St.

Johns International School Application for Scholarship

INTAKE APPLYING FOR: 1. PERSONAL PARTICULARS OF THE APPLICANT (Please write in BLOCK LETTERS)

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Name (as per MYKAD): MYKAD (Passport) No. : Nationality: Home Address: Race: Gender : Male Female

Email Address: Home Phone No: 2. ACADEMIC QUALIFICATION Mobile Phone No:

Name of School / Institution: Last Examination / Highest Qualification: Year of Examination:

Note: Please attach CERTIFIED TRUE COPY of academic qualifications with this application form. Any results that are pending must be submitted AS SOON AS THEY ARE RECEIVED.

3. No.
1 2 3 4

EXTRA-CURRICULAR ACTIVITIES (Please write the details of activities, memberships of clubs, societies etc.) Sports / Societies / Clubs / Associations / Others Position Held / Achievements Year

Note: Please attach CERTIFIED TRUE COPY of certificates of extra-curricular activities.

4.

FAMILY BACKGROUND I/C No: Age:

Name of Father:

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Home Phone No: Address:

Mobile Phone No: House: Rented Own

Occupation: Name and Address of Employer:

Salary: Phone

No: Fax

Name of Mother:

No: I/C No:

Age:

Mobile Phone No: Occupation: Name and Address of Employer: Salary: Phone

No: Fax

Name of Guardian (if applicable):

No: I/C No:

Age:

Mobile Phone No: Occupation: Name and Address of Employer: Salary: Phone No:

Fax No: For parents / guardians who are self-employed, please fill this section Name and address of business Nature of business Phone No:
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Year of establishment

Phone No:

5.

NAME AND PARTICULARS OF ALL SIBLINGS DEPENDENTS Name Relationship Age Marital Status Occupation

6.

OTHER INFORMATION

Have you applied to any other scholarship? YES NO

If YES, please state name and type Are you currently receiving any other scholarships? YES NO

If YES, please state name and type Are you currently receiving any other forms of financial assistance (e.g. study loans, etc.) from any organizations / institutions? YES NO

If YES, please state form of assistance and name of organization / institution

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7.

TERMS AND CONDITIONS

No. Description 1 2. 3. Nationality Age Group Academic

Details/Eligibility Requirements Must be a Malaysian citizen 20 years of age and below Minimum grade for SPM 4 As *Applicant shall submit certified true copy of their recent SPM result with their application i. Strong leadership qualities extracurricular activities ii. Medically fit iii. Not attached to any bond or recipient of any other scholarships or financial assistance. with notable participation in

4.

Non-academic

5.

Details of Scholarship

i. The Scholarship is awarded only for the duration of A-Levels Programme offered by SJIS in 2013 ii. Academic requirement for the Scholarship application shall be based on ACTUAL SPM results iii. All Scholarships applied shall be for the respective intake of the current academic year only iv. The Scholarship is not transferable to another recipient or programme v. Scholarship Tuition Fees waived are not exchangeable for cash

6.

Conditions of Scholarship

i. Applicants must be a fully registered student of SJIS before application of Scholarship ii. Successful applicants are required to pay the balance tuition fees due (if applicable) after deduction of the percentage (%) of Tuition Fee Waiver granted upon registration, failing which will render the Scholarship application null and void iii. Recipient must maintain a minimum of 3Bs or 70% pass every semester in their internal assessment and mock examinations iv. Recipient must maintain a minimum of 80% class attendance with active participation during class v. Recipients must be willing to contribute a minimum of 250 hours of community work through the pre-determined Corporate Social Responsibility (CSR) programme vi. Recipients must participate actively in extracurricular activities planned by SJIS vii. Recipients are expected to participate in designated activities and functions organized by SJIS
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viii. U p o n registration, a Scholarship recipient may not withdraw from the A-Levels Programme. Recipients who choose to withdraw are required to pay the equivalent amount of fees for the duration completed based on the completed semester.

7.

Structure of Scholarship SPM Results 8As onwards (or its equivalent) SPM Results 4As 7As (or its equivalent) 8 As onwards (or its equivalent) 4 As 7As (or its equivalent) i. Tuition Fee Up to 100% Tuition Fee Waiver 50% 100% 50%

8.

General ii. iii. iv. v. vi.

Decision by the Scholarship committee is final, binding and is not subject to further appeals SJIS reserves the right to request for additional documentation or information from the Applicant Scholarship terms and conditions can be amended at any time without prior notice SJIS reserves the right to review the Scholarship and where necessary to withdraw the same at its sole discretion 5. The SJIS Scholarship committee reserves the right to decide the number of Scholarships to be awarded during each intake 6. SJIS reserves the right to use recipients personal information in any publicity and/or promotion activities without the prior consent of the recipients.

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