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FUL BRIGH PRO GRAM

APPLICATION FOR STUDY IN THE UNITED STATES


FOR A FELLOWSHIP, SCHOLARSHIP, ASSISTANTSHIP OR OTHER EDUCATIONAL GRANT
CONFIDENTIAL LETTER OF REFERENCE
This letter of reference must be written by a teacher under whom the applicant has studied or pursued research in the proposed field of study or by someone who has supervised the applicant in work related to the proposed field of study. This letter must be typewritten and in English. If not in English, then an accurate translation must be attached. NAME NAME TIT#E IN)TIT&TI N ' *&)INE)) ! A""#I$ANT% ! 'E!E'EE% $ &NT'(%

1. + , # N- +A.E ( & /N ,N T+E A""#I$ANT0 2. IN ,+AT $A"A$IT( +A.E ( & /N ,N T+E A""#I$ANT0 1mark one of the bo2es below3 Teacher or "rofessor Employer or 4ob )upervisor 'esearch Adviser ther 1"lease specify3

3. "#EA)E "' .I5E A $AN5I5 E.A#&ATI N ! T+E A""#I$ANT6) "A)T "E'! 'MAN$E AN5 A*I#IT( T "&')&E AN5 )&$$E))!&##( $ M"#ETE A "' -'AM ! )T&5( IN T+E "' " )E5 !IE#5. (our statement will be given considerable importance by the universities reviewing this student6s application and should, therefore, be as complete and detailed as possible. (our comments should be continued on the following page if more space is re7uired.

Confidential Lette of Refe en!e Pa"e 1

#.

IN T+I) 'ATIN- $+A'T, "#EA)E E.A#&ATE T+E A""#I$ANT IN $ M"A'I) N ,IT+ /N ,N 5&'IN- ( &' " !E))I NA# $A'EE'. E2cellent Intellectual Ability /nowledge of !ield ,ork +abits Motivation to "ursue -raduate )tudy )eriousness of "urpose "otential !or )ignificant !uture $ontribution in !ield 'esourcefulness and Initiative Emotional Maturity Adaptability to New )ituations #eadership 8ualities Teaching "otential .ery -ood

T+E' )T&5ENT) ,+ M ( & +A.E

Average

*elow Average

NAME 1print3%

)I-NAT&'E%

5ATE%

PLEASE RETURN DIRECTLY TO THE SELECTION COMMITTEE IN THE APPLICANTS COUNTRY OR TO THE CULTURAL AFFAIRS OFFICER OF THE U.S. DIPLOMATIC MISSION IN THE APPLICANTS COUNTRY. UNDER NO CIRCUMSTANCES SHOULD THE COMPLETED FORM BE RETURNED TO THE APPLICANT. NOTE$ IIE !annot "%a antee t&i' lette (' !onfidentialit) on!e it *e!o+e' ,a t of a %ni-e 'it)(' e!o d'.

Confidential Lette Refe en!e Pa"e 2

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