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Application Form for the MASTER’S Scholarship
Please read the guidelines for application before filling the form!
Type your information above the black line with font size 10
Do not alter layout of pages when completing the form
Your personal details
Vhallatharasu Mathivathan
Surname First name(s)
27/05/1990
Previous surname (if married) Date of Birth (dd / mm / yyyy) and Place of Birth
Male Indian
Gender Nationality
MTech+BTech(Hons) Integrated Dual Degree 8 months
Highest academic degree obtained If working professional, mention total work experience (eg 1.5
years)
Your field of study in France
Master in Management I International Business
Degree Specialisation subject
01/09/2016 – 30/04/2017 8
Period for which Scholarship is required (dd/mm/yy- dd/mm/yy) Number of Months
Contact details of your HOD / professor in charge in India if you’re a student
Jatin Nagori
Name and Surname
Indian Institute of Management, Ahmedabad
University / Institution and Department
Exchange Officer exchange@iima.ac.in 079 - 6632 4654
Designation E-mail Tel.
Your current address
Dorm 13,Room 25 +91-988510036
Street, P.O. Box Mobile. Tel
380015 Ahmedabad
Postal code City/town
India P15mathivathan@iima.ac.in
Country E-mail
Application Form Master’s Program -
1/5
Your contact person and host institution in France
Nathalie Quintin
First Name and Surname
ESCP Europe
University/Institution
Master in Management, Admissions and Development Department
Department/Institute
79, avenue de la République Paris Cedex 11
Street/P.O. Box
75543 Paris nquintin@escpeurope.eu +33 1 49 23 21 45
Postal code City E-mail Tel.
Your application status
Do you have a confirmation of your admission in the French institution?
✓ Confirmed Awaited
Your other application(s)
Are you applying for a scholarship to any other institution?
Yes
✓ No
If so, which?
Have you previously been awarded a French Embassy Scholarship?
Yes
✓ No Year
When?
Application Form Master’s Program -
2/5
Your Curriculum Vitae
XIIth & University examinations / degrees
Period
(mm. yyyy)
Name of University/Institution City Degree Specialisation Percentage / CGPA
April
2007
April
2014
June
2015-
current
Vidya Mandir Mylapore
Indian Institute of Technology.
Kharagpur
Indian Institute of Management,
Ahmedabad
Chennai
Kharagpur
Ahmedabad
XII, CBSE
Btech(hons)+
Mtech dual
degree
Post graduate
Diploma in
management
Mathematics,
Science,
Computer
Mining
engineering with
M.tech in Safety
and disaster in
mines
Finance,
Marketing, HR,
Operation
90.2 ℅
6.62/10.0
2.83/4.0
Academic / Employment record
Period
(mm.yyyy)
Name of employer Organisation Position
May2014- Feb
2015
Suresh Beehyv Software Software Developer
April-May 2016 Varun Mathur ITW Digital Management intern
Previous or present study and stays abroad (including France) of at least two months' duration
Period
(mm.yyyy)
Institution City, Country Financed by
French language proficiency
 None
DELF / DALF examination A1 □ A2 □ B1 □ B2 □ C1 □ C2 □
If not DELF / DALF, please specify __________________________________________________________________________________________
(school / coaching classes / self-taught or any other)
Where did you hear about this scholarship?
Professor □ Peer / Senior  Campus France □ Alliance française □
If other, please specify____________________________________________________________________________________________________
Application Form Master’s Program -
3/5
Statement of Purpose (maximum one page in Times New Roman - 12)
Please highlight the reasons for choosing France and the institution where you will be studying. Please
also explain why you would be a worthy candidate for the scholarship and what are your plans
(professional and/ or academic) after your stay in France.
ESCP Europe is the world's first school of Management and its Master in Management, which
leads to ‘Grand ecole’ Degree is very prestigious. The double degree program of ESCP would
give me a international exposure and also open up new opportunities globally. I would like to
explore the options in Finance and Investment Banking along with sports Management. I have
a very strong background in Mathematics, which I think will help me do well in Finance
industry.
My academics achievements include that of
1. All India rank of 15 in National Mathematics Olympiad
2. Securing admission into IIT, among the top 0.1 percentile out of the 3,00,000 applicants.
3. Securing admission into IIM Ahmedabad, among the top 0.01 percentile of students who
applied.
4. AIEEE State Rank 26 in Tamil Nadu
5. All India Rank of 90 in Gate 2013. CAT 2014 percentile of 99.62%
6. School topper in Mathematics (99), Chemistry (97) and Computer Science (97) in class XII
Cbse board exams.
I am a trained Salsa Dancer and instructor and have participated in International Dance
Congress in Mumbai, Goa, Pondicherry and Hyderabad. I have also been a DJ at Salsa socials
in Hyderabad at Hard Rock Café, Over the moon and Spoil. I am active member of Salsa
community of Hyderabad, Chennai, Ahmedabad and Delhi. During my stay in Paris, I would
like to hone my skills in dance and also be part of the dance community of Paris.
My Extra Curricular Achievement include,
1.Represented Andhra Pradesh in 62nd
All India National Squash Championship.
