Merck Foundation Capacity Advancement Program




1. Personal Details

2. Academic & Professional Qualification

Note : Please list the qualifications.

3. Course Selection & Submit :

Note : An Applicant can only apply for one specialty course.

Disclaimer :*Merck Foundation Alumni members are permitted to apply only for a course of a higher qualification within the same specialty and not of a different specialty.

Upload your attachment files here*

Terms & Conditions :

Personal Data. In connection with this application, Merck Foundation will collect your personal data (“Personal Data”) such as your name, contact information, (where applicable) name of your employer, your work experience and professional qualifications and the additional information provided in and with this application form. By completing and submitting this document, you provide consent to Merck Foundation to process your data as outlined in the Purposes of Personal Data Processing; Data Sharing section below.

Purposes of Personal Data Processing; Data Sharing: Merck Foundation will process such Personal Data for the following purposes: (i) performance of this Application, (ii) selecting healthcare professionals for, scholarships; and (iii) publication of data about transfers of values to healthcare professionals (when and where applicable). Merck Foundation may share your Personal Data provided in this application (i) with its service providers and partners that process Personal Data on its behalf and (ii) with other affiliated companies of Merck Foundation for the stated purposes. Recipients of Personal Data may be established in countries outside the EU or the European Economic Area (“EEA”). Where your Personal Data is transferred outside the EU or the EEA, such transfer is subject to an adequate protection, especially by the use of EU Standard Contractual Clauses.

Your rights. You are entitled at any time to exercise your data protection rights under applicable data protection laws (under the GDPR in the EU: the right to access, rectify, require erasure, restrict processing and to object processing as well as the right to data portability). For the performance of any of these rights or for the request of a copy of the EU Standard Contractual Clauses (if applicable), you may contact our data protection officer at In addition, you can also raise any questions to the competent data protection authority.

Retention Period. Your Personal Data related to this Application will be stored for as long as it is required for the purpose of this application. Besides that, your Personal Data will be stored to comply with the relevant statutory retention periods such as applicable national commercial or tax laws.