upsr academic scholarship application form · 2019. 11. 21. · upsr academic scholarship...

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UPSR Academic Scholarship Application Form SECTION A: PERSONAL INFORMATION ( Use Block Letters ) SECTION B : PARENT / GUARDIAN INFORMATION ( Use Block Letters ) SECTION C : SCHOOL ATTENDED Name __________________________________________ I/C No __________________________________________ __________________________________________ Email Address __________________________________________ Mailing Address __________________________________________ __________________________________________ Contact No __________________________________________ Name __________________________________________ I/C No __________________________________________ Relationship Father / Mother / Guardian Email Address __________________________________________ Mailing Address __________________________________________ __________________________________________ Contact No __________________________________________ Name of School __________________________________________ Name of Principal __________________________________________ Mailing Address __________________________________________ __________________________________________ Contact No __________________________________________ Type of Curriculum UPSR Type of Results Actual Forecast Gender Male Female Date Of Birth __________________________________________ Name of School Applied __________________________________________ Grade: Secondary 1 Gender Male Female Date Of Birth __________________________________________ Recent Passport Sized Photograph

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Page 1: UPSR Academic Scholarship Application Form · 2019. 11. 21. · UPSR Academic Scholarship Application Form SECTION A: PERSONAL INFORMATION ( Use Block Letters ) ... • I declare

UPSR Academic Scholarship Application Form

SECTION A: PERSONAL INFORMATION ( Use Block Letters )

SECTION B : PARENT / GUARDIAN INFORMATION ( Use Block Letters )

SECTION C : SCHOOL ATTENDED

Name __________________________________________

I/C No __________________________________________

__________________________________________

Email Address __________________________________________

Mailing Address __________________________________________

__________________________________________

Contact No __________________________________________

Name __________________________________________

I/C No __________________________________________

Relationship Father / Mother / Guardian

Email Address __________________________________________

Mailing Address __________________________________________

__________________________________________

Contact No __________________________________________

Name of School __________________________________________

Name of Principal __________________________________________

Mailing Address __________________________________________

__________________________________________

Contact No __________________________________________

Type of Curriculum UPSR

Type of Results Actual Forecast

Gender Male Female

Date Of Birth __________________________________________

Name of School Applied __________________________________________Grade: Secondary 1

Gender Male Female

Date Of Birth __________________________________________

Recent Passport Sized Photograph

Page 2: UPSR Academic Scholarship Application Form · 2019. 11. 21. · UPSR Academic Scholarship Application Form SECTION A: PERSONAL INFORMATION ( Use Block Letters ) ... • I declare

SECTION F : DECLARATION BY APPLICANT / PARENTS

SCHOLARSHIP VALUE

ELIGIBILITY

FOR OFFICE USE ONLY

• I have read, understood and accepted the terms & conditions.

• I agree to allow the School to use any photograph or any other type of material in which my child/ward/ I may appear in and/or which my child/ward / I may have

created or written, for promotion of publicity of Beaconhouse School

• 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.

• Beaconhouse Malaysia Sdn Bhd is bound by the Data Protection Act 2010 and information given on the Scholarship will only be used in accordance in accordance

with the terms of the Act.

Parent's/Guardian's Signature __________________________________ I/C No __________________________________

Parent's / Guardian's Name __________________________________ Date of Application __________________________________

Applicant's Signature __________________________________ I/C No __________________________________

Applicant's Name __________________________________ Date of Application __________________________________

• The award of the scholarship takes form of a 40% waiver on the tuition fee only for Beaconhouse National Schools; this is not a cash award

• The award of the scholarship takes form of a 20% waiver on the tuition fee only for Beaconhouse National Schools; this is not a cash award

• The scholarships is eligible for government or private school students

• Must meet the academic requirements of the following:

Ujian Penilaian Sekolah Rendah (UPSR): 6As inclusive of: English and Bahasa ( Comprehension and Writing), Mathematics and Science

• The student must write a 300 word essay on the topic "The Meaning of BEACONHOUSE Motto - Seek the Light".

• Open to Malaysians and International citizens.

• All applications must be submitted along with the following documents to the school principal before the closing date 4th December 2020

• Letter of recommendation from former school's principal to certify that this student has a good behavior record

• Please note that the applicant may be required to attend an interview with the School Scholarship Committee.

ACADEMIC SCHOLARSHIP TERMS AND CONDITIONS

Approved Not Approved Amount

Comments by the Scholarship Committee

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

Signature __________________________________

Name __________________________________

Date __________________________________

Page 3: UPSR Academic Scholarship Application Form · 2019. 11. 21. · UPSR Academic Scholarship Application Form SECTION A: PERSONAL INFORMATION ( Use Block Letters ) ... • I declare

TERMS & CONDITIONS

• The scholarship is neither transferable nor exchangeable for cash or other alternatives.

• The scholarship does not cover any registration fees and deposits which must be paid borne by the scholarship recipient

• The schedule general fees must be paid as and when required accordingly and scholarship recipients are required to comply with all the rules and regulations

• The scholarship cannot be o�ered in conjunction with any other discounts and o�ers at the school. At all times, applicants / students are entitled to accept one (1)

discount (or Scholarship) scheme at the school.

• The scholarship is o�ered on tuition fees only. Students are not allowed to defer a term-unless us extenuating circumstances approved by the Scholarship

Committee. Any cost for re-sit and re-takes must be borne by the scholarship recipient.

• Scholarship recipient must complete a 2 year tenure with Beaconhouse Malaysia Sdn Bhd starting from Secondary 1 ( National Schools ) • In the event of any dispute on the eligibility for the scholarship, the decision made by School Scholarship Committee is �nal.

• esults in every semester. Failure to maintain the average score would result in the scholarship

being forfeited without renewal.

• A written notice with 4 months must be submitted if the recepient is wanting to withdraw before the completion of study/term

•  In the event of a withdrawal, termination, or suspension, the School reserves the right to request the scholarship recipient to reimburse Beaconhouse Malaysia Sdn

Bhd the scholarship amount she/he had been awarded.

•  If the withdrawal is due to medical reason, the reimbursement of the scholarship sum maybe waived at the absolute discretion of Beaconhouse Malaysia Sdn Bhd.

The scholarship recipient must submit supporting medical report from doctor(s) acceptable to Beaconhouse Malaysia Sdn Bhd for consideration.

• It is compulsory for scholarship recipients to represent the school and corporate in relevant events and promotional activities as when required by Beaconhouse

Malaysia Sdn Bhd

• Beaconhouse Malaysia Sdn Bhd reserves the right to involve the scholarship recipients in interviews, advertisement, photography or other publicity activities for

the purpose of promoting the School. All materials of these activities are the copyright of Beaconhouse Malaysia Sdn Bhd and can be used without prior written or

verbal permission.

• Beaconhouse Malaysia Sdn Bhd reserves the right to alter, delete or add any terms and conditions of the scholarship scheme.

• Beaconhouse Malaysia Sdn Bhd reserves the right to decide on the number and amount of scholarship to be awarded.

13th December 2020

Page 4: UPSR Academic Scholarship Application Form · 2019. 11. 21. · UPSR Academic Scholarship Application Form SECTION A: PERSONAL INFORMATION ( Use Block Letters ) ... • I declare

www.beaconhouse.edu.my