Application Form for jica training and Dialogue Programs

Application Checklist

Items	Page No.	Check(√) if completed
Filled in every item of Applicant Information	2-4
Ticked agree/disagree box for Agreement on Collection and Use Personal, Sensitive, and Unique Identifying Information	5-6
Thoroughly read Scholarship Program Guideline and Code of Conduct	6-9
Signed the declaration for terms and conditions	9
Signed and filled in every part of Medical History Questionnaire	10
Had an authorized official from your government to complete and sign the Nomination form	11
Have a copy of passport ready for submission	-

This is to certify that I have completed every part of the application form

to apply for the KOICA Scholarship Program.

Date: 23.03.2021 Applicant's Name: Makhsudov Abror Signature:

Application Form for the KOICA Scholarship Program

(Photo)

This form is to be used to apply for the Scholarship Program of the Korea International Cooperation Agency (KOICA), which is implemented as part of the Official Development Assistance Program of the Government of Korea. Please complete the application form and consult with your respective country’s KOICA Office - or the Embassy of Korea in charge of your country, if the former is not available - for further information.

PART 1. APPLICANT INFORMATION (to be completed by the applicant)

I. PROGRAM OF APPLICATION (as in the Program Information)

Program Title

Master’s Degree Program in Public Administration (Local Government)

Name of Degree

Master’s Degree

Duration

from 01.08.2021to .– 12.31.2022 (17 month) (DD-MM-YYYY)

II. PERSONAL DATA

Name (as in the passport)

First Name A B R O R Middle Name M A K H S U D O V Family Name D A G A R O’ G’ L I

Date of Birth

Day

5

Month

august

Year

1994

Sex

+□ Male    □ Female

Airport of Departure

Tashkent International Airport

Nationality

UZBEK

Religion

ISLAM

Home Address

REPUBLIC OF UZBEKISTAN REGION OF SAMARKAND, DISTRICT PAYARIQ, QATAGON VILLAGE, 131 HOME

Contact Information (Including Country Code)

Telephone

[phone]

Fax

Mobile

[phone]

E-mail

[e-mail]

Emergency Contact

Name

Xolbotayev Shakhboz

Relation

brother

Telephone

[phone]

E-mail

Emergency Contact (2)

Name

Mumtozbegim Hakimova

Relation

Brother from another mother

Telephone

[phone]

E-mail

[e-mail]

III. CURRENT EMPLOYMENT

Organization

PUBLIC SERVICES AGENCY UNDER THE MINISTRY OF JUSTICE OF THE REPUBLIC OF UZBEKISTAN

Department

DEPARTMENT OF FORMATION AND DEVELOPMENT PUBLIC SEVRICES

Present Position

HEAD CONSULTANT

Employment Duration

from 24.07.2019 to present (MM-YYYY)

Type of Organization

Government

+□ Central □ Local

Institution

□+ Public □ Private  □ International □ NGO

Others

(Please specify)

Job Description

Describe your main duties. Specify any technical equipment or facilities you work on with if applicable.

analysis and monitoring of public services; study of the experience of developed countries in the field of public services; development of a proposal to simplify administrative procedures; development of normative legal acts on the introduction of public services; to consideration of appeals of individuals and legal entities on the expenditure of public services; monitoring the activities of state bodies providing public services.

Describe any themes, topics and places of interest you would like to see in the Program related to your tasks mentioned aforesaid.

reduction of bureaucracy in the provision of public services (in Korean Republic, UAE or Georgia); unification of the functions of organizations providing public services (in Korean Republic, UAE or Georgia); reducing corruption and financial costs by converting public services to an embodiment of the invention to an electronic format (in Korean Republic, UAE or Estonia); transfer of public assistance to the private sector (in Korean Republic, UAE or Georgia); introduction of convenient methods of public service e-commerce (in Korean Republic, UAE or Georgia);

Elaborate on organizational setback or challenges that you wish to address through the Program.

Studying of the experience of foreign countries in the provision of public services; Making proposals for the introduction of automated public services; Simplification of the provision of public assistance; transfer of public services to the private sector; reducing corruption and reducing public financial spending through e-government services;

Elaborate on your plans to apply the lessons learned from the Program to your organization.

Learning and investigating more about Public Administration, Civil law, Political Science and work on revel of plans I mentioned below

VI. CAREER RECORD

Career Background (Past 5 Years)

Organization

Department

Position / Responsibilities

Period (MM-YYYY)

From

To

PUBLIC SERVICES AGENCY UNDER THE MINISTRY OF JUSTICE OF THE REPUBLIC OF UZBEKISTAN

DEPARTMENT OF FORMATION AND DEVELOPMENT PUBLIC SEVRICES

LEADING CONSULTANT monitoring of public services; to consideration of appeals of individuals and legal entities on the expenditure of public services; monitoring the activities of state bodies providing public services.

24.07.2019

18.11.2020

PUBLIC SERVICES AGENCY UNDER THE MINISTRY OF JUSTICE OF THE REPUBLIC OF UZBEKISTAN

DEPARTMENT OF FORMATION AND DEVELOPMENT PUBLIC SEVRICES

HEAD CONSULTANT analysis and monitoring of public services; study of the experience of developed countries in the field of public services; development of a proposal to simplify administrative procedures; development of normative legal acts on the introduction of public services; to consideration of appeals of individuals and legal entities on the expenditure of public services; monitoring the activities of state bodies providing public services.

18.11.2020

–

Educational Background (Higher Education)

Institution

City / Country

Field of Study and Degree

Period (MM-YYYY)

From

To

TASHKENT STATE UNVERSITY OF LAW

TASHKENT/UZBEKISTAN

JURISPRUDENCE FACULTY INTERNATIONAL LAW DIECTION BACHELOR

02.09.2015

30.05.2019

`

Previous Attendance to Training Program in Foreign Countries

Have you previously attended any courses sponsored under programs of Korea (KOICA) or of other countries?

□ Yes    □ No

If yes, please specify as below

Training Institute

City / Country

Course Title

Period (MM-YYYY)

From

To

The Government of United Arabic Emirates

UAE

“Service Design”

29.06.2020

02.07.2020

KPMG

RUSSIA

Fundamentals of internal audit of the anti-corruption system in the Ministry of Justice of the Republic of Uzbekistan and subordinate institutions

01.08.2020

17.08.2020

`

V. LANGUAGE PROFICIENCY

Native Language : Uzbek                                                 English   Excellent Good Fair Basic Remarks Listening  +         Speaking  +         Writing  +         Reading  +         Other Languages (please specify) : Russian   Excellent Good Fair Basic Remarks Listening    +       Speaking  +         Writing    +       Reading  +         . Excellent: Refined fluency skills and topic-controlled discussions, debates & presentations. Formulates strategies to deal with various essay types, including narrative, comparison, cause-effect & argumentative essays. 2. Good: Conversational accuracy & fluency in a wide range of situations: discussions, short presentations & interviews. Compound complex sentences. Extended essay formation. 3. Fair: Broader range of language related to expressing opinions, giving advice, making suggestions. Limited compound and complex sentences & expanded paragraph formation. 4. Basic: Simple conversation level, such as self-introduction, brief question & answer using the present and past tenses.

IV. OTHERS

Restriction on Food/Behavior/ Medication

Any restrictions on food, behavior, or medication due to health or religious reasons?

□ NO

□ YES >> □ No Beef □+ No Pork □ No Fish □ Others(        )