ICT4D application form 2018

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PLEASE COMPLETE AND INCLUDE THIS FORM WITH YOUR APPLICATION
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2018 IFITT ICT4D Scholarship Submission Checklist
Name: _____________________________________________________________________
Research title: _______________________________________________________________
Status of research: ____________________________________________________________

I hereby declare that the following documents are enclosed in my application:
[ ] Motivation Letter
[ ] Research Outline and Relevance to Local Development
[ ] Curriculum Vitae
[ ] Proofs of IFITT ICT4D eligibility (please refer to eligibility criteria)

How did you hear about the competition? __________________________________________

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[ ]

I hereby confirm that I have read and understood the eligibility criteria of the ICT4D
scholarship competition.

I hereby confirm that I have read and understood the terms and conditions of the ICT4D
scholarship competition.

Date

Signature

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