mic scholarship application form 2011
TRANSCRIPT
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8/6/2019 MIC Scholarship Application Form 2011
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Note: Incomplete application forms will not be considered for selection
HELP GROUP OF COLLEGESTHE HELP MIC SCHOLARSHIPApplication Form
BZ-2 Pusat Bandar Damansara, 50490 Kuala Lumpur, MalaysiaTel: 603-20942000 Fax: 603-20947495 www.help.edu.my
A. PERSONAL PARTICULARS (Please use BLOCK LETTERS)
STUDENT ID
FULL NAME
E-MAIL
ADDRESS
PERMANENT
ADDRESS
PERMANENT HANDPHONE NO.TEL NO.
CURRENT
ADDRESS
(If different
from above)
CURRENT NRIC NO.
TEL NO.
SEX M F MARITAL STATUS
DATE OF BIRTH AGE
NATIONALITY RACE
PHOTO(Please attach 2 photos)
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B. PROGRAMS APPLIED FOR
HELP UNIVERSITY COLLEGE
HELP Bachelor of Business (Hons)HELP Bachelor of Psychology (Hons)HELP Bachelor of Business (Hospitality Management) (Hons)HELP Bachelor of Information Technology (Hons)
American Degree Transfer Program
UK Law Transfer Program
Foundation Programs
Master of EntrepreneurshipMaster of Executive Management
HELP ACADEMY
University of London International Programs BSc (Hons)
University of East London 3+0 ProgramsBA in Accounting & FinanceBA in Business Management
HELP COLLEGE OF ARTS & TECHNOLOGY
GCE A-Levels (London Examinations, Edexcel)Foundation Programs
Diploma Mechanical EngineeringDiploma Electrical EngineeringDiploma in BusinessDiploma in AccountingDiploma in Computer Science
Diploma in Business Information SystemDiploma in Culinary Arts
HELP Bachelor of Business (Marketing) (Hons)
Southern New Hampshire University 4+0 ProgramsBachelor of Science in BusinessBachelor of Arts in PsychologyBachelor of Arts in Communication
University of London International Programs BSc (Hons)
Northumbria University 3+0 ProgramBA (Hons) Accounting
CAT (UK) ACCA (UK)
C. ARE YOU CURRENTLY APPLYING FOR ANY OTHER SCHOLARSHIP/FINANCIAL ASSISTANCE?
No Yes State the name of the organisation offering the scholarship or financial assistance
_________________________________________________________________
D. HAVE YOU WON OR OFFERED ANY SCHOLARSHIP FROM THE HELP GROUP?
No Yes State the name of the scholarship or the events.
_________________________________________________________________
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E. DETAILS OF PARENTS, GUARDIAN OR NEXT OF KIN
FATHER'S NAME MOTHER'S NAME
NRIC NO. NRIC NO.
OCCUPATION OCCUPATION
OFFICE NAME & ADDRESS OFFICE NAME & ADDRESS
OFFICE TEL NO. OFFICE TEL. NO.
HANDPHONE NO. HANDPHONE NO.
Are your parents financing your studies? Yes No
If not, please specify name of the person who is financing your studies (FINANCIAL SPONSOR)
NAME: _____________________________________ NRIC NO:___________________________________________
RELATIONSHIP:______________________________ OCCUPATION:_______________________________________
E. DETAILS OF OTHER FAMILY MEMBERS (grandfather, sisters, etc) SUPPORTED BY PARENTS/
FINANCIAL SPONSOR
NAME 1 OCCUPATION/SCHOOL1
RELATIONSHIP 1 AGE 1
NAME 2 OCCUPATION/SCHOOL2
RELATIONSHIP 2 AGE 2
NAME 3 OCCUPATION/SCHOOL3
RELATIONSHIP 3 AGE 3
NAME 4 OCCUPATION/SCHOOL4
RELATIONSHIP 4 AGE 4
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F. ACADEMIC RECORDS
HIGHEST TERM EXAMINATION PASSED: SPM/O-Levels STPM/A-Levels UEC (Senior Middle 3)
SPM/O-LEVELS: SCHOOL/INSTITUTION__________________________________YEAR _________
NO. SUBJECT GRADE NO SUBJECT GRADE
1 8
2 9
3 10
4 11
5 12
6 13
7 14
STPM/A-LEVELS: SCHOOL/INSTITUTION__________________________________YEAR ________
NO. SUBJECT GRADE NO SUBJECT GRADE
1 6
2 7
3 8
4 9
5 10
UEC (SENIOR MIDDLE 3): SCHOOL/INSTITUTION____________________________________YEAR ________
NO. SUBJECT GRADE NO SUBJECT GRADE
1 6
2 7
3 8
4 9
5 10
NOTE:
ENGLISH TEST SCORE TOEFL GCE 1119 IELTS
Please attach CERTIFIED TRUE COPIES of results/transcripts with this application form.
