7/28/2019 Taylor's IBDP Scholarship 2013 - Application Form

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Taylors IBDP Scholarship 2013

Name:

7/28/2019 Taylor's IBDP Scholarship 2013 - Application Form

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(as per MyKad)

Application Form

Full Name :

E-mail Address :

Home Tel No. : Mobile Phone No. :

Home Address :

Postcode: City:

State:

MyKad/ Passport No. : Sex : M F

A PERSONAL PARTICULARS (Please use BLOCK LETTERS)

photo

Name : _______________________________________________________ Relationship : ____________________________________________

MyKad/ Passport No. : ______________________________ Occupation : __________________________________________________________

Company Name & Address : __________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Office Tel No. : _________________________________________ Mobile Phone No. : _______________________________________________

B DETAILS OF PARENTS OR GUARDIAN

School / Institution : ______________________________________________________________________________________________________

Town : ___________________________________________________________________________________ Year : _______________________

Note : Please attach your school examination results as follows (CERTIFIED TRUE COPY) :

a) SPM Actual results (SPM 2012 candidates)

b) O Level Trial exam/ Forecast results (O Level May/June 2013 candidates); or

c) O Level Actual results (O Level November 2012 candidates)

C ACADEMIC QUALIFICATIONS

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Note : 1) Please complete Section D in detail. You may attach a separate sheet, if required.

2) Certified true copies of certificates are NOT required with this application form.

NO. GAMES / SOCIETIES / OTHERS POSITIONS HELD YEAR EXPERIENCE GAINED

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D EXTRA- / CO-CURRICULAR ACTIVITIES

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NO. SPECIAL ACHIEVEMENTS / HONOURS & RECOGNITION YEAR EXPERIENCE GAINED

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e.g: State Level Public Speaking Competition - Champion 2012 Public speaking skills

1. Scholarships on offer are for International Baccalaureate Diploma Programme (IBDP) July 2013 intake only. However applicants who have been called

for National Service may be considered on a case-to-case basis.2. Students receiving scholarships/ financial assistance/ bursaries from other bodies are not eligible for the Taylor's IBDP Scholarship 2013.

3. All scholarship applications must be endorsed by the School Counsellor/ Principal as a form of recommendation from the school.

4. All shortlisted candidates will be required to attend an interview end of June 2013 at Taylors College Sri Hartamas.

5. All applications must reach Taylors College by 23 June 2013. Late applications will not be entertained.

6. The Terms and Conditions of the Taylorss IBDP scholarship 2013 may be changed and modified from time to time as deemed appropriate by

Taylors College. The full Terms and Conditions of the scholarship will be made known to the successful applicants.

7. On all matters pertaining to the scholarship, the decision(s) of the Bursary Committee of Taylors College shall be final and binding. The number of

scholarships to be awarded is subject to the final decision of the panel of interviewers.

E TERMS AND CONDITIONS

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Application verified & checked by :

Signature : ________________________________________

Name : ___________________________________________

Date : ____________________________________________

Signature : ________________________________________

Name : ___________________________________________

Date : ____________________________________________

Approved by :

For office use only

Deadline for submission : 23 June 2013

Submit your application form and documents by post to Taylor's College at the following address:

G DECLARATION BY APPLICANT

I __________________________________________________ (MyKad/ Passport No.) ________________________________, declare that the

information provided by me is true and correct. I understand and agree that Taylors College reserves the right to vary or reverse any decision

regarding this application made on the basis of incorrect or incomplete information. I hereby agree to abide by all Terms and Conditions set

by Taylors College.

Signature of Applicant : _______________________________________________________

Name of Applicant : __________________________________________________________ Date : ______________________________________

Taylors IBDP Scholarship 2013

Taylors College Sri Hartamas

G1, Ground floor

62, Jalan Sri Hartamas 1Sri Hartamas, 50480 Kuala Lumpur

Tel: 03-6203 0168

F INSTRUCTIONS FOR SUBMISSION

School Principals Name : __________________________________________________________________________________________________

Signature : ___________________________________________________

Date : _______________________________________________________ School Stamp : ____________________________________________

I RECOMMENDATION BY SCHOOL PRINCIPAL

H CHECKLIST FOR DOCUMENTS TO BE ENCLOSED

Completed application form

Certified true copy of SPM trial exam/ forecast results or O Level trial exam/ forecast results/ actual results

Passport-sized photo

Certified true copy of MyKad/ Passport

* All information are correct at the time of printing