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S'ship Application-Post Grad
S'ship Application-Post Grad
S'ship Application-Post Grad
POSTGRADUATE SCHOLARSHIP
Rumah Johor, JKR 1255, Jalan Carruthers, Bukit Tunku 50480 Kuala Lumpur
Tel: 03-26970284 Fax: 03-26970285 E-mail: ysij84@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
Permanent address
Race
Attach recent
photograph
here
:
:
Telephone number
Address for
correspondence
(if different from
above)
:
:
:
3.
Telephone number
Religion
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
1/4
4.
Level of study
2014.
Please give details of any present and previous employment, including dates.
Name of company/institution
Post held
Dates
Present employment:
Previous employment: 1.
2.
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.
Marital status
Single/Married*
2/4
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.
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.
Signature:
Date:
3/4
4/4