Beruflich Dokumente
Kultur Dokumente
TYPE OF SCHOLARSHIP
Postgraduate:
PhD
Master
CIFP
Undergraduate:
Name of Applicant
: .......................................................................................
Citizenship
: .................................................................
Course Applied for
: ...........................................................................................
Name of University/ Institution: ..................................................................................
1/6
PERSONAL DETAILS
First Name:
*Residential Address:
*Postcode / ZIP:
*Mobile Telephone Number:
Home Telephone Number:
Fax Number:
*E-mail Address:
*MyKad/ IC No:
Religion:
*Citizenship:
Gender:
Date/Place Issued:
Date of Birth:
Place of Birth:
Age:
Number of Children:
Marital Status:
Name of Father/Guardian:
Address of Father/Guardian:
*Telephone Number:
* The information must be written clearly.
2/6
EDUCATIONAL QUALIFICATIONS
Date/ Year
School/College/Institution
From
Till
Type of
certificate/
Diploma/
Degree
CGPA/
Class/
Grade
*Educational qualifications must be indicated correctly and please attach a copy of the
transcript.
SPECIALIZATION
(For tertiary level and above)
Type of Masters/
Professional Certification Specialization
Designation
Period
3/6
Topic Area:
Supervisor/proposed supervisors name (if known):
Telephone number:
4/6
LANGUAGE PROFICIENCY
Name of Language
Level of Proficiency
(E=Excellent, IM= Intermediate, B=Beginner)
Please indicate your level in the relevant spaces provided.
Speaking
Writing
Reading
(Please name the two persons who completed your enclosed reference forms.)
REFEREES
1) Name: (Dr./Mr./Mrs./Ms.)
2) Name: (Dr./Mr./Mrs./Ms.)
Full Address:
Full Address:
Occupation:
Occupation:
E-mail Address:
Telephone Number: +603 2781 4181
E-mail Address: shamzah@inceif.org
Telephone Number: +603 2781 4012
5/6
ESSAY
Write an essay of not more than 100 words on, "Why you should be awarded the
scholarship and how you plan to contribute to the Islamic financial services
industry."
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
..................................................................................................................................................
APPLICANTS DECLARATION
I declare that the particulars stated in this scholarship application and the
attachments are true and that I have not willfully suppressed any material fact.
Bank Negara Malaysia/ISRA has the right to terminate my scholarship if the
information given is found to be false.
I authorize Bank Negara Malaysia/ISRA to obtain from other educational
institutions and relevant authorities, at any time, details of my enrolment,
variations and attendance. I agree that these details may be made available to
the Scholarship Evaluation Committee. I agree to abide by the conditions of the
award as emended from time to time.
Date: .............................
Signature: ..................................
6/6