FULBRIGHT PROGRAM

EDUCATIONAL QUALIFICATION FORM

READ ALL INSTRUCTIONS AND INFORMATION CAREFULLY BEFORE COMPLETING APPLICATION

INSTRUCTIONS

1. THE FORM IS TO BE COMPLETED IN ENGLISH AND TYPEWRITTEN IN BLACK INK.

2. ATTACH CERTIFIED COPY (OR) NOTARIZED COPY OF THE HIGHEST LEVEL OF DEGREE CERTIFICATES
YOU ACHIEVED. PLEASE ALSO ATTACH COPY OF YOUR POST GRADUATE DIPLOMA CERTIFICATES
AND GRADING CERTIFICATES FOR FINAL YEAR OF BACHELOR/HONORS/MASTER DEGREE LEVEL.

3. COMPLETED APPLICATIONS SHOULD BE SUBMITTED TO FULBRIGHT PROGRAM OFFICE NO LATER

THAN FEBRUARY 28, 2010 AT 14 TAWWIN ROAD, DAGON TOWNSHP.
4. MEDICAL DOCTORS WHO DO NOT HAVE TRUE COPIES OF TRANSCRIPTS (FROM FIRST TO FINAL
YEAR) WILL NOT BE CONSIDERED.
5. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.
6. THIS FORM IS FOR THE APPLICANTS WHO DO NOT HAVE TOEFL OR IELTS SCORES BUT NECESSARY
ACADEMIC QUALIFICATION.

CHECK LIST

o FULBRIGHT EDUCATIONAL QUALIFICATION FORM

o DEGREE CERTIFICATES
o POST GRADUATE DIPLOMA CERTIFICATES
o GRADING CERTIFICATE

NAME: ________________________________________________________________________________________

CONTACT ADDRESS:
___________________________________________________________________________

TELEPHONE: _____________________________________ EMAIL: ___________________________________

COUNTRY OF CITIZENSHIP: _____________________________________________________________

ACADEMIC DEGREES

Degree Major Date Received Institution

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U.S. Embassy, Telephone: 536-509, 535-756, 505-113, 505-117 Extension: 4377