Escolar Documentos
Profissional Documentos
Cultura Documentos
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
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.
Bachelor of
Preferred Course 2
Bachelor of
Preferred Course 3
Bachelor of
Personal Details
Full Name (as per NRIC):
Identification No.:
Date of Birth:
Sex:
Male / Female
DD / MM / YYYY
Ethnicity:
Citizenship:
Religion:
E-Mail Address:
Permanent Address:
Postcode:
State:
Postcode:
State:
Correspondence Address:
(if different from above)
Qualifications
Level
Name of School
State
Qualification
Grade Obtained
A
Secondary School
Others
Others
Co-Curricular Activities
Most recent activities in which you assumed leadership position(s)
Year
Position Held
Institution
Level Represented
Institution
Sport Activity
Awards/Commendations Received
Family Particulars
Please fill in the details of all your immediate family members and/or guardian(s)
Year
(Completed)
Full Name
Relationship
Age
Occupation
Monthly Gross
Income
Status
Amount
Form of Assistance
(Scholarship/Loan)
Period of Aid
(yyyy yyyy)
Guarantors Details
All nominated guarantors must have good credit and earn a monthly income
Guarantor 1
Date of Birth:
Relationship:
Citizenship:
Occupation:
DD / MM / YYYY
E-Mail Address:
Permanent Address:
Postcode:
State:
Guarantor 2
Date of Birth:
Relationship:
Citizenship:
Occupation:
DD / MM / YYYY
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.
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Declaration
Have you ever been convicted by a Court of Law of any country?
Yes / No
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: _______________________