Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
id
ots@nesoindonesia.or.id
Jl. H. R . Rasuna Said Kav S-3
Jakarta 12950 Indonesia
T. (+62) 21 5248 267
1. PERSONAL INFORMATION
City & postcode Click here to enter text. Click here to enter text.
Mobile phone & telephone Click here to enter text. Click here to enter text.
Current application I have been accepted by the eligible Dutch institution in one of the eligible study
status programmes
Study programme: Click here to enter text.
Institution: Click here to enter text.
No
Yes (please specify below)
Are you also applying to Click here to enter text. Click here to enter text.
other institutions under
Click here to enter text. Click here to enter text.
the Orange Tulip
Scholarship? Click here to enter text. Click here to enter text.
You can apply to more than one OTS schemes. For each scheme, a separate OTS
application form needs to be submitted.
4. ACADEMIC BACKGROUND
Name of last/current
Click here to enter text.
education institution
City & country Click here to enter text. Click here to enter text.
GPA
out of
IELTS iBT
English exam score & (month+year): (month+year): I have not taken an exam yet
month + year taken Click here to enter Click here to enter
text. text.
GRE test result Month & year taken: Click here to enter
Click here to enter text.
(if applicable) text.
GMAT test result Month & year taken: Click here to enter
Click here to enter text.
(if applicable) text.
5. WORKING EXPERIENCE
Current or last working experience (If applicable). Please include your curriculum vitae on a separate file
How do you plan to finance your studies at the Dutch higher education institutions (multiple answers possible)?
My own savings Bank credit/loan
Parents or family Scholarship(s)
Employer Other: Click here to enter text.
Please send the required documents to Nuffic Neso Indonesia (ONLY softcopy to ots@nesoindonesia.or.id)
before 1 April 2018 (unless the institution for which you are applying mentions a different deadline on the
Orange Tulip Scholarship website. Incomplete forms and packages will not be taken into account.
PLEASE NOTE THAT EACH ORANGE TULIP SCHOLARSHIP SPONSOR MAY REQUIRE ADDITIONAL DOCUMENTATION. PLEASE READ
CAREFULLY THE INFORMATION ON THE NUFFIC NESO INDONESIA ORANGE TULIP SCHOLARSHIP WEBPAGE
All data will be treated strictly confidential by Nuffic Neso Indonesia and the selected Dutch higher education
institutions, solely for the purpose of the Orange Tulip Scholarship Indonesia programme application.
I certify that the information I have provided in this form is true, complete and correct.