merdekascholarshipapplicationform2011

8/8/2019 MerdekaScholarshipApplicationForm2011

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:: Closing Date : 10th January 2011 ::

3. Please attach the following documents:

a. A signed personal statement of not more than 1,000 words that includes:

- a description of the intended area of study

- how this will benefit Malaysia

- reasons for wanting to study in Oxford

- the personal qualities that make you a worthy recipient of a scholarship

b. List of academic qualifications and other awards and honours received.

c. Copy of document stating the status of application to the University of Oxford

d. Two confidential letters of recommendation from referees who can assess in detail the applicant's academic performance and potential

Choose one : Master PhD/Dphil

Choice of discipline :

Status of Application for Admission into the University of Oxford:

a) Application submitted (dd/mm/yy)

b) Status of Application Pending

Offered a conditional offer

Offered an unconditional offer

Full name

IC No (New)

Place of Birth

Date of Birth (dd/mm/yy)

Race

Religion

Permanent address Postcode

Town

State

Country(If outside Malaysia only)

Mailing address Postcode

Town

State

Country(If outside Malaysia only)

Telephone number a) Mobile Email address

b) Home(Use upper or lower case as per actual address)

Attention to all applicants

1. All applicants must fill all required information in sections marked **.

2. Please fill the forms using UPPER CASE LETTERS.

A. DEGREE TO PURSUE **

B. PERSONAL PARTICULARS **

[Insert Your Photo Here]



Marital status Number of children



i - Professional qualification attained

Professional body

State Country

Title of professional course

Year (From) Year (Completed)

Parts completed Part Highest part completed

ii - Master's Degree

Institution / University

State Country

Discipline


CGPA / Grade

iii - Undergraduate / First Degree


State Country

Discipline


CGPA / Grade Point / Class

iv - Diploma


State Country

Discipline


CGPA / Grade

D. VOLUNTARY ACTIVITIES (Attach a full description if necessary)

i - Society / Club

Society / ClubPosition /

YearRole Assumed

ii - Sports / Games

Sports / Games Represented Year

C. QUALIFICATIONS **

All

No

1

2

3

No

1

2

3



iii - Awards / Commendations (Name main awards)

Awards / Commendations received Level Year

E. EMPLOYMENT (If Relevant)

Please provide details of current / last employment, if any :

Are you currently employed ? Yes No

Current / Last Employer name & address

Number of years with current/last employer

Position in company

Last drawn monthly salary (RM)

Please give details of the two referees who have written letters of recommendation on your behalf.

Referee 1

Name

Address

Position

Email address

(Use upper or lower case as per actual address)

Referee 2

Name

Address

Position

Email address

(Use upper or lower case as per actual address)

Name :

Date :

F. REFEREES **

F. DECLARATION **

I hereby declare that the particulars provided in this form are true in every respect. I understand that if any of these particularsgiven by me are found to be untrue, my application will be automatically disqualified.

No

1

2

3

merdekascholarshipapplicationform2011

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