UNIVERSITIES' CHINA COMMITTEE IN LONDON

Application form

Before completing this form, please ensure that you read the UCCL Homepage and Instructions page for detailed information on how to fill in and return this form. 

Postal address: The Universities' China Committee in London, Swire House, 59 Buckingham Gate, London SW1E 6AJ, fax: 020 7828-6331, uccl@dsl.pipex.com 

PERSONAL DATA
1.  Family name:  2.  Other names:  Male/Female
3.  Year of birth: 4.  Nationality: 
5.  If you are a PRC national in Britain give your:

a)  date of arrival in the UK: 
b)  visa status (please tick only one box)   student,   dependant,   other - please give details

 
6.  Address for correspondence: 

 

 

 
Daytime telephone number: email address: 
7.  Are you:  a graduate student?    in some other position? (please specify):

 

 

 

 

BIOGRAPHICAL DETAILS
 
8.  Employment in home country
Present position: 

Date appointed: 

Name and address of employer: 

 

 

Give brief details of previous employment: 

 

 

 
 9.  Details of your university/college education (Please list in date order, earliest date first)

Institution

Course

Date

Qualification

 

 

 

 

 

 

 

 

 

 

 

LANGUAGES

10. Please list the languages you know and whether you are proficient in both spoken and written forms (fluent or first language level).
language(s):

Proficiency:

 

 

RESEARCH DETAILS

Details of proposed course of UK study, research or other activity

11. Name and address of institution and department:

 

12.

a) Degree or qualification for which you are or intend to be registered: 

 

 

 

b) date of starting:

 

c) date of completion or expected completion:
13. Details of specific activities as well as the research project for which funding is sought.

 

 

 
14. Give date by which funding is required.

15. Indicate how the proposed study or visit will be of benefit to you and/or your institution.

 

 

 

 

 

FINANCIAL SITUATION


16.

 

 

 

 

 

17.


Please give details of people to be visited or interviewed and indicate briefly their relevance to the project. If there are groups to be visited, instead of listing them, please make a brief statement on their types/relevance.

 

 

 

 

Give details of previous sources of financial support. If you have been supported by the British Council please give your reference number and the name of your programme officer.

 

 

 

18.

 

 

 

19.

 

Total amount required precisely: (give detailed costing)

 

 

 

Source and amount of available funds: (give the date and the period of the grant/s and any funds of your own or from your family)

 

 

 

20.

 

 

21.

 

22.

 

 

Reason for seeking extra financial assistance:

 

 

Amount required from this particular application:

 

Please give details of other sources of funding to which you are applying:

 

 

 

 

REFERENCES

23.
Give the name, title, and occupation of one or two people whom you have asked to write in support of your application. In the case of student applications, at least one referee must be the student's supervisor in the UK. References should be sent in the post or sent as a PDF. 


1st referee (or supervisor if applicable):

name:

address:

 

tel:

email address:
Additional referee (optional)

name:

address:

 

tel:

email address:

Postal address: The Universities' China Committee in London, Swire House, 59 Buckingham Gate, London SW1E 6AJ, fax: 020 7828-6331, uccl@dsl.pipex.com 

To the Application Form Instructions Page 

To the UCCL Homepage

Data Protection statement: Please note that any personal information you supply to the Universities' China Committee is protected under the Data Protection Act and will not be divulged to third parties without your consent.

 v2009.08.13