ANT1 Scholarships

Complete the online form below or click here to download the form in pdf

1. Personal Details*

Surname / Family Name (As per your ID or Passport)

First Name(s) (As per your ID or Passport)

Permanent Address

Postcode

Contact Numbers (include International Dialing Code)

Phone Number

Mobile Number

Fax

Correspondence Address (if different)

Postcode Correspondence

Contact Numbers (include International Dialing Code)

Tel

Mobile

Fax

2. Further Details*

Age

Gender

Male
Female
Other

Date of Birth

Cypriot I.D. No.

Disability/Special needs

Country of permanent residence

EU
Non-EU

If Non-EU Specify

Country of Birth

Nationality

Passport No. (If Available)

Do you need a Student Visa?

3. Details of course for which you wish to apply*

Level of course applied for

Foundation
Undergraduate
Postgraduate

Mode of study

Full-Time
Part-Time

Full Course Title 1st choice

Full Course Title 2nd choice

Academic Year

Academic Semester

Fall
Spring
Summer

4. Physical or other disability or medical condition which might necessitate special arrangements or facilities:

Please refer to notes for guidance

5. Qualifications Please provide full details of educational background including institution name and dates attended, qualifications obtained, subjects and grades. Please attach photocopies of transcripts or certificates if available

Secondary Education

Name of High School

Dates attended From (month & year)

Dates attended To (month & year)

Qualifications

Attach your Photocopies

Add new

Higher Education

Name of Institution

Dates attended From (month & year)

Dates attended To (month & year)

Qualifications

Attach your Photocopies

Add new

6. If your first languages is not english, please state which qualifications (e.g gcse, ielts, toefl) in english language you hold or are currenty studying, the score or grade if known and date taken. Please attach a photocopy of transcript or certificate if available

Qualification

Add new

Score or Grade

Add new

Date taken

Add new

Photocopy of certificate

Add new

7. Employment Please indicate your employment experience icluding any details relevant to the course for which you applying

Employer

Name

Add new

Address

Add new

Nature of work

Add new

Full-time / Part-time

Add new

Dates

Add new

8. Declaration*

I confirm

I have read and understood

9. References Applies only for postgraduate applications. Postgraduate applications require two references

Notes of Guidance

Section 1 – Personal Details

Correspondence Address – This should be an address where you may be contacted throughout the period leading up to the start of the course. Please inform the University immediately if this changes.

Data Protection

The information provided will be used by the University for the administration of your application, academic record and student and welfare services. It will also be used for research and the compilation of statistics. The University may also supply this information to outside organisations including the Police, the Ministry of Interior, Local Authorities, the Ministry of Labour and its departments, Examination Boards or Awarding Bodies to prevent or detect fraud.