2.Umang Shah Trophy for Best outgoing Sportsman at IIT Kharagpur.
3.Member gold winning IIMA Frisbee Team, Silver winning Squash Team and Volleyball
team at Shaurya, National level Sports meet conducted by IIMA.
4.School Senior handball team - divisional Runners, district winners ,zonal winner
5.Member of Gold Winning Azad Hall Hockey,Football, Cricket Team and Captain of the
Squash team.
6.Member of School senior hockey team that finished as zonal runners.
Position of Responsibility held
1.Member, Sports Committee IIMA- Incharge of Scheduling the National level sports festival
Shaurya with 169 teams in 18 sports and coordinating with all the colleges making feasible
schedule changes.
2.Member, Cultural Committee IIMA-Organised food festival, garba night and other festivals
on campus. Conducted a Salsa and garba Workshop on campus coordinating with my dance
school Furor.
3.Member, Workshop cell, Chaos IIMA-Incharge of conducting workshops during the
cultural festival of IIMA.
4.Core Organising Team Member, Springfest(Social-Cultural Fest,IIT Kharagpur) 2009-2010.
Application Form Master’s Program -
4/5
I hereby declare that the above statements are true to my knowledge and belief; that I am of sound health and not physically handicapped in a
way that would prevent me from carrying out my project in France.
The French Embassy has my permission to electronically store my personal data, which is required for my scholarship application and my
possible stay in France. If a scholarship is awarded to me, my name and institution of origin may be included in lists published by the French
Embassy in India.
If I am awarded a Charpak scholarship of excellence, I agree to become a “Charpak Ambassador” of French higher education when I return to
India. This may involve taking part in one or two higher education events at the Alliance Française of my city, or in one or two events organized
by a Campus France counsellor in my Indian university/ institution of origin.
Ahmedabad, May 05
2016
Place & Date Signature
Application Form Master’s Program -
5/5
I hereby declare that the above statements are true to my knowledge and belief; that I am of sound health and not physically handicapped in a
way that would prevent me from carrying out my project in France.
The French Embassy has my permission to electronically store my personal data, which is required for my scholarship application and my
possible stay in France. If a scholarship is awarded to me, my name and institution of origin may be included in lists published by the French
Embassy in India.
If I am awarded a Charpak scholarship of excellence, I agree to become a “Charpak Ambassador” of French higher education when I return to
India. This may involve taking part in one or two higher education events at the Alliance Française of my city, or in one or two events organized
by a Campus France counsellor in my Indian university/ institution of origin.
Ahmedabad, May 05
2016
Place & Date Signature
Application Form Master’s Program -
5/5

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Application form masters_program_1-page-sop

  • 1. Application Form for the MASTER’S Scholarship Please read the guidelines for application before filling the form! Type your information above the black line with font size 10 Do not alter layout of pages when completing the form Your personal details Vhallatharasu Mathivathan Surname First name(s) 27/05/1990 Previous surname (if married) Date of Birth (dd / mm / yyyy) and Place of Birth Male Indian Gender Nationality MTech+BTech(Hons) Integrated Dual Degree 8 months Highest academic degree obtained If working professional, mention total work experience (eg 1.5 years) Your field of study in France Master in Management I International Business Degree Specialisation subject 01/09/2016 – 30/04/2017 8 Period for which Scholarship is required (dd/mm/yy- dd/mm/yy) Number of Months Contact details of your HOD / professor in charge in India if you’re a student Jatin Nagori Name and Surname Indian Institute of Management, Ahmedabad University / Institution and Department Exchange Officer exchange@iima.ac.in 079 - 6632 4654 Designation E-mail Tel. Your current address Dorm 13,Room 25 +91-988510036 Street, P.O. Box Mobile. Tel 380015 Ahmedabad Postal code City/town India P15mathivathan@iima.ac.in Country E-mail Application Form Master’s Program - 1/5
  • 2. Your contact person and host institution in France Nathalie Quintin First Name and Surname ESCP Europe University/Institution Master in Management, Admissions and Development Department Department/Institute 79, avenue de la République Paris Cedex 11 Street/P.O. Box 75543 Paris nquintin@escpeurope.eu +33 1 49 23 21 45 Postal code City E-mail Tel. Your application status Do you have a confirmation of your admission in the French institution? ✓ Confirmed Awaited Your other application(s) Are you applying for a scholarship to any other institution? Yes ✓ No If so, which? Have you previously been awarded a French Embassy Scholarship? Yes ✓ No Year When? Application Form Master’s Program - 2/5
