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.