Best VIP Call Girls Noida Sector 62 Call Me: 8448380779
He bscholarship(1)
1. PENANG HINDU ENDOWMENTS BOARD
LEVEL 30, KOMTAR
10000 PENANG
APPLICATION FORM FOR EDUCATION AID 2013
(For Residents of Penang Only)
**IMPORTANT i) Please use black ink to complete form.
ii) You are hereby requested to furnish correct information only.
iii) All information provided in this form will be kept confidential.
1 – PERSONAL PARTICULARS
Full Name: I.C No. __________________
Sex: Age: E-mail :
Permanent Address:
(Only Penang Address)
Post Code :
Mobile No. : Home Tel. No. :
2 – ACADEMIC INFORMATION
A) Sijil Pelajaran Malaysia - SPM
Name of School / Place:
Year of Exam:
Please List All Subjects
Subject Grade Subject Grade
COURSE DETAILS:-
Field of study :
College/ Institution/ University :
a) Local
b) Abroad
3) Total tuition cost (RM) :
1
2. B) Sijil Tinggi Pelajaran Malaysia - STPM
Name of School / Place :
Year of Exam :
Please List All Subjects
Subject Grade Subject Grade
C) Pre-U studies – (e.g. Foundation studies / Matriculation / A-Level / Others)
Name of College / Institution / University:
Year of Exam:
Please list all subjects
Subject Grade Subject Grade
3 – FAMILY INFORMATION
Full Name Relations
hip
Age Occupation Salary
(RM)
Contact No.
Total household income: RM
2
3. 4 – FINANCING (Currently how is your study funded?)
1) Study Loan Amount (RM)
a) PTPTN
b) JPA
c) Others (specify)
2) Grant / Scholarship Amount (RM)
(specify source)
Note : Please provide a copy of the relevant document
5 – FINANCIAL AID REQUIRED (write briefly)
6 - HAVE YOU RECEIVED ANY EDUCATIONAL AID FROM THE PENANG HINDU
ENDOWMENTS BOARD (HEB) IN THE PAST?
Amount (RM)
a) Yes Year _________ _______________
b) No
(Applicant’s Signature) (Date)
3
4. FOR OFFICE USE
Committee’s Recommendation:
Approved Amount RM
Cheque payable to:
Rejected
If rejected, Reasons:
Documents required (Certified True Copy – compulsory)
1. IC & Student ID Card
2. SPM, STPM & Other Certificates
3. Offer Letter by College / Institution / University
4. Semester Results (latest)
5. Latest Payment Receipt
6. Confirmation of Earnings (Parents/Guardian)
NOTE: This form must reach the HEB office at PENANG HINDU ENDOWMENTS
BOARD, LEVEL 30, KOMTAR 10000, PULAU PINANG on or before
15th
March 2013.
4
