4 academic year. • • The financial status of the applicants themselves, their parents, families and/or spouses shall be scrutinized to assess their relative financial needs. The Board of Trustees has empowered the Scholarship Committee to use their discretion in considering the Applicants and identifying those suitable for sponsorship. The Committee may use additional parameters, such as gender, regional balance and disability, where candidates are equally qualified. Postgraduate Applicants with work experience in the relevant field of study will have advantage in award of Scholarship. The Foundation reserves the right to check and verify any information provided by the applicant. The Foundation reserves the right to reject any application. • Any form of canvassing will lead to immediate disqualification. • • • The scholarship programme is aimed at benefiting Ugandans pursuing either undergraduate or postgraduate education at University level in Uganda. 2.0 ELIGIBLE DISCIPLINES The Board of Trustees have identified the following disciplines for sponsorships: Agriculture, Biology, Chemistry, Commerce, Engineering, Food Science & Technology, Information Technology, Hotel Management, Pharmacy, Nursing, Architecture, Veterinary Medicine, Actuarial Science, Environmental Studies and Human Medicine. The Board however, reserves the right to revise this list periodically, on the recommendation of the Scholarship Committee, to suit the relative importance of each of the disciplines in the wider strategic framework of national capacity building. 3.0 WHO IS ELIGIBLE TO APPLY? • • • Undergraduate students (Ugandan Nationals), who have completed at least the first year of their studies at a Ugandan University; (in any of the disciplines in 2.0 above), are eligible to apply. Students with CGPA lower than 2.2 and/or having a retake in any subject in the first/preceding year of study are not eligible to apply. Postgraduate students (Ugandan Nationals), who have either been admitted and/or registered for postgraduate programmes at a Ugandan University. (A first degree in the disciplines in 2.0 a must). Students already on scholarships or sponsorships with other organizations are not eligible to apply. Also, the successful applicants who may be awarded scholarships or sponsorships by other organizations after the Muljibhai Madhvani Foundation scholarship award shall be discontinued. 5.0 WHAT DOES THE SCHOLARSHIP COVER? • application/award. 6.0 NATURE OF SCHOLARSHIP • • • • • • • • • • • Undergraduate applicants; proof of completion of the first year of study in a recognized university in Uganda. The higher one’s CGPA, the better. Postgraduate applicants; proof of admission to a postgraduate programme in a recognized University or Institution of Higher Learning in Uganda. Academic performance; the applicants’ Cumulative Grade Point Average (CGPA) and/or class of degree as well as academic references shall be among the variables to be used in determining successful applicants. The applicant’s age and character shall be considered. The scholarship shall be extended as a grant payable directly to the University/Institution on behalf of the beneficiaries. Renewal of funding shall be subject to receiving satisfactory progress reports from the beneficiaries’ Faculties/ Institutes/Schools/Colleges, either submitted directly or by the beneficiaries. Retakes in more than one subject will result in the withdrawal of the Scholarship by the Trust. Upon completion of their studies, it is expected that the awardees will, for the benefit of future scholars, make voluntary donations/ contributions to the Foundation. It may also be noted that the award of Scholarship is not a legally binding contract between the Foundation/ Trustees and the Awardees and can not be challenged in any court of law. The Foundation/Trustees also reserve the right to withdraw the scholarship or stop payment of the tuition fees at any time at its own discretion without assigning any reason to the awardees. 