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    Application Form - XLSX Revised

    Uploaded by

    Chai Wanzhen
    This document is an application form for an undergraduate overseas scholarship. It requests personal details about the applicant such as name, date of birth, nationality, contact information, as well as family background including parents' names, occupations, income and contact details. It also asks about the applicant's educational qualifications, extracurricular activities and achievements, proficiency in languages, choice of universities and fields of study. The applicant is required to declare any charges or convictions, illnesses and attach certified copies of documents such as certificates and academic transcripts.

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    Download as PDF, TXT or read online from Scribd

    Application Form - XLSX Revised

    Uploaded by

    Chai Wanzhen
    47 views3 pages
    This document is an application form for an undergraduate overseas scholarship. It requests personal details about the applicant such as name, date of birth, nationality, contact information, as well as family background including parents' names, occupations, income and contact details. It also asks about the applicant's educational qualifications, extracurricular activities and achievements, proficiency in languages, choice of universities and fields of study. The applicant is required to declare any charges or convictions, illnesses and attach certified copies of documents such as certificates and academic transcripts.

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    Application Form.xlsx Revised

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    This document is an application form for an undergraduate overseas scholarship. It requests personal details about the applicant such as name, date of birth, nationality, contact information, as well as family background including parents' names, occupations, income and contact details. It also asks about the applicant's educational qualifications, extracurricular activities and achievements, proficiency in languages, choice of universities and fields of study. The applicant is required to declare any charges or convictions, illnesses and attach certified copies of documents such as certificates and academic transcripts.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    47 views3 pages

    Application Form - XLSX Revised

    Uploaded by

    Chai Wanzhen
    This document is an application form for an undergraduate overseas scholarship. It requests personal details about the applicant such as name, date of birth, nationality, contact information, as well as family background including parents' names, occupations, income and contact details. It also asks about the applicant's educational qualifications, extracurricular activities and achievements, proficiency in languages, choice of universities and fields of study. The applicant is required to declare any charges or convictions, illnesses and attach certified copies of documents such as certificates and academic transcripts.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    YSD UNDERGRADUATE (OVERSEAS) SCHOLARSHIP APPLICATION FORM

    A. PERSONAL PARTICULARS

    PHOTOGRAPH

    Full Name as per IC/Passport New IC No. Old IC No. Place of Birth Gender Race Religion Marital Status Contact Details Contact No. Email Address Mailing Address Unit No. and Street Town/City State Contact No. Postcode Country Single Married Divorced Widowed Date of Birth (DD.MM.YYYY) Age Nationality

    B.

    FAMILY BACKGROUND
    MOTHER Name: NRCI No: Date Of Birth: Occupation: Monthly Income:

    FATHER Name: NRCI No: Date Of Birth: Occupation: Monthly Income:

    Employer/Address:

    Employer/Address:

    Permenant Adress:

    Permenant Adress:

    Office Tel.No.: Mobile Phone No: Home Tel.No:

    Office Tel.No.: Mobile Phone No: Home Tel.No:

    SIBLINGS Name Relationship Age/Education/Occupation

    C.

    ADDITIONAL INFORMATION
    Yes No

    Do you have any family members / relatives working in the Sime Darby Group? If Yes, please provide the following details Name Relationship Company

    Location

    Designation

    D.

    LANGUAGES AND DIALECTS PROFICIENCY


    Languages / Dialects Read Fluent Fair Speak Fluent Fair Write Fluent Fair

    Bahasa Malaysia English Mandarin Tamil Others: Others:

    E.

    HIGHEST EDUCATIONAL AND QUALIFICATIONS PARTICULARS


    Location (Country / Town / City) Qualification (i.e.STPM or UEC) Discipline / Field of Study Date (DD.MM.YYYY) Year Achieved / Graduated From To

    School

    Examination No.of A's (For STPM) / Total Points (For UEC) Trial Result (Grade ) Bahasa Melayu English Mandarin Mathematics Advanced Mathematics

    STPM / UEC

    Actual Result (Grade)

    F.

    EXTRA-CURRICULAR ACTIVITIES

    Please specify your top five sporting achievements that you are proud of, if any. Position (e.g: President, Secretary ) Level (e,g:School, District, State, National, International)

    Sports

    Year

    Please list down your top five positions that you have held in societies, if any. Position (e.g: Presiden, Secretary ) Level (e,g:School, District, State, National, International)

    Society / Club

    Year

    G.

    CHOICE OF UNIVERSITIES AND FIELDS OF STUDY

    Please provide the following information : Choice 1 UNIVERSITY FIELD OF STUDY

    Choice 2 UNIVERSITY FIELD OF STUDY

    Declaration Have you ever been charged or convicted for the violation of any law, excluding minor traffic offences? (Yes/No) Have you ever been charged of drug abuse or any other illegal substance under Malaysian law? (Yes/No) Are you diagnosed with any illnesses, diseases or disorders? (Yes/No) I hereby certify that the information provided by me above are complete and correct to the best of my knowledge; I understand that any false statements or witholding of any relevant information may provide grounds for the withdrawal of any offer of scholarships or for its immediate cancellation if the scholarship has been accepted. I understand that my application may be disqualified in the event that I have not attached all supporting documents mentioned in the checklist below.

    SIGNATURE OF APPLICANT
    CheckList (Please Tick) 1. All details provided in the application form are valid 2. Supporting Documents: Note: Before you submit, please ensure that the following documents have been "certified true copy" A. 2 Copies of UEC / STPM / A-Level Certificate B. 2 Copies HSK Certificate ( Only for the student who are not taking UEC examination) C. 2 Copy of NRIC D. 2 Copies of Academic result for last 3 years. E. Certified copies of Parents' salary slips

    DATE

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