AVU Scholarship Application Form

The African Virtual University Cape Office Park Ring Road, Kilimani PO Box 25405 - 00603 Nairobi KENYA		L'Université Virtuelle Africaine Sicap Liberté 6 extension VDN villa no 8 B.P. 50609 Dakar SENEGAL
AVU SCHOLARSHIP APPLICATION FORM

Program/Course(*)

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Personal Information
Surname:(*)

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Other Names:(*)

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Gender(*)

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Date of Birth (mm/dd/yyyy)(*)

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Student’s Registration No:

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Nationality:(*)

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Address(*)

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City(*)

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P.O. Box

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Country(*)

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Mobile Number(*)

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Landline Number

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Email(*)

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Education
a. Qualification Obtained:

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a. Year:

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b. Qualification Obtained:

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b. Year:

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c. Qualification Obtained:

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c. Year:

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Total Amount of Scholarship Requested $US:

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Do you acknowledge having been informed that no money will be remitted to students?(*)

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Statement of Purpose
Explain in your own words, why you think you deserve this scholarship.
(*)

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List 3 achievements that you consider as your most outstanding(*)

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Applying Through an Institution?(*)

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Africa Virtual University - AVU