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Scholarship Application Form

This document is a confidential scholarship application form requesting personal details such as name, citizenship, date of birth, contact information, education history, employment history, and family background. Applicants are asked to provide copies of relevant certificates and results, disclose any current bonds or other scholarships, and sign declaring the accuracy of the information.

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PhyoMin Aung
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17 views2 pages

Scholarship Application Form

This document is a confidential scholarship application form requesting personal details such as name, citizenship, date of birth, contact information, education history, employment history, and family background. Applicants are asked to provide copies of relevant certificates and results, disclose any current bonds or other scholarships, and sign declaring the accuracy of the information.

Uploaded by

PhyoMin Aung
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CONFIDENTIAL

Scholarship Application Form

Please attach a
recent passportsize photograph
(non-returnable)

Applied Major:

1. PERSONAL DATA (As shown in Personal ID/Passport)


Mr./Ms.
Name as in NRIC/Passport
Personal ID No.(NRIC)/ Passport No.

Citizenship / Country of Birth :

Date of Birth :
Age at last birthday :

Religion :

Marital Status:
Single / Married / Divorced / Widowed*

No. of Children :

Hobbies:

2. ADDRESS
HOME ADDRESS
In full and in block
letters.

SCHOOL ADDRESS
In full and in block
letters.

Mobile No.:

Email Address:

Phone No.:

Email Address:

3. EDUCATIONAL RECORDS
ACADEMIC/
PROFESSIONAL
QUALIFICATIONS
(In chronological order)

School/Junior
College/University Attended
(& Country, if Overseas)

From
(Mth/Yr)

To
(Mth/Yr)

Certificate/Diploma/Degree
Obtained (State Class &
Division of Honours, if
applicable)

Mth/Yr
Attained

PLEASE ATTACH
COPIES OF ALL
RELEVANT
CERTIFICATES &
DETAILED RESULTS.

MEMBERSHIP WITH
ANY PROFESSIONAL
BODIES, INSTITUTES,
ASSOCIATIONS, Etc.

Name of Institutes

Type of Membership (Corporate/Associate/Student*)

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4. EMPLOYMENT HISTORY
PRESENT/ PREVIOUS
EMPLOYMENT

Appointment:
Employer:
Address:

Office Tel:

Period of Appointment:
(dd/mm/yy)

From _____________ To ______________

Basic Salary:

Gross Salary:

Brief Description of Duties:

Reason(s) for leaving:

5. FAMILY BACKGROUND
Fathers Name:
Mother's Name
Number of Sibling:

Occupation:

Company Name:

Occupation:

Company Name:

Older:

Younger:

6. DECLARATION
A) ANSWER THE FOLLOWING QUESTIONS BY DELETING "YES" OR "NO". IF "YES", GIVE DETAILS IN THE SPACE PROVIDED
i) Are you currently serving a bond with any of the company or institution?

YES/
NO

ii) Are you in receipt of any other scholarship

YES/
NO

iii)Have you suffered or are suffering from any physical disability or serious
illness? [If yes, give details]
iv) Have you committed any criminal offences and/or is there any
unsatisfied judgement or pending litigation against you?

YES/
NO
YES/
NO

B) The information provided in my application is, to the best of my knowledge, complete and accurate, and I understand that false
statements on this application will disqualify me from the scholarship.

______________________________________
_____________________________________
Signature of Applicant
Date
* To complete this application, please send your CV together with this Application Form, Certificates and Transcripts.

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