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Full Name (as shown in IC)

(Course No. )

Summary (

This summary has to be filled in clearly by applicant )

1.

(SPM): _________A(s), Chinese Language Subject: ______ A Level): _________A(s) STPM) CGPA: __________/ or _________A(s), Chinese Language Subject: ______ (UEC): _________A(s), Chinese Language Subject: ______ Other academic qualifications: ___________

2.

Parents/ Guardians Last Year Total Annual Gross Income: _________________________ Academic Awards / Other achievements :

3.

________________________________________________________________________________________________ ________________________________________________________________________________________________ 4. Extra-Curricular Activities

________________________________________________________________________________________________ _______________________________________________________________________________________________

: Date Application Received:

For Office Use (Documentation Required): Photocopy of result: SPM/ STPM/ or other equivalent certificates: ____ Latest Form J (Income Tax Return) or EA Form or Pay Slip or Self-Assessment Form of Applicant's parents/guardian. Complete set of documentation. (Yes) (No)

: Recommended for interview :

(Remarks):

Authorized signatory of Selection Panel


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Recent Photograph (1 copy)

(Course Applied For)

(Course No.)

(Name of University/ College)

________________________

________

__________________________

A.

(Personal Data)

Full Name (as shown in IC)

Home Address

New IC No.:

Birth Date:

Sex: Languages

This scholarship award is not cash award but will be in the form of academic courses to be offered by the participating colleges / institutions of higher learning / universities with the tuition fees and / or (Educational Qualifications) such other incidental expenses fully paid up.

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Marital Status: Single

Married

1) Written: 2)

1) Spoken: 2)

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(House Tel):

(Handphone No

(E-mail Address

Nationality:

Race:

Religion:

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Sin Chew Daily Education Fund `  Application Form

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(Post Code):_______________

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Name and Address of School:

Year Taken: Subject Grade Subject

A Level

Name and Address of School:

Year Taken:


Overall Grade: Subject Grade

Aggregate: Subject

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SPM

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Grade

Grade

Name and Address of School:

Year Taken:


Aggregate: Subject Grade Subject

UEC

Name and Address of School:

Year Taken:


Aggregate: Subject Grade Subject

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Grade

Grade

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Date

Name of Examination / Award

Grade/ Award

Extra-Curricular Activities Year


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Associations/ Societies

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Work Experiences (Designation)


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(Name and Address of Employer)

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Position

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Academic Awards / Other Qualifications

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(Period)

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(Please state present health condition, details of any illness, disability or incapacity.)

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(Your reason(s) for this scholarship application.)

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(Health Condition)

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(Reason(s) for Application)

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Name

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(Father)

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Home Address

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(Tel) : ____________________ (Handphone): (Post Code): Age:

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(Tel) : ____________________ (Handphone): ____________________ (Post Code): _________________ Age:

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IC No. Name

Address of Employer

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(Tel) : (Post Code):

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Name of Employer
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Occupation:

Home Address

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(Tel) Occupation IC No. (Handphone): (Post Code):

Details of Family Background

Guardian

(Tel)

(Post Code):

____________________

(Mother)

Name and Address of Business

Business Nature:

Establishment of Business

Is the business wholly owned?

Please state share held by parents/ guardian, if in partnership or joint venture.

Father

Mother

Guardian

As employee Own Business Rental Income Others Total


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House Installments/ Rental ( / / ) Loan Repayment (motor vehicles/ appliances, etc...) Electricity/ Water/ Telephone Education for ____ children Others expenses Total

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Items

Monthly (RM)

Yearly (RM)

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Expenditures of Family:

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Parents/ Guardians Last Year Annual Gross Income

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(Details of Parents/Guardians Own Business):

(years) (months)

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Total

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Name

Relations

Age

Marital Status

Occupation

(RM) Annual Income

Referees

Name

Name

Address

Address

Occupation

Occupation

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(Tel):

(Tel):

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Names and Particulars of Siblings/ Other Dependents

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The following documents must be submitted together with the Application Form: 1.

3.

4.

5.

Photocopies of latest supporting document(s) on the financial status of Applicants parents/guardians: Latest Form J (Income Tax Return) / EA Form/ Self-Assessment Form/ last 3 months of the salary slips/utilities bills and other documents

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(Yes)

Have you been awarded any scholarship before?

If Yes, please supply the following information:


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Year

University/ College

Course

Sponsorship unit

(Yes)

Has any of your siblings (brother(s)/sister(s)) benefited from other education funds?

If applicable, please supply the following information: 

Name

Relationship

Course

College

Year Admitted

(Yes)

Has any of your siblings (brother(s)/sister(s)) applied to this Fund?

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2.