  • 3. Your Curriculum Vitae XIIth & University examinations / degrees Period (mm. yyyy) Name of University/Institution City Degree Specialisation Percentage / CGPA April 2007 April 2014 June 2015- current Vidya Mandir Mylapore Indian Institute of Technology. Kharagpur Indian Institute of Management, Ahmedabad Chennai Kharagpur Ahmedabad XII, CBSE Btech(hons)+ Mtech dual degree Post graduate Diploma in management Mathematics, Science, Computer Mining engineering with M.tech in Safety and disaster in mines Finance, Marketing, HR, Operation 90.2 ℅ 6.62/10.0 2.83/4.0 Academic / Employment record Period (mm.yyyy) Name of employer Organisation Position May2014- Feb 2015 Suresh Beehyv Software Software Developer April-May 2016 Varun Mathur ITW Digital Management intern Previous or present study and stays abroad (including France) of at least two months' duration Period (mm.yyyy) Institution City, Country Financed by French language proficiency  None DELF / DALF examination A1 □ A2 □ B1 □ B2 □ C1 □ C2 □ If not DELF / DALF, please specify __________________________________________________________________________________________ (school / coaching classes / self-taught or any other) Where did you hear about this scholarship? Professor □ Peer / Senior  Campus France □ Alliance française □ If other, please specify____________________________________________________________________________________________________ Application Form Master’s Program - 3/5
  • 4. Statement of Purpose (maximum one page in Times New Roman - 12) Please highlight the reasons for choosing France and the institution where you will be studying. Please also explain why you would be a worthy candidate for the scholarship and what are your plans (professional and/ or academic) after your stay in France. ESCP Europe is the world's first school of Management and its Master in Management, which leads to ‘Grand ecole’ Degree is very prestigious. The double degree program of ESCP would give me a international exposure and also open up new opportunities globally. I would like to explore the options in Finance and Investment Banking along with sports Management. I have a very strong background in Mathematics, which I think will help me do well in Finance industry. My academics achievements include that of 1. All India rank of 15 in National Mathematics Olympiad 2. Securing admission into IIT, among the top 0.1 percentile out of the 3,00,000 applicants. 3. Securing admission into IIM Ahmedabad, among the top 0.01 percentile of students who applied. 4. AIEEE State Rank 26 in Tamil Nadu 5. All India Rank of 90 in Gate 2013. CAT 2014 percentile of 99.62% 6. School topper in Mathematics (99), Chemistry (97) and Computer Science (97) in class XII Cbse board exams. I am a trained Salsa Dancer and instructor and have participated in International Dance Congress in Mumbai, Goa, Pondicherry and Hyderabad. I have also been a DJ at Salsa socials in Hyderabad at Hard Rock Café, Over the moon and Spoil. I am active member of Salsa community of Hyderabad, Chennai, Ahmedabad and Delhi. During my stay in Paris, I would like to hone my skills in dance and also be part of the dance community of Paris. My Extra Curricular Achievement include, 1.Represented Andhra Pradesh in 62nd All India National Squash Championship. 2.Umang Shah Trophy for Best outgoing Sportsman at IIT Kharagpur. 3.Member gold winning IIMA Frisbee Team, Silver winning Squash Team and Volleyball team at Shaurya, National level Sports meet conducted by IIMA. 4.School Senior handball team - divisional Runners, district winners ,zonal winner 5.Member of Gold Winning Azad Hall Hockey,Football, Cricket Team and Captain of the Squash team. 6.Member of School senior hockey team that finished as zonal runners. Position of Responsibility held 1.Member, Sports Committee IIMA- Incharge of Scheduling the National level sports festival Shaurya with 169 teams in 18 sports and coordinating with all the colleges making feasible schedule changes. 2.Member, Cultural Committee IIMA-Organised food festival, garba night and other festivals on campus. Conducted a Salsa and garba Workshop on campus coordinating with my dance school Furor. 3.Member, Workshop cell, Chaos IIMA-Incharge of conducting workshops during the cultural festival of IIMA. 4.Core Organising Team Member, Springfest(Social-Cultural Fest,IIT Kharagpur) 2009-2010. Application Form Master’s Program - 4/5
  • 5. I hereby declare that the above statements are true to my knowledge and belief; that I am of sound health and not physically handicapped in a way that would prevent me from carrying out my project in France. The French Embassy has my permission to electronically store my personal data, which is required for my scholarship application and my possible stay in France. If a scholarship is awarded to me, my name and institution of origin may be included in lists published by the French Embassy in India. If I am awarded a Charpak scholarship of excellence, I agree to become a “Charpak Ambassador” of French higher education when I return to India. This may involve taking part in one or two higher education events at the Alliance Française of my city, or in one or two events organized by a Campus France counsellor in my Indian university/ institution of origin. Ahmedabad, May 05 2016 Place & Date Signature Application Form Master’s Program - 5/5
  • 6. I hereby declare that the above statements are true to my knowledge and belief; that I am of sound health and not physically handicapped in a way that would prevent me from carrying out my project in France. The French Embassy has my permission to electronically store my personal data, which is required for my scholarship application and my possible stay in France. If a scholarship is awarded to me, my name and institution of origin may be included in lists published by the French Embassy in India. If I am awarded a Charpak scholarship of excellence, I agree to become a “Charpak Ambassador” of French higher education when I return to India. This may involve taking part in one or two higher education events at the Alliance Française of my city, or in one or two events organized by a Campus France counsellor in my Indian university/ institution of origin. Ahmedabad, May 05 2016 Place & Date Signature Application Form Master’s Program - 5/5