7.0 APPLICATIONS 4.0 SELECTION CRITERIA • The scholarship covers tuition fees only from the second year to completion for undergraduate students; and for the entire programme of study for Postgraduate students from the time of • • The Application form can be bought for 2,000 Ushs at the Madhvani Foundation offices on Plot No.96-98, Business Park, 5th Street, Industrial Area or downloaded for free from the Foundation website www.madhvanifoundation.com. All sections of the application form must be carefully filled in, attached with relevant documentation and submitted along with a signed Model Release Form. Section F must be filled by the relevant officer and stamped. The Completed application form can either be delivered in person or posted to Muljibhai Madhvani Foundation, P. O. Box 33479, Plot No.96-98, Business Park 5th Street, Industrial Area, Kampala, Uganda Applicants, whose forms are not filled properly as required or Section E has not been filled in or have failed to attach the relevant supporting documents shall be rejected. LAST DATE FOR SUBMISSION OF APPLICATION IS 30th APRIL 2015 NOTE: PLEASE RETAIN THE GUIDE AND SUBMIT ONLY THE APPLICATION FORM APPLICATION FORM FOR SCHOLARSHIP AWARD 2015-2016 • First fill the Table below, and then carefully read through the rest of the form before filling in Sections A – G as candidly as possible. • You are advised to attach relevant photocopies to this form in support of all verifiable statements. • Incomplete information will lead to rejection of the application. • Applicants with CGPA lower than 2.2 are not eligible to apply. • LAST DATE FOR SUBMISSION OF COMPLETED APPLICATION FORM IS 30TH APRIL 2015 Name of Applicant Title of Program (e.g Bachelor of Medicine) Year and Semester / Term of study (as on 30th April 2015) CGPA –Cumulative Grade Point Average (Attach an original signed and stamped statement of results as proof) University being attended / admitted Admission Number Name of sponsor Details of previous application made for Scholarship to the Madhvani Foundation - Year PLEASE PASTE RECENT PHOTOGRAPH DO NOT STAPLE SECTION A Applicant’s Particulars 1. a) Surname b) First name c) Middle name (if any) 2. a) Sex: Male: Female b) Nationality: 3. a) Date of birth b) Age ( In years as on 30/04/2015). 4. a) Marital status b) Number of children / Ages 5. a) District of origin b) County c) Sub-County/Division d) Parish/Ward e) LC1/Village 6. a) District of Residence b) Postal address c) Physical address d) Phone contacts: i) Residence ii) Mobile e) If no. in 6 d) ii) above is not yours, indicate the owner’s name f) E-mail address For items 7 – 9 below, please indicate employment details about you (and your spouse where applicable). Details 7 Employer and contact 8 Occupation / Job title 9 Gross annual income Self Spouse SECTION B Family Background For items 10 – 15 in the table below, please indicate the details about your parents. Particular 10 Name 11 Status (Alive / Deceased) If deceased, give date of death with proof 12 District of origin 13 Occupation/ Job Title Either now or previously 14 Organization / Place of Work / Phone contact 15 Gross Annual Income 16 a) If deceased in No.11 (above), state name of guardian b) His/her phone contact c) His/her Relationship with you d) Guardian’s occupation e) Guardian’s Gross Annual Income Father 1 Mother 17. Give details about your brothers/sisters from the same father/mother who are either ‘out of’ or ‘still in’ school in the table below. Attach an additional sheet if more than 4. Name Occupation / Year in school / College / University Name of Organization / School / College / University Name of sponsor SECTION C Applicant’s Education and Funding Levels 18. Please summarize the educational stages you went through (before applying to join the University for the current program) in the table below. Please attach a hand written summary on the history of your sponsorship i.e. how was your fees paid and who paid it from PLE onwards. Name of School / College / University attended Level Dates from - to Aggregate / Grade / CGPA / Class Name of Sponsor / Relationship PLE UCE UACE Diploma Bachlor’s Degree Postgraduate Diploma Master’s Degree 19. State the Cumulative Grade Point Average (CGPA) mark obtained in the latest University examination available at your Faculty office ............................................................................................................. [Please attach an original statement of results from the office of the Dean/ Director of your Faculty/ School/Institute/college (duly signed and stamped) in support of this]. 