YAYASAN SULTAN ISKANDAR JOHOR

POSTGRADUATE SCHOLARSHIP
Rumah Johor, JKR 1255, Jalan Carruthers, Bukit Tunku 50480 Kuala Lumpur
Tel: 03-26970284 Fax: 03-26970285 E-mail: ysij1984@gmail.com Website: www.ysij.org.my

Please read this form including the notes on the back carefully before completing it in typescript or black ink.

1.

2.

Name in full

Nationality

Male/Female

Date of birth

Place of birth

Malaysian I.C. no.

Permanent address

Race

Attach recent
photograph
here

:
:
Telephone number

Address for
correspondence
(if different from
above)

:
:
:

3.

Telephone number

Religion

E-mail

Fax number

Please give full details of your most recent academic qualifications; school, college, university (see note 8):
Level

Place of Study

Subject/Field

Grade

Date

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4.

Subject you wish to study

Level of study

Proposed length of study

Masters / Ph.D. / Sub-Speciality*

years (full-time/part-time)*. Commencing on

2015.

Please list the institutions to

:
which you have already
applied (or to which you
intend to apply or have been
accepted) - see note no. 4, page
4/4
* (Delete whichever is not relevant)
5.

Please give details of any present and previous employment, including dates.
Name of company/institution

Post held

Dates

Present employment:

Previous employment: 1.

2.

Intended future profession:

6.

Working experience:

7.

Please give details of any other scholarship (s) for which you have applied or which you currently hold or
have previously enjoyed.

8.

Total amount you require:

Marital status

RM ____________ for ____ years (approximate)

(see note no. 5, page 4/4)

Number and age of children:

Single/Married*

* (Delete whichever is not relevant)

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9.
is

Applicants for postgraduate courses: describe in brief the course or field of research you wish to undertake
and indicate how it will help you with the work you expect to do on completion of your studies. If this space
insufficient, write on a separate piece of paper.

10.

List here (if any) publications/awards/skills:

11.

Study leave (by Employers/Head of Department - not relevant if you are not working):
I confirm that __________________________________________ will be granted/not granted* study leave
with full pay/half pay/no pay* for the whole duration of his/her studies.

Signature:

Companys Stamp:

Name:
* (Delete whichever is not relevant)
12.

Please sign and date this declaration:

I declare that all the statements contained in this application is true and I understand that this offer may be
cancelled if any of the above information are found to be false.

Signature:

Date:

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NOTES FOR APPLICANTS

1. Preference will be given to those who are accepted into reputable universities. Preference of awards will be full
scholarships given at postgraduate level or specialized in nature.
Awards are normally for studies of one (1) to three (3) years duration. The award is subject to review after each
semester.
2. Academic Requirement
The Selection Board will be looking for candidates with very good academic examination results. For entry to
postgraduate courses, successful applicants are likely to have, or expect, at least an upper second class degree or
equivalent.
3. Application Procedure
Individuals or academic staff of universities or specialists wishing to apply should submit applications through
their Heads of Department, who will certify that the candidate will be granted study leave (see paragraph 11). All
applications should be submitted directly to The Executive Secretary, Yayasan Sultan Iskandar Johor, Rumah
Johor, JKR 1255, Jalan Carruthers, Bukit Tunku 50480 Kuala Lumpur. Application forms submitted via email will not be entertained.
4. Indicate against the name of university or universities, one of the following: (a) have been accepted, (b) waiting
for reply, or (c) yet to apply.
5. Estimated Cost
The total amount should include tuition and other fees as imposed by the university plus other subsistence
allowance that you need.
6. If space provided in this form is insufficient, attach additional papers.
7. Interviews
Only short-listed candidates will be informed and called for interview in August/September 2015. Interview will
be held at Rumah Johor, Kuala Lumpur. Applicants, who are unable to come for interview at this time, cannot
normally be considered, nor can special interview arrangements be made for any applicant. No correspondence
will be entertained as to why an applicant has not been short-listed.
8. DO NOT send copies of relevant certificates and documents with this form. Bring them (together with original)
only when you are selected for the interview.
9. Closing Date
The closing date for applications by the Yayasan is 13 July 2015. Late applications will not be considered. All
application forms must be sent by mail/courier/hand but not by e-mail.

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