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Home > Admission > Financial Services > GETS & ATC Scholarship Fund
 
Please be advised that the following supporting documentation are to be attached: soft copy in pdf / jpg format for online applications or hard copy for postal applications.
  1. Photocopy of applicant's identity card
  2. Photocopy of parents' identity cards
  3. Photocopy of latest incomes Tax Return form (of parent for full time course and of student for part time course)
  4. Photocopy of last 32 months' bank statements (where income tax return form is not available)
  5. Photocopy of last 3 months' salary slips / letter of confirmation from employer for part time applicants
Please fill in the information request below in order to process your application for the scholarship.

PERSONAL PARTICULARS
Name in Full
Title :
Family Name :
First Name :
Middle Name :
Other Name :
Gender :
Male Female
Marital Status :
Single Married
Date of Birth : / /  (dd/mm/yyyy)
Nationality :
Mailing Address
Number & Street :
City / Town :
Postcode :
State :
Contact Information
Mobile no. :
Home / Office no. :
Email :
FAMILY PARTICULARS : PART I
Father's Name in Full
Family Name :
First Name :
Middle Name :
Other Name :
NRIC no. :
Date of Birth : / /  (dd/mm/yyyy)
Citizenship :
Contact Information
Mobile no. :
Home / Office no. :
Email :
Current Employment
Designation :
Company Name :
Years of Service :
Income Per Annum (RM) :
FAMILY PARTICULARS : PART II
Mother's Name in Full
Family Name :
First Name :
Middle Name :
Other Name :
NRIC no. :
Date of Birth : / /  (dd/mm/yyyy)
Citizenship :
Contact Information
Mobile no. :
Home / Office no. :
Email :
Current Employment
Designation :
Company Name :
Years of Service :
Income Per Annum (RM) :
SIBLING PARTICULARS
No.   Name   Age   Current Employment / Education
1.
2.
3.
4.
5.
EMERGENCY CONTACT
Name :
Relationship :
Address :
Mobile no. :
Email :
EDUCATIONAL HISTORY

Please include secondary school education (listing of SPM / O Level results is compulsory)
and include any studies currently undergoing. Please list most recent studies first.

Please note that copies of all results should be submitted with the application form if the
application is sent by post. For online applications, please scan and insert copies of
results where possible otherwise please post documentation as well.

Name of Institution :
Dates Attended / Expected (Year) :
Area of Study :
Qualification Received :
Name of Institution :
Dates Attended / Expected (Year) :
Area of Study :
Qualification Received :
SECONDARY SCHOOL (STPM / A Levels / EQUIVALENT)
Name of School :
Years Attended :
Year of Examination :
Grades Obtained :
SECONDARY SCHOOL (SPM / O Levels / EQUIVALENT)
Name of School :
Years Attended :
Year of Examination :
Grades Obtained :
EMPLOYMENT HISTORY (WHERE APPLICABLE)
No.   Name of Employer   Job Title   Dates Worked
(mm/yyyy)
1.
2.
3.
INFORMATION ABOUT PROGRAMME SELECTION
 Full Time Part Time
Cambridge A Level Programme
(Science Art)		 :
University of London Bachelor of Laws (LL.B) Programme :
Certificate in Legal Practice [CLP] Programme :
Diploma in Management :
DECLARATION
 Agreed Disagree
I / We confirm that the information provided above is correct and complete and hereby
authorize ATC to confirm this from any source it may choose. I / We acknowledge that the
eligibility to the scholarship is absolutely dependent on the truth and accuracy of the
information provided and failure to provide accurate information / the provision of false /
fabricated information in any form may result in the termination of the said scholarship and
the requirement to repay the scholarship monies utilized subject to a maximum penalty
(wholly at the discretion of the management of ATC) of 20% of the utilized sum.
TERMS AND CONDITIONS OF SCHOLARSHIP AWARD


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