20. Funding applied for: Item Amount Tuition fees per Semester / Quarter Total tuition fees required to complete the degree programme Course duration in years 2 21. Briefly outline your intended career path SECTION D Applicant’s Work Experience Details (FOR POSTGRADUATE STUDENTS ONLY) 22. Please summarize the details of work experience gained after successful completion of the undergraduate degree course in the table below. Please note that experience in the field of undergraduate study would be an added advantage for award of scholarship Sr. No. Name and address of Organization worked for with Job Title Dates from - to Total Emoluments SECTION E To be filled in by all Applicants Declaration: I hereby confirm and certify that the information I have filled in this form is correct. Name Signature Date 3 Reason for leaving Employment SECTION F: To be filled by the Dean / Director of the School / Faculty / Institute / College 23. Please comment on the applicant’s suitability for a scholarship award: a) Academic Performance (please state the applicant’s current CGPA) b) Behaviour c) Comment on sponsorship history of the applicant Recommendation Dean/Director’s name in full: Signature Date Faculty /College Stamp/Seal Note: Please enclose the following: V. Recent colour photograph (to be pasted in the space provided on page 1) VI. Employers Certificate/No objection letter (If applicable) VII. Copies of any other relevant documents VIII. The signed Model Release Form here attached. I. Photocopy of admission letter II. Photocopies of examination results obtained: O & A Level, diploma, transcript/results for all semesters done at university III. Photocopy of death certificate or medical forms as proof of death or illness IV. Two original letters of reference outlining your financial situation and need. One of which should be from the institution in which you are studying and the other one from the immediate past institution where you completed your studies. Please address your application to: THE SECRETARY, MULJIBHAI MADHVANI FOUNDATION C/o. EAST AFRICAN DISTRIBUTORS LIMITED PLOT NO. 96-98, BUSINESS PARK, 5TH STREET, INDUSTRIAL AREA P.O. BOX 33479 KAMPALA, UGANDA, TEL: 0414 259 390 MOB: .0773 215 554 PLEASE NOTE THAT ANY FORM OF CANVASSING AND THE ABSENCE OF ANY OF THE ABOVE REQUIRED ENCLOSURES WILL LEAD TO THE APPLICATION BEING REJECTED It may also be noted that the award of Scholarship is not a legally binding contract between the Foundation/ Trustees and the Awardees and can not be challenged in any court of law. The Foundation/Trustees also reserve the right to withdraw the scholarship or stop payment of the tuition fees at any time at its own discretion without assigning any reason to the awardees. 4 SECTION G: MODEL REALEASE FORM If selected to be awarded a scholarship, I agree to model for Muljibhai Madhvani Foundation/Madhvani Group for any public relations purposes and/or commercial photography for the purpose of promoting their services at no cost. I permit Madhvani Group and its associate Companies/ assignees/suppliers to use the said material either complete or in part, alone or in conjunction with any wordings, caption or drawing. Muljibhai Madhvani Foundation/Madhvani Group/their Associate Companies can use these photographs for purposes of out-door advertising or any other media or before any forum gathering for the promotion of its client’s services. PRESENTATION I also agree that any person authorised or acting on behalf of Muljibhai Madhvani Foundation/Madhvani Group/their Associate Companies may use the said materials or reproductions or adoptions of them for advertising with reasonable retouching alterations or editing. Muljibhai Madhvani Foundation/Madhvani Group/Their Associate Companies and its assignees/suppliers/client shall have unrestricted use of the said materials for a period of five years. EXCLUSIVITY I also agree that I will not model for any other competing organisation or firm for which any of the said material is used and/or contradicting any advertisements that Muljibhai Madhvani Foundation/Madhvani Group/their Associate Companies or its Client may have published. I also agree and promise that I will not prosecute or institute any proceeding or make claims or demands either against Muljibhai Madhvani Foundation/ Madhvani Group/their Associate Companies or its assignees/ supplier/client, or in respect of any uses by Muljibhai Madhvani Foundation/ Madhvani Group/their Associate Companies or them of the said material whether or not my name is used or not with such material. I have been explained and have clearly understood the details of this Release Form. Signed: APPLICANT Name P.O. Box Telephone Email: Signature Date Muljibhai Madhvani Foundation C/o East African Distributors Limited, Plot No.96-98, Business Park, 5th Street, Industrial Area, P.O. Box 33479, Kampala, Uganda, Tel.0414 259 390, Mob: 0773 215 554, Email: admin@madhvanifoundation.com www.madhvanifoundation.com