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scholarship application form

By Tony Riley,2014-06-19 19:01
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scholarship application form

Maybank Scholarship Award

Instructions to Applicants

    1. Please use a BLACK or BLUE ballpoint pen to fill in this application form. 2. The application form is to be completed in English.

    3. Applicants must attach the following documents as part of their application:

    ; Recent Passport-size photo

    ; Identification Card (front & back) for:

    o Applicant

    o Both parents and/or guardian(s)

    o Both guarantors

    ; Examination results (PMR, SPM, etc.)

    ; Testimonial and recommendation letter from school

    ; Leaving school certificate

    ; Co-curricular certificate(s), etc.

    ; Latest Income Tax Return, EA Form, Payslip/Proof of Income AND EPF statement for:

    o Both parents and/or guardian(s)

    o Both guarantors

    o Siblings

    4. Incomplete applications and applications that do not comply with our requirements will NOT be

    considered.

How to Apply

    1. Send this application form with all certified true copies of documents required to:

    MAYBANK SCHOLARSHIP AWARD 2012 - OVERSEAS

    RESOURCING CENTRE

    GROUP HUMAN CAPITAL

    44TH FLOOR, MENARA MAYBANK

    100, JALAN TUN PERAK

    50050 KUALA LUMPUR

2. Closing date: 22nd APRIL 2012.

     Incomplete applications received after closing date will not be considered. 3. Successful applicants will be notified via e-mail. Only shortlisted candidates will be notified.

Preferred Degree Details

    Preferred Course 1 Bachelor of

    Preferred Course 2 Bachelor of

    Preferred Course 3 Bachelor of

Personal Details

    Full Name (as per NRIC):

    Identification No.: Date of Birth: DD / MM / YYYY Sex: Male / Female Ethnicity:

    Citizenship: Religion:

    House Tel No.: Mobile Tel No.:

    E-Mail Address:

    Permanent Address:

    Postcode: State: Correspondence Address:

    (if different from above)

    Postcode: State:

Qualifications

    Year Level Name of School State Qualification Grade Obtained (Completed)

    A B C D Others Secondary School Others

Co-Curricular Activities

    Most recent activities in which you assumed leadership position(s)

    Year Position Held Society / Club / Activity Institution

Most recent sports activities represented

    Year Sport Activity Level Represented Institution

Most recent academic awards & commendations received

    Year Awards/Commendations Received

Family Particulars

    Please fill in the details of all your immediate family members and/or guardian(s)

    Monthly Gross Full Name Relationship Age Occupation Status Income

Monetary Aid from Other Organisations

    Please state all monetary aid previously received & currently receiving

    Form of Assistance Period of Aid Organisation Amount (Scholarship/Loan) (yyyy yyyy)

Guarantors Details

    All nominated guarantors must have good credit and earn a monthly income Guarantor 1

    Full Name (as per NRIC):

    Identification No.: Date of Birth: DD / MM / YYYY Relationship: Citizenship: Occupation: Monthly Gross Income: House Tel No.: Mobile Tel No.: E-Mail Address:

    Permanent Address:

    Postcode: State:

     Guarantor 2

    Full Name (as per NRIC):

    Identification No.: Date of Birth: DD / MM / YYYY Relationship: Citizenship: Occupation: Monthly Gross Income: House Tel No.: Mobile Tel No.: E-Mail Address:

    Permanent Address:

    Postcode: State:

Essay Writing

    Please write in the space below why you should be selected as a recipient of the Maybank Scholarship Award. _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

Declaration

     Have you ever been convicted by a Court of Law of any country? Yes / No

If yes, please give brief details:

    ____________________________________________________________________________________________________ ____________________________________________________________________________________________________

Are you or any of your family members suffering / have suffered from any medical conditions (mental and physical)

    which requires regular or prolonged medical treatment? Yes / No

If yes, please give full details:

    ____________________________________________________________________________________________________ ____________________________________________________________________________________________________

Please list if you have relatives working in Maybank Group:

    Name of Relative Relationship Personnel No. Branch / Department

    I hereby declare that the information provided in this application form is true and correct and I authorise and consent to Maybank obtaining official records, if necessary, from any educational institution attended by me. I understand that any provision of inaccurate or false information or omission of information will render this application invalid

    and that, if admitted on the basis of such information, I can be required to withdraw from the scholarship.

____________________________

    Signature of Applicant

    Date: _______________________

Checklist of Document Submitted

     Recent Passport-size photo

     Identification Card (front & back) for:

     Applicant

     Both parents and/or guardian(s)

     Both guarantors

     Examination results

     Testimonial and recommendation letter from school

     Leaving school certificate

     Co-curricular certificate(s), etc.

     Latest Income Tax Return, EA Form, Payslip/Proof of Income AND EPF Statement for:

     Both parents and/or guardian(s)

     Both guarantors

     Siblings

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