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


D. Family & Income Details

Please provide the details where applicable

NAMES & PARTICULAR OF GUARDIAN(S)
Full Name Contact No. Age Occupation Relationship Monthly Nett Income

NAMES AND PARTICULARS OF SIBLING(S)
Full Name Age Occupation Name of School/ College/ University Scholarship Name Monthly Nett Income

Do you have relative(s) working at YAYASAN SARAWAK ? If Yes, please furnish details:
Yes No


E. Financial Assistance

Are you presently receiving any financial assistance from any institution / foundation / government, etc?
If Yes, please furnish details:
Yes No
Have you applied for any other Scholarships/Grants/Educational Loan? If Yes, please furnish details:
Yes No

F. Essay

Please submit a written essay in English of approximately 300 words on your chosen field and your aspirations in developing skills in your chosen technical trade.
words left


G. Referees

Please provide names, addresses, contact no and email of two (2) referees who are not related to you for us to contact as character references. Please ensure that you get the consent of the referees before disclosing their personal data to us.

Full Name Correspondence Address Contact No. Email


H. Upload Photo

 
   
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.