Scholarship - AceTeam Networks

Scholarship Form

Course Applied For

Presently Enrolled University College :

Institution :

Course Name :

Personal Details

Full Name (as in NRIC) :

Email Address (Permanent) :

Contact No.

Home Tel No. :

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Identity Card (NRIC) :

Date of Birth :

Gender :

Race

Nationality

Language Spoken
(1 is lowest, 5 is highest)

English

Bahasa Malaysia

Mandarin

Others :

(1 is lowest, 5 is highest)

Language Written
(1 is lowest, 5 is highest)

English

Bahasa Malaysia

Mandarin

Others :

(1 is lowest, 5 is highest)

Please upload a recent photo of yourself :

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Educational Qualifications

SPM / "O" Level Examination Results

School Name :

School Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

School Tel :

Year Taken :

SPM / "O" level Grade Summary

A	A	A-	B+	B	C+	C

Upload Result Slip

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STPM / "A" Level / UEC / Other Pre-University Examination Results

School / College Name :

School / College Tel :

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Name of Examination :

Year Taken :

Overall Grade CGPA :

Other Qualification / Awards

Date	Name of Institution / Award	Grade / Award

STPM / "A" level / UEC / Other Pre-U Grade Summary

A	A	A-	B+	B	C+	C

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Working Experience (if any)

Employer Name	Company Address	Designation	Period

Medical Condition

State present health condition and give details of any illness or disability that requires attention :

Extra-Curricular Activities

Details of extra-curricular activities, including membership of societies / associations

Period (e.g. 2019-2020)	Organization	Position

Family Background

Father

Name :

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Age :

I/C No. :

Contact No.

Occupation :

Total Monthly Income :

Upload PaySlip / EA Form / Income Tax Form

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Employer Name :

Employer Address :

Employer Tel :

Mother

Name :

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Age :

I/C No. :

Contact No.

Occupation :

Total Monthly Income :

Upload PaySlip / EA Form / Income Tax Form

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Employer Name :

Employer Address :

Employer Tel :

Guardian

Name (if applicable) :

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Age :

I/C No. :

Contact No.

Occupation :

Total Monthly Income :

Upload PaySlip / EA Form / Income Tax Form

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Employer Name :

Employer Address :

Employer Tel :

If parents are divorced or a parent is deceased or is a person with disabilities, please upload a softcopy of the Divorce Certificate, Death Certificate or OKU card with the Supporting documents on financial status

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Parent / Guardian are self-employed

Business Name :

Address :

Tel :

Nature of Business :

Length of Establisment :

Business wholly-owned :

If partnership or joint venture, state share held by parents / guardian :

Are you related to any employee(s) of AceTeam Networks Sdn Bhd and its subsidiary companies? If yes, please provide the following information :

Name	Designation	Relationship

Family Income and Expenditure

Father (RM)

Mother (RM)

Guardian (RM)

Total (RM)

Employment

Business

Rental

Total

Annual Gross Income of Parents / Guardian (Last Year)

Total Annual Income :

Family Expenditure

Type

Monthly (RM)

Yearly (RM)

House Installments / Rental

Electricity / Water

Telephones

Loan Repayment (car/motor-bike/appliances)

Transport

Education

Others (please specify)

Names and Particular of Siblings / Other Dependents

Please state names and particulars of your Siblings / Other Dependents of your parent(s)

Name	Relationships	Age	Marital Status	Occupations	Annual Income (RM)

Referees

First Referees (not related to the applicant)

Prefix (Dr./Mr./Mrs./Ms.)

Name

Address

Tel

Occupation

Second Referees (not related to the applicant)

Prefix (Dr./Mr./Mrs./Ms.)

Name

Address

Tel

Occupation

Previous Scholarship Info

Were you a scholarship recipient before? If yes, please provide the following information :

Year	University / College	Course	Sponsor

Are you still benefiting from this scholarship?

Supporting Documents - Upload Files

MyKad (both side on A4 size paper)

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A personal statement (not exceeding 500 words) stating your reasons for applying this scholarship

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DECLARATION (Please check to indicate that you agree with the below declaration)

I hereby give consent to AceTeam Networks to process my personal data in accordance with the Personal Data Protection Notice.

I also hereby warrant that I have obtained all necessary consent from the third party where I have provided their personal information as part of my application.

I consent to any educational institution at which I have previously been a student and/or my current or any past employer, providing AceTeam Networks with information which they hold about me for the purpose of AceTeam Networks verifying my grades and/or qualification and experience.

I declare that the information contained in this application form and in the attached documents are true and accurate to the best of my knowledge at this time. I acknowledge that AceTeam Networks reserves the right to seek from other relevant bodies verification as to the standing of my claimed qualifications.

I confirm that I have read all the terms and conditions in respect of this application and I hereby agree to be bound by the same.

Please generate E-Signature here

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Scholarship Details
Eligibility

Scholarship Details

Scholarship Details:

Open to all Malaysian students enrolled in local public or private universities.
Open to undergraduate students only.
Applicants must processes strong leadership skills and have active participation in extracurricular activities (eg. clubs, associations, sports, etc.)
Applicants must not be a current holders of any scholarship or loans.
Applicants must complete at least the first year of studies or equivalent to two (2) semesters.
Applicants must at least possess a 3.5 CGPA from the first year of study.

Eligibility

Applicants are subjected to the eligibility criteria below:

Open to all Malaysian students enrolled in local public or private universities.
Open to undergraduate students only.
Applicants must processes strong leadership skills and have active participation in extracurricular activities (eg. clubs, associations, sports, etc.)
Applicants must not be a current holders of any scholarship or loans.
Applicants must complete at least the first year of studies or equivalent to two (2) semesters.
Applicants must at least possess a 3.5 CGPA from the first year of study.