Scholarship Application - Big Caring Foundation

Section 1

Personal Information

Full Name (as per IC) *

Email Address *

NRIC No. *

Date of Birth *

Gender *

Contact Number *

Home Address 1 *

Section 2

Current Educational

Name of Institution *

Type of Institution *

Public University Private University

Faculty *

Intake Year *

Current Year & Semester of Study *

Section 3

Past Educational

Primary School Attended

Name of School Attended *

Year of Studied *

—

Secondary School Attended

Name of School Attended *

Year of Studied *

—

SPM Result / Qualification

University/Professional Institutions Attended

Name of University/College Attended *

Year of Studied *

—

Result Qualification *

Grade (CPA/CGPA)

Scholarship/Loan

Have you ever been AWARDED any bursary, scholarship/loan or financial assistance from the University or any government or other sources? ()*

Yes No

Section 4

Details of Parents / Guardian

Parents/Guardian (1)

Parents / Guardian *

Father Mother Guardian

Name (as per NRIC and CAPITAL) *

Age *

Occupation *

Monthly Income *

RM

Other Income

RM

Parents/Guardian (2)

Parents / Guardian

Father Mother Guardian

Name (as per NRIC and CAPITAL)

Age

Occupation

Monthly Income

RM

Other Income

RM

Details of Sibling(s)

Number of Sibling(s) still studying *

Section 5

Emergency Contact

Full Name (as per IC) *

Contact Number *

Home Address 1 *

Relationship with Applicant*

Section 6

Essay

Please share your essay below. *

Section 7

Declaration

Have you ever been convicted in a court of law in any country? *

Yes No

Have you been charged with any offence in a court of law in any country for which the outcome is pending? *

Yes No

Have you been or are you under any financial embarrassment? *

Yes No

You know our scholarship through *

University Facebook / LinkedIn Outlet Wall Advertisement Social / Online Media Referred internally Other

Please Specify *

Personal Data Protection Act 2010 *

I give my consent to BIG CARING GROUP to have my personal data for the purpose of processing this scholarship application. Any Personal Data provided to BIG CARING GROUP will be stored internally for perpetuity. BIG CARING GROUP will take reasonable steps to keep said Data updated and accurate. Applicants retain the right to periodically request BIG CARING GROUP to update their Personal Data which is kept by BIG CARING GROUP, on the condition that any updates should be truthful and accurate.

BIG CARING GROUP shall employ reasonable safety measures to protect any personal data provided, such as antivirus and firewall software, and encryption of electronic data.

I give my consent for the authorities to obtain and verify information from or with any source, as you deem appropriate for the assessment of my application for scholarship.

I declare that the information in this application for scholarship and any sheets attached hereto are true to the best of my knowledge and I have not willfully suppressed any material fact. I accept that if any of information given by me in this application is in any way false or incorrect, I may be disqualified from obtaining the scholarship. *

Agree

Section 8