SHELL MALAYSIA 2011 SCHOLARSHIP APPLICATION FORM confidential

CLOSING DATE: 16 January 2011 IMPORTANT INFORMATION

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The scholarship is awarded to Malaysian students pursuing full-time undergraduate studies (1st degree course) tenable at recognized universities in Malaysia or abroad and Pre-University studies in Malaysia. Students who have completed their SPM/O-Level, STPM/A-Level/Foundation Year/Diploma or currently in their final semester of Matriculation studies are eligible to apply. Please complete the form digitally. Incomplete and late application will be rejected.

If you do not receive any reply from us by 11 February 2011, your application is therefore considered unsuccessful. *Please delete whichever is NOT applicable. This Scholarship Application Form should be submitted online via the Shell Malaysia Online Application website on www.shell.com/my - Jobs & Careers - Students & Graduates Scholarship.

CHOICE OF STUDY Overseas Petroleum Engineering Mechanical Engineering Civil Engineering Electrical Engineering

Geosciences (specify) - Geology

Malaysia Any Discipline (please state) ___Geology____ WHY HAVE YOU CHOSEN THIS DISCIPLINE OF STUDY? Briefly state in not more than 200 words, how your choice of study relates to your aspirations, career objectives and long term goals. It had always been, and will always be my dream to understand more about the formation of Earth. The formation of Earth is a wide field of study that would gives us a better understanding on the Earth. Sometimes, I would ponder about some of the theories posted up by some anonymous geologist, and make my own hypothesis. Over time, I became more and more interested to know more about it, and soon make up my mind to involve myself in this discipline of study. I would like to discover the changes in structure the Earths structure over eons ago, and to me now, the best hypothesis of mine is that the ice age, happening centuries ago had changed the physical structure of the Earth today. It would definitely be great, if Im given to explore more on this discipline of study, so to make better theories, which I hope would give everyone a better explanation and understanding, and who knows, if my accidental discovery would win Malaysia the first Nobel Prize.

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PERSONAL PARTICULARS

Name (as per your MyKad) Liew Zhen Yi NRIC No. 931114-14-5597 State of origin: Sabah/Sarawak/Others* Kuala Lumpur Combined family income (in RM per month) RM 14 000 Family income statement (Are there any unusual family circumstances you want considered as part of your application? Max 100 words) There is. Considering me having 2 younger siblings, it would be economically impossible for my parents to support all 3 of us for tertiary education due to our close range of age. The best solution to this problem is via scholarships that would spare my parents some funds to support my siblings later on to further their studies.

Any physical disability (eg. sight, hearing, speech) : None Page 1/2

Any previous illness/surgery: None

Please quote Disabled (OKU) Identification Card number (where applicable): None 2. ACADEMIC RESULTS Please state your specific academic subjects and exact grade (A+, A-, C+ etc) obtained in SPM/ O-Levels right up to your highest level of studies to date SPM forecast results Chinese English Bahasa Malaysia Mathematics Additional Mathematics Moral Studies B+ A A A+ A+ APhysics Chemistry Biology History English Literature A+ A AA+ B+

3. EXTRA-CURRICULAR ACTIVITIES CLUBS/SOCIETIES/OTHERS YEAR ACTIVITIES REPRESENTED POSITION HELD (Please refer to the list below)

2006Junior Librarian School Duty Leader 2007 2006Bureau of Schools Textbooks School Vice-Chairman 2010 2009SPBT Club School Deputy President 2010 2009Music and Choir Club District President 2010 REPRESENTED : House; School; District; Division; State; National POSITION HELD : Chairman; President; Vice/Dep. President/Chairman; Captain/Leader; Treasurer; School Prefect; Secretary; Assistant; etc. 4. SPECIAL AWARDS RECEIVED YEAR TYPE OF AWARDS GRANTED/SPONSORED BY

5. OTHER FINANCIAL INFORMATION Are you currently receiving any financial assistance or sponsorship from other institution, fund or foundation? YES/NO* If YES, please give details: Institution/Fund/Organisation/Foundation (eg. JPA, MARA, PETRONAS, PTPTN, Year Amount (RM) etc.) 1) 2) 3) 6. REFEREE Provide name and contact information of a teacher, counsellor, instructor or work supervisor (past or present) who may attest to your achievements and qualifications: Name: Madam Loh Tzu Lee Role: Senior Assistant of Students Affair Organisation/Institution: Methodist Boys Secondary School Kuala Lumpur Tel: 019-2099879 Email: tzulee@mbsskl.edu.my

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