Edra Scholarship Awards 2015 Scholarship Form

Topics: Data Protection Act 1998, Computer program, Data Pages: 8 (1258 words) Published: May 26, 2015
EDRA SCHOLARSHIP AWARDS 2015
SCHOLARSHIP APPLICATION FORM FOR UNITEN 2015 FOUNDATION PROGRAMME

Applicants are required to read and understand the information below. ELIGIBILITY





Gained admission to the 2015 Foundation Programme
Excellent academic results in SPM with As in at least 7 subjects Not bonded to or in receipt of any financial aid or scholarships from other educational institutions or organizations
Added advantage for applicants who are active in sports and/or co-curricular activities

VALUE OF AWARD


Each scholarship award covers tuition fees, allowance and accommodation fees. The scholarship will be for the minimum period required to complete the Foundation Programme and thereafter, Degree Programme and shall not exceed RM110,000 in total for the entire duration of study.

SURETIES AND SERVICE BOND


Successful applicants are required to provide 2 sureties prior to the execution of the scholarship agreement and serve the Group or any of its related companies for a minimum of 5 years upon graduation.

TERMS & CONDITIONS


Subject to the terms and conditions stated in the Scholarship Agreement. IMPORTANT NOTES

Submission of
Application Form

Scholarship Interview
Session

1.

All application forms must be submitted to UNITEN’s Sponsorship, Career and Alumni Centre.

2.

The closing date is on 30 May 2015. Applications received after the closing date will not be entertained.

3.

Please attach a copy of your Admission Letter from UNITEN together with your application form.

4.

Applicants are NOT required to enclose any supporting documents (e.g exam results, school testimonials or parents’ income statements).

5.

Applicants are required to read and understand the Notice Pursuant to the Personal Data Protection Act 2010 on Page 7. Your consent is required in order for us to process your application.



Only shortlisted candidates will be called for interview.

1

EDRA SCHOLARSHIP AWARDS 2015
SCHOLARSHIP APPLICATION FORM FOR UNITEN 2015 FOUNDATION PROGRAMME 1.

APPLICANT’S PERSONAL DETAILS

Name of Applicant :
NRIC No :

Age :

Date of birth :

Gender :

Home Address :

Correspondence Address:

Race :

Email :

Contact No (Residence) :

Mobile No :

2.

FAMILY PARTICULARS

Name of Father / Guardian :

NRIC No :

Age :

Occupation :

Mobile No :

Salary / Income / Pension (RM) :

Name of Employer :

If Parent (Father) is a Pensioner, please state:
Year Retired :

Last drawn income (RM) :

Name of Mother :

NRIC No :

Age :

Occupation :

Mobile No :

Salary / Income / Pension (RM) :

Name of Employer :

If Parent (Mother) is a Pensioner, please state:
Year Retired :

Last drawn income (RM) :

Parents’ Total Combined Income : RM

2

EDRA SCHOLARSHIP AWARDS 2015
SCHOLARSHIP APPLICATION FORM FOR UNITEN 2015 FOUNDATION PROGRAMME SIBLINGS’ BACKGROUND

No

Name

NRIC No

Age

Occupation
(If sibling is
studying, please
state level e.g
Standard 3, Form 4,
Degree, 2nd Year)

Company /
School /
University

Monthly
Income

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.



Do you have a sibling who is currently or was previously a recipient of the Powertek Energy Scholarship Awards, now known as Edra Scholarship Awards? Yes / No



If Yes, please provide sibling’s name : ……………………………………………………

3.

EDUCATION BACKGROUND

No.

School Attended

Year
From

To

Qualification Obtained

1.
2.
3.
4.
5.

3

EDRA SCHOLARSHIP AWARDS 2015
SCHOLARSHIP APPLICATION FORM FOR UNITEN 2015 FOUNDATION PROGRAMME 4.

ACADEMIC RESULTS : SIJIL PELAJARAN MALAYSIA (SPM)
YEAR : ………………

No.

Subjects

Grade

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
5.

EXTRA CURRICULAR ACTIVITIES (ECA)
SCHOOL RESPONSIBILITIES

No.

Type of Responsibility

Year
From

To

Highest Position Held

1.
2.
3.
4.
5.
6.
7....
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