73 Newman Street, London, W1T 3EJ, United Kingdom.

Tel: +44(0) 207 631 1299 • fax: +44(0) 207 580 7166
web: www.rila.co.uk • email: admin@apwsi.co.uk
Institute of Health Sciences

GUIDELINES FOR BURSARY APPLICATIONS

Rila Institute of Health Sciences which co-ordinates Postgraduate Diploma programmes, would
like to offer potential candidates a bursary to part-fund their enrolment on one of Rila’s
Postgraduate Diploma courses.

RILA Institute of Health Sciences bursaries are available to those who satisfy the
following criteria:

• Applicants must be eligible for Rila’s courses (see Programme Handbook for full details)
• Must be in possession of an MBBS or equivalent medical degree
• Must be engaged in active clinical practice
• Must be GMC registered
• Must have the support of their PCT, surgery or PBC group
• Must have identified an agreement with a suitable mentor/clinical supervisor as detailed in
the programme handbook.

In addition applicants will be required to:

• Submit the bursary application by the deadline date of 30th August 2011
• Agree to represent the values of Rila, with integrity and respect
• Acknowledge all correspondence from Rila and return any forms as and when requested
• Agree to submit an audit and progress report no later than 10 months after the Diploma has
been completed, indicating precisely how their local community has benefitted over and
above the normal healthcare delivery. (NB: each bursary recipient will be asked to submit
proposals as to how they will use their newly acquired skills to benefit their local community)

6 bursaries are available in each of the following disciplines:

• PG Diploma in Cardiology • PG Diploma in ENT

• PG Diploma in Urology • PG Diploma in Ophthalmology
• PG Diploma in Musculoskeletal Medicine • PG Diploma in Diabetes & Endocrinology
.

Please note that bursaries will be awarded on merit and are not subject to income assessment.

DETAILS OF BURSARY

The usual fees for Rila PG Diploma courses are £6072.82. Successful recipients of a bursary will
be required to pay £1500 plus a registration fee of £120. (Please note that the registration fee is
non refundable and non-transferrable. The £1500 course fee is only refundable up to the course
start date and is not transferable).

Please complete the bursary request form below and return it together with the Course
Application form, Referees report and the registration fee of £120.

NB: All bursary applications must be received by no later than 30th August 2011.

Please send all correspondence to:

Rila Institute of Health Sciences, Rila House, 73 Newman Street, London, W1T 3EJ

ALL FEES SHOULD BE PAYABLE TO “RILA PUBLICATIONS LTD.

Publications Limited • Registered in England No.2933503 • 73 Newman Street, London W1T 3EJ, UK

1
 73 Newman Street, London, W1T 3EJ, United Kingdom.
Tel: +44(0) 207 631 1299 • fax: +44(0) 207 580 7166
web: www.rila.co.uk • email: admin@apwsi.co.uk
Institute of Health Sciences

BURSARY APPLICATION FORM – PLEASE COMPLETE IN BLOCK CAPITALS

The Information requested in this form is the minimum required for a bursary to be considered.
Applicants should enclose additional information as necessary.

1. CONTACT DETAILS
2. APPLICANT’S PCT/PBC/SURGERY (who must
have agreed to support this development)
Surname
Name of PCT/PBC/Surgery
First Name

Gender
(Please Circle) MALE FEMALE
Contact Person(s) at
Date of Birth PCT/PBC/Surgery
Ethnicity

Address for Address

correspondence

Telephone
number
Contact Telephone No:

Work Number

Contact Email
Mobile

Email address

3. MENTOR/CLINICAL SUPERVISOR DETAILS

Name

Department

Hospital Address

Telephone number

Email address

Publications Limited • Registered in England No.2933503 • 73 Newman Street, London W1T 3EJ, UK

2
 73 Newman Street, London, W1T 3EJ, United Kingdom.
Tel: +44(0) 207 631 1299 • fax: +44(0) 207 580 7166
web: www.rila.co.uk • email: admin@apwsi.co.uk
Institute of Health Sciences

3. PERSONAL STATEMENT

In no more than 200-250 words please explain why you should be considered for a Rila Institute of Health
Sciences Postgraduate Diploma Bursary. Please also suggest proposals for ways in which your new skills
can be implemented to the benefit of your local community in addition to your normal working practice. This
statement is mandatory for those wishing to be considered for a bursary.

DECLARATION

I,

Confirm, to the best of my knowledge, that the information I have provided on this bursary request form is
correct. In the event that Rila Institute of Health Sciences awards me a bursary, I agree to follow the
guidelines set out in this request form.

Signed

Date:

Publications Limited • Registered in England No.2933503 • 73 Newman Street, London W1T 3EJ, UK

3
 73 Newman Street, London, W1T 3EJ, United Kingdom.
Tel: +44(0) 207 631 1299 • fax: +44(0) 207 580 7166
web: www.rila.co.uk • email: admin@apwsi.co.uk
Institute of Health Sciences

4. BURSARY CHECKLIST

Please tick the boxes to show that you have checked all of the following before
submitting your bursary application:

Bursary application form completed and signed

I am in possession of an MBBS or equivalent medical degree
Registration fee enclosed; a cheque for £120 made payable to “Rila Publications Ltd”
I am engaged in active clinical practice

I am GMC registered

I have the full support of my PCT, surgery or PBC group

I have identified an agreement with a suitable mentor/clinical supervisor

I have enclosed the following items in order to process the bursary:

Course application form completed and signed

Referee’s report completed and signed

Please keep a copy of all the above documentation and forward us a hard copy of each of
the above items to:

Rila, Rila House, 73 Newman Street, London, W1T 3EJ.

Please allow 14 days for us to process your application but if you haven’t heard from us
after this time, please do not hesitate to contact us on (020) 7631 1299, to find out the
status of your application.

Publications Limited • Registered in England No.2933503 • 73 Newman Street, London W1T 3EJ, UK