Birth certificate

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Identity Card (both sides)

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SPM/STPM/UEC/Other equivalent qualifications.

Testimonial(s) and record(s) of participation in extra-curricular activities

(No)

(No)

(No)

10

: / Recital: Sin Chew Media Corporation Berhad shall hereinafter be referred to as the SCMCB.
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You are required to read the procedures, requirements, terms and conditions herein below carefully before submitting your application.

Procedures:
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Please note that any false particulars, information, documents, untruthful material facts or misrepresentations will subject you to disqualification. The application form should be printed out clearly or be written legibly and must be accompanied by the required documents and must be submitted before the published closing date. Proof of posting is not proof of receipt. The selected course(s) must be clearly written or printed on the top left hand corner of the envelope. The Sin Chew Daily Education Fund s address is as follows:

Application deadline: 14th day after the announcement of SPM Result. If not, please refer to our Sin Chew Daily for the latest deadline.

(Please note that proof of posting is not proof of receipt.)

: Terms and Conditions:

The following terms and conditions shall apply to all applications: 1. 2011 1 1 26 The applicant must be a Malaysian citizen below 26 years of age as at 1st January 2011. /A Students must possess good results in SPM/A-Level/ STPM/ UEC or other equivalent qualifications.
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2.

3.

Students must be active in sports and extra-curricular activities.

4.

/ Students must not be bonded or in receipt of any financial aid or rewards from other educational organisations or institutions.
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5.

The applicants must produce original copies of the examination results and all other relevant documents during the interview.

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Sin Chew Daily Education Fund Sin Chew Media Corporation Berhad (SCMCB) 19 Jln Semangat 46200 Petaling Jaya Selangor Darul Ehsan
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9.

The recipient is not to discontinue or switch Course or to take up any full or part time employment while pursuing the said Course without the prior written approval of SCMCB or The College/ University concerned unless such employment is part and parcel or related to the said Course 10.

The recipient is not allowed to participate in any form of illegal activity or join any unlawful organisations which in the opinion of SCMCB or The College/ University would embarrass or cause disrepute to all parties concerned throughout the study period. 11.

The recipient is to attend all classes, lectures, tutorials and lessons as required by the said Course regularly and diligently unless he or she is medically unfit to do so. 12.

The recipient is required to obey all rules and regulations of the participating College/ University at all time and is expected to conduct himself/herself in a respectable manner. 13.

The participating College/ University and SCMCB are not obligated to extend the award beyond the existing academic period. 14.

SCMCB reserve their right to add or amend the rules and regulations contained herein without prior notice. No complaint whatsoever shall be entertained. 15.

The awards are not directly offered by SCMCB but are offered by the participating educational institutions or other sponsors through SCMCB and the recipient may be required to sign a bond directly with the participating Colleges/ Universities if required to do so.

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The selection committees decision in all matters pertaining to the selection of the scholarship award is final and no appeal, inquiry or correspondence will be entertained.

Students must meet the minimum requirement set by the Colleges/ Universities in order to be qualified for selection.

Different colleges, universities and courses have different entry requirements. Please liase directly with the colleges or universities concerned for more details.

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APPLICANTS DECLARATION

1.

2.

3.

4. 5. 6.

7.

Name of Applicant __________________________ I/C No ________________________________ Signature of Applicant _________________________Date _______________________

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I declare that the information given herein are true and accurate to the best of my knowledge and belief. If at any time hereafter such information are found to be untrue or false or misleading due to willful neglect, SCMCB shall be at liberty to take actions against me, including the withdrawal of any benefit already granted to me and the recovery of all losses sustained by SCMCB or such further actions deem fit and proper by SCMCB. I agree that the award is not a direct grant of SCMCB but is granted by the participating Colleges/ Universities through SCMCB and as such any failure to honor the scholarship award by way of discontinuance, termination, suspension or variation by the college or the university concerned shall not be the fault or liability of SCMCB and I agree that no legal actions whatsoever shall be taken against SCMCB by me and/ or my parents or guardian(s). I agree to complete the course of study within the stipulated time and to furnish my progress reports or examination results as may be requested by SCMCB from time to time. I understand that I may be required to sign a bond document or to provide security or surety prior to the award of the said scholarship. I confirm, accept and agree to be bound by all the terms and conditions as stated in this application. I further declare that I am fully aware that the scholarship award, if granted by SCMCB, will not be in the form of cash award but will be in the form of academic courses to be offered by the participating colleges and/ or institutions of higher learning with the tuition fees and/ or such other incidental expenses included. I agree that in the event of conflict between the Chinese and English versions as stated in this application, the English version shall prevail and shall be the principal and primary text of interpretation.

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