Supervisor: Position: Address: Tel/E-mail: Please state where you found out about this Scholarship: DECLARATION BY APPLICANT I declare that the above particulars are correct and understand that the circulated and Conditions” of this scheme apply. I accept that failure to abide by the “Terms and may disqualify me from this scheme. “Terms Conditions” Name of applicant : Date:
Supervisor: Position: Address: Tel/E-mail: Please state where you found out about this Scholarship: DECLARATION BY APPLICANT I declare that the above particulars are correct and understand that the circulated “Terms and Conditions” of this scheme apply. I accept that failure to abide by the “Terms and Conditions” may disqualify me from this scheme. Name of applicant : Date:
WhelanMemorialPhDScholarshipapplicationform2018-19.docx