Statement on additional funding sources
(Appendix D)
I the undersigned ____________________ (full name), Passport number ____________,
hereby declare as follows:
1.
The purpose of this statement is to support my application for a scholarship of NIS
4,750 from the Ministry for Regional Cooperation (Hereinafter:
The Scholarship
).
2.
During the academic year 2023-2024, I will not receive full funding for my tuition fees
in the Computer Science program for a BSc degree
at a HIT Holon Institute of
Technology.
3.
I understand that based on my statement, the Ministry for Regional Cooperation may
award me The Scholarship, and I agree that if my statement turns out to be incorrect
and I receive funding either fully or partially from any third partially, for my studies in
Israel (tuition,
living expenses, rent) for the 2023-2024
academic year, I will be
required to return The Scholarship to the Office for Regional Cooperation, in full.
________________________________________________________________Signature__Date'>______________________________
______________________________
Signature
Date
Details of HIT Holon Institute of Technology’s employee confirming the student’s
signature:
_________________
_________________
_________________
_____________
Full Name
ID Number
Position in HIT
Signature
