ࡱ> HKEFGA zbjbj\\ x>h>h{##zzzzz8, Zd~!20202023Z9T<YYYYYYY$P^abYzZ>33Z>Z>Yzz0202TZTTTZ>z02z02YTZ>YTT:mX,X02|:bCXYZ0ZX haC~haXXhazXTZ>Z>Z>YYnKZ>Z>Z>ZZ>Z>Z>Z>haZ>Z>Z>Z>Z>Z>Z>Z>Z>X @:  Farhad Daftary Doctoral Scholarship Application Form To apply, please complete this application form and submit it together with the required documents to  HYPERLINK "mailto:scholarships@iis.ac.uk"scholarships@iis.ac.uk. All documents must be submitted in PDF format. The deadline for applications is 31 March. This application form must be accompanied by: A cover letter Your updated CV Personal Statement of Commitment1 Copies of your graduate level academic transcripts, including a copy of your Masters diploma Copy of letter of acceptance to doctoral programme2 Three letters of recommendation3 Writing sample4 Your doctoral research proposal 1This statement should be used to explain two things: i) the relevance of your proposed research topic to the IIS core research areas and/or the areas of interest of AKDN and/or the Jamati institutions; and ii) your commitment to contributing back to the IIS, ITREBs or AKDN. 2In exceptional circumstances, the IIS may consider an application that does not have a letter of acceptance attached. If this is your case, please explain the circumstances and submit a copy of your application, or application receipt, to your university together with this form. 3These letters must be sent directly from the referees to the IIS. 4The writing sample may be a paper you submitted as coursework. The maximum length of your writing sample should not exceed 2000 words. Personal Details Surname:  FORMTEXT       FILLIN "" First name:  FORMTEXT       FILLIN "" Correspondence address:  FORMTEXT       FILLIN "" FILLIN "Text4" Telephone number including full code:  FORMTEXT       FILLIN "" Mobile number:  FORMTEXT       FILLIN "" Email address:  FORMTEXT       FILLIN "" Gender: Female  FORMCHECKBOX  Male  FORMCHECKBOX  Date of Birth:  FORMTEXT       FILLIN "" Country of Birth:  FORMTEXT       FILLIN "" Nationality:  FORMTEXT       FILLIN "" Immigration status if residing in other than country of nationality: FILLIN "Text13"  FORMTEXT       FILLIN "" Home address if different from correspondence address: FILLIN "Text14"  FORMTEXT       FILLIN "" Home telephone number including area code if different from correspondence number: FILLIN "Text15"  FORMTEXT       FILLIN "" Emergency contact Name:  FORMTEXT       FILLIN "" Address:  FORMTEXT       FILLIN "" Telephone number including full code:  FORMTEXT       FILLIN "" Relationship to you:  FORMTEXT       FILLIN "" Research Details What is your proposed area of research? (You may tick more than one) Ismaili Studies  FORMCHECKBOX  Education  FORMCHECKBOX  Shii Studies  FORMCHECKBOX  Politics  FORMCHECKBOX  Quranic Studies  FORMCHECKBOX  Art  FORMCHECKBOX  History  FORMCHECKBOX  Social Sciences  FORMCHECKBOX  Philosophy  FORMCHECKBOX  Other (specify below)  FORMCHECKBOX  Theology  FORMCHECKBOX   FILLIN "" Other:  FORMTEXT       What is your proposed dissertation title?  FORMTEXT       FILLIN "" Name of Institution:  FORMTEXT       City:  FORMTEXT       Country:  FORMTEXT        FILLIN "" Department:  FORMTEXT       FILLIN "" Potential Supervisor(s):  FORMTEXT       FILLIN "" Duration of Doctoral programme in months and years:  FORMTEXT       FILLIN "" Date of commencement:  FORMTEXT       FILLIN "" Date of completion:  FORMTEXT       FILLIN "" Have you received written notification of acceptance? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Please submit a copy of the letter with this form. Income & Funding Total fees for proposed course of study per academic year:  FORMTEXT       FILLIN "" Have you previously applied for a doctoral scholarship from IIS? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, please give the date of application:  FORMTEXT       FILLIN "" FILLIN "Text28" Do you have any regular source of income? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, what is the amount per calendar year?  FORMTEXT       FILLIN "" Are you are planning to work during your Doctoral studies? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If you are currently working and intend to continue employment please give the details of your employer: Your role:  FORMTEXT        FILLIN ""  FILLIN "Text101" Name of Employer:  FORMTEXT        FILLIN "" FILLIN "Text102" Address :  FILLIN ""  FORMTEXT       FILLIN "Text103" Telephone:  FORMTEXT       FILLIN "" FILLIN "Text104" How much do you expect to earn per calendar year?  FORMTEXT       FILLIN "" Please give details of any financial aid you have been able to obtain. This could be from the university or other sources.  FORMTEXT       FILLIN "" Please indicate if you have any financial dependants.  FORMTEXT       FILLIN "" Education & Qualifications Please provide details of higher education or equivalent in reverse chronological order. Continue on a separate sheet if necessary. 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