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Tun Rahah Scholarship Award: Section A: Personal Details

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Riduan Chehalim
This document appears to be an application for a scholarship called the Tun Rahah Scholarship. It requests personal details from the applicant such as name, age, citizenship, contact information, education history, extracurricular activities, references, and documentation to support the applicant's need for financial assistance to fund their university studies. The application is divided into multiple sections requesting details about the applicant, their family, academic qualifications, languages spoken, career goals, and a checklist of documents required to support the application.

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© All Rights Reserved
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Download as pdf or txt
106 views5 pages

Tun Rahah Scholarship Award: Section A: Personal Details

Uploaded by

Riduan Chehalim
This document appears to be an application for a scholarship called the Tun Rahah Scholarship. It requests personal details from the applicant such as name, age, citizenship, contact information, education history, extracurricular activities, references, and documentation to support the applicant's need for financial assistance to fund their university studies. The application is divided into multiple sections requesting details about the applicant, their family, academic qualifications, languages spoken, career goals, and a checklist of documents required to support the application.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
Download as pdf or txt
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TUN RAHAH

SCHOLARSHIP Recent passport


size photograph of

AWARD
applicant

SECTION A : PERSONAL DETAILS


Name (as per NRIC) :
Identity Card Number : Age : Gender :
Date of Birth : Citizenship :
Home Address :

Correspondence Address (if different from the above) :

E-mail address :
Contact No (residence) : Mobile No :
Student ID No. :
If currently employed (permanent or temporary), please state occupation :
Present
Status
No of months / years in employment :
Last drawn salary per month :

SECTION B : COURSE DETAILS

Course attending :

Name of University :

Location :

Date of Commencement : Duration :


Amount per annum which can be obtain from family / other sources (in RM)

*please enclose the acceptance letter from the relevant university

1
SECTION C : FAMILY DETAILS
Parents
Name of Father / Guardian : Age :
Identity Card No : Contact No :
Occupation : Name of Employer :
Salary / Income / Pension (RM per month) :
*delete accordingly

Name of Mother / Guardian : Age :


Identity Card No : Contact No :
Occupation : Name of Employer :
Salary / Income / Pension (RM per month) :
*delete accordingly

Siblings (excluded applicant)


Name Relationship Age Occupation Gross Income
1)
2)
3)
4)
5)
6)
7)
8)

SECTION D : LANGUAGE
Languages Speak Write Read
1)
2)
3)
4)
5)
*please indicate the proficiency level ; (satisfactory / good / excellent)

2
SECTION E : EDUCATION BACKGROUND
Schools/Universities/Colleges Attended From To Result
1)
2)
3)
4)
5)
*please enclose a copy of SPM, SPM (V), STPM, Matriculation, Foundation, Diploma, Bachelor

SECTION F : EXTRA CURRICULAR ACTIVITIES


Society / Club / Other Activities From To Position Held
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
*please enclose a copy of certificate, testimonials

Type of Sports / Games Year Level Presenting


1)
2)
3)
4)
5)
6)
*please enclose a copy of certificate, testimonials

3
SECTION G : REFEREES
1) Name :
Contact No : Occupation :
Relationship : Years Known :

2) Name :
Contact No : Occupation :
Relationship : Years Known :
*Members of the family or relatives are excluded to be referees

SECTION H : PERSONAL MOTIVATION / OBJECTIVES

*Write a short essay on your career aspirations

4
SECTION I : OTHER INFORMATION & DECLARATION
Please state other relevant information to support your application expenses.

I, the undersigned declare that the information given by me in this form is true to the best of my
knowledge and that I have not willfully suppressed any material facts relevant to this application.
I have read and agreed to abide by the terms and conditions of the scholarship/financial assistance.
I understand that the scholarship herein can be withdrawn at any time if any information given is
found to be incorrect. I have read and understood the conditions of the award as stated in the
application form and the Terms and Conditions

____________________________ ____________________________
Applicants Signature Date

SECTION J : DOCUMENT CHECKLIST


Have you enclosed CERTIFIED TRUE COPIES
Yes No
1. University acceptance letter
2. Parents / Guardians proof of income for the past 1 year (please provide
yearly income statement or 3 months latest pay slips.)
3. Brothers and sisters proof of income for the past 1 year, if they are working.
4. Letters or documents to prove that brothers and sisters are pursuing higher
education in universities / colleges / institutions
5. Identity card and birth certificate of applicant
6. Birth certificates of all brothers and sisters
7. Parents / Guardians identity cards
8. SPM / SPVM / O Level Results
9. STPM / A Level / Matriculation / Foundation results
10. University / College / Polytechnic results
11. School leaving certificates

*please tick () for Yes.

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