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G. EXTRA-CURRICULAR ACTIVITIES(Complete this section in detail. You may attach a separate sheet, if required)
NO. GAMES/SOCIETIES LEADERSHIP POSITIONHELD
YEAR
1
2
3
4
5
6
7
8
9
NO. OTHERS (eg School Prefect, EditorialBoard/Awards/Achievements, etc)
LEADERSHIP POSITIONHELD
YEAR
1
2
3
4
5
6
7
8
9
NOTE:
Pleaseattach CERTIFIED TRUE COPIESof certificates of ECA achievements with this application form.
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H. PERSONAL MOTIVATION/OBJECTIVES (State briefly your career aspirations. You may attach a separatesheet, if required)
You must complete both sections (i) and (ii).
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I, the undersigned, declare that the particulars given by me in this application form are correct, that I have read and agree to abide by the terms andconditions of the scholarship/financial assistance. I understand that the award can be withdrawn if any information given in this form is found to beincorrect. I have read and understood the conditions of the award as stated in the application form and the attached Terms and Conditions.
Applicant's Signature Date
Form Received by Registry Date
J. FOR OFFICE USE ONLY
ACADEMIC DEPARTMENT REGISTRY CEOS APPROVAL
Recommended by
Signature
Scholarship Committee Meeting
Date
Approved by
Signature
Amount recommended
Scholarship
Financial Assistance
Approved/Rejected
Date
Reason for recommendation Registrars or Designates Signature
Signature
Remarks :
I. DECLARATION
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TERMS AND CONDITIONS OF SCHOLARSHIP
1) The scholarships specified herein, are open to SPM and STPM examinations in 2010 for 2011
academic years admission.
2) For Pre-university Arts stream courses the minimum grade requirement for partial scholarship
application is 5 subjects with grade A including a credit in English and a pass in BM.
3) For Pre-university Science stream courses the minimum grade requirement for partial scholarship
application is 5 subjects with grade A including credits in Maths, one science subject, English
and a pass in BM.
4) For Diploma in Engineering programs the minimum grade requirement for partial scholarship
application is 5 subjects with grade A including credits in Maths, Physics, English and a pass in
BM.
5) For bachelor courses, the minimum grade requirement for full scholarship application is HELP
Foundation in Arts/Science with CGPA 6.0 or equivalent.
6) For bachelor courses, the minimum grade requirement for partial scholarship application is HELP
Foundation in Arts/Science with CGPA 5.5 or equivalent.
7) The scholarship awarded shall be reviewed yearly where attainment of a minimum CGPA 2.75 is
required to be eligible for the following years scholarship.
8) For postgraduate courses, the minimum grade requirement for partial scholarship application is
Second class upper or equivalent.
9) Applicants must fulfill the specific entry requirements of the program.
10) Applicants who do not fulfill condition of the above minimum requirements shall be deemed as
exceptional cases and shall receive recommendations by the Principal.
11) Repeating subjects fees are to be borne by the students.
12) The scholarship does not include admission fees, external fees incurred and other administrative
charges.
13) Other terms and conditions of HELP scholarship shall apply.