FELLOWSHIP APPLICATION FORM

I certify that my statements in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief.

If accepted for a training award, I undertake to:-

1. carry out such instructions and abide by such conditions as may be stipulated by both the nominating government and the host government in respect of this course of training;
2. follow the course of training, and abide by the rules of the University or other institutions or establishment in which I undertake to train;
3. refrain from engaging in political activities, or any form of employment for profit or gain;
4. submit any progress reports which may be prescribed;
5. return to my home country promptly upon the completion of my course of training.

I also fully understand that if I am granted a fellowship award, it may be subsequently withdrawn if I fail to make adequate progress or for other sufficient cause determined by the host Government.

I certify that, to the best of my knowledge,

1. all information supplied by the nominee is complete and correct;
2. the nominee has adequate knowledge and experience in related fields and has adequate English proficiency for the purpose of the fellowship in Thailand.

On return from the fellowship, the nominee will be employed in the following position:

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