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Online Application Form

A. Preferred Programme/Course


B. Personal Details

 
 
 
Male Female
   

C. Educational Qualification/Extra Curricular Activities

SPM OR ‘O’ LEVEL OR EQUIVALENT
Name of School Year Completed No. of Subject Taken Final Grade

STPM OR MATRICULATION OR ‘A’ LEVEL OR EQUIVALENT
Name of School Year Completed No. of Subject Taken Final Grade

OTHER QUALIFICATIONS OR AWARDS RECEIVED
Name Of Qualification Or Award Received  Awarded By Date Of Award

Terms & Conditions
The personal data collected on this form will be used for purposes related to your APPLICATION OR Scholarship application. These purposes include without limitation, to assess your eligibility leading to the selection for the scholarship programme, to conduct reference and background checks, and for verification of information. We will not disclose your personal data to any third party, whether located in or outside Malaysia, unless it is required for these purposes. Failure to provide the information requested for may influence the outcome of your application. By signing at the bottom of this form, you are consenting to the processing of your personal data for the purposes stated. It is our policy to retain the personal data of unsuccessful applicants for a period of 12 months from the date of application.

I have read and understand the Terms & Conditions

Instruction

Each applicant is allowed to submit ONE application only.

All fields in the form MUST be filled up properly and clearly and must not be left blank. State “Not Applicable” or “‘NA” for areas that that are not applicable to you.