Acknowledgement Card MUHAMMADIYAH SCHOLARSHIP

Size: px

Start display at page:

Download "Acknowledgement Card MUHAMMADIYAH SCHOLARSHIP"

Alicia Pierce
7 years ago
Views:

1 Acknowledgement Card Name of applicant: This is to acknowledge receipt of your application. The application is complete is incomplete and the following items have not been received Photocopy of NRIC or passport Recent Passport size photograph Copies of all certificates obtained Transcript of exam results Testimonials Letter of offer from relevant institute Mission Statement Appendix A: Report by referee Self address envelope with stamp Please submit the missing item/s by: Please affix stamp here. To: (Name of applicant) (Address of applicant) From: Muhammadiyah Association 14, Jalan Selamat, Singapore Tel:

2 For official use: Reference No: /2012 Date of Receipt: APPLICATION FORM Please write clearly and neatly within the spaces provided. This form comprises 7 pages including this page. Incomplete applications will not be accepted. Please tick the checklist below and ensure all required documents have been provided. Photocopy of NRIC or passport Recent Passport size photograph Copies of all certificates obtained Transcript of exam results Testimonials Letter of offer from relevant institute Mission Statement Appendix A: Report by referee Self addressed envelope with stamp Only shortlisted applicants will be interviewed. Successfull applications will be asked to sign a letter of undertaking and to produce two guarantors. Please send your application to: Muhammadiyah Scholarship 2012 Muhammadiyah Association 14, Jalan Selamat, Singapore All applications must reach Muhammadiyah Association by Friday, 10th August 2012 Page 1 of 7

3 APPLICATION FORM 1. personal particulars Name NRIC / Passport No: Nationality: Singapore Singapore PR Others: Date of Birth: Age: Recent Photograph of Applicant (Passport Size) H/P No: Marital Status: Single Married Tel. (Res.) Widowed Divorced Office No: No. of Children: Permanent Address: Mailing Address (If different from above): NEXTOFKIN 1: Name Relationship to Applicant: Mobile No: Tel. No. (Res): Address NEXTOFKIN 2: Name Relationship to Applicant: Mobile No: Tel. No. (Res): Address 2. referees (please see appendix A) Name 1: Name of Organisation: Name 2: Name of Organisation: Page 2 of 7

4 APPLICATION FORM FOR 3. academic background TERTIARY EDUCATION: Awarding Institution Qualification Obtained POSTSECONDARY EDUCATION: Name of School / Institution Qualification Obtained SECONDARY EDUCATION: Name of School Qualification Obtained # Please attach copies of certificates obtained and transcripts of exam results. 4. application history Are you applying for any other scholarship? No Yes If Yes, please specify which scholarship and from which organisation. Name: Awarded by: Have you ever been awarded any scholarship before? No Yes If Yes, please specify which scholarship, what year and from which organisation. 1. Name: Year: Awarded by: 1. Name: Year: Awarded by: Have you ever applied for Muhammadiyah Scholarship? No Yes If Yes, please specify what year. Page 13 of 7

5 APPLICATION FORM FOR 5. work experience (current occupation first) 1. Name of Company Status: Full Time Part Time 2. Name of Company Status: Full Time Part Time 3. Name of Company Status: Full Time Part Time 6. voluntary experience 1. Name of Institution 1. Name of Institution Page 14 of 7

6 APPLICATION FORM FOR 7. intended course of study Please provide details of the degree/diploma course that you will be or are currently pursuing. Institution: Status: Full Time Part Time Title of course: Duration of course: Years Subjects Offered: Date of enrollment: Description of course: Do you have a confirmed letter to pursue this course? No Yes (If yes, please attach) 8. mission statement Please attach a statement explaining why you are applying for this scholarship. What are your goals and aspirations? What would you like to achieve after obtaining your degree / higher qualifications? Attach a separate sheet of paper. (Maximum 1500 words) 9. others Have you ever attended any of Muhammadiyah s classes? No Yes If yes, please name the ustadz. 9. declaration I confirm that the information provided by me on this form is correct. I understand that any false or inaccurate information or omission of information will render the application void and invalid. I will withdraw from the programme and reimburse any scholarship monies received if I am selected on the basis of such information. Name of applicant: Signature: NRIC No: Date: Page 5 of 7

7 APPLICATION FORM Name of applicant: Name of referee: appendix A REPORT BY REFEREE 1 This form must be furnished by the 1st referee. Each completed report must be sealed and signed across the seal by the referee and returned to the applicant. The report by the referee must be submitted together with the application form. Name of organisation: Relationship to applicant: Mobile / Tel. No: No. of years known: 1. How would you rate the applicant s ability in undertaking the higher studies? 2. What do you consider to be the applicant s strengths and weaknesses? 3. Additional comments by the referee. We would appreciate any information or details about the applicant which would help in assessing the application. Name of Referee: Signature of Referee: Date: Page 6 of 7

8 APPLICATION FORM Name of applicant: Name of referee: appendix A REPORT BY REFEREE 2 This form must be furnished by the 2nd referee. Each completed report must be sealed and signed across the seal by the referee and returned to the applicant. The report by the referee must be submitted together with the application form. Name of organisation: Relationship to applicant: Mobile / Tel. No: No. of years known: 1. How would you rate the applicant s ability in undertaking the higher studies? 2. What do you consider to be the applicant s strengths and weaknesses? 3. Additional comments by the referee. We would appreciate any information or details about the applicant which would help in assessing the application. Name of Referee: Signature of Referee: Date: Page 7 of 7

MASTER OF SCIENCE (PHARMACEUTICAL SCIENCES AND TECHNOLOGY) APPLICATION PACKAGE

MASTER OF SCIENCE (PHARMACEUTICAL SCIENCES AND TECHNOLOGY) APPLICATION PACKAGE DEPARTMENT OF PHARMACY FACULTY OF SCIENCE NATIONAL UNIVERSITY OF SINGAPORE Department of Pharmacy, Faculty of Science, National