Have you applied for other scholarships?

NO YES, please state the name of the scholarship(s)

Programme Diploma

Foundation in Leading to Degree

Degree

Intake Student ID CampusMonth Year

Final decision and recommendations

Verified and checked by:

Name

Date

Approved by:

Name

Date

FOR OFFICE USE ONLY

Passport No

Home Address

Home Telephone No Mobile Phone No

Email Address

Name (as in Passport) Date of Birth Day

Postcode Town/City State

Month Year

Passport / Identity Card No

Home Address

Home Telephone No Mobile Phone No

Occupation

Name (as in Passport) Relationship

Postcode Town/City State

PART 3: Details of Next of Kin

UCSI UNIVERSITY TRUST EDUCATION GRANTApplication Form (For International Students)

PART 1: Academic Programme

D D / M M / Y Y

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Year 11/O-Levels

Result Year SemesterYear 12/A-Levels/Diploma/Foundation/Other:__________

A+ A A- E

HSC (Year )A-LevelsIGCSE O-Levels

No No

1. 7.

2. 8.

3. 9.

4. 10.

5. 11.

6. 12.

Subjects and results

Subject Grade GradeSubject

No Grade / Award

1.

2.

3.

4.

5.

No Year Special Achievement

1.

2.

3.

4.

5.

Name of School Telephone No

Others (please specify) Overall grade/aggregate

Address

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Highest Academic Qualification

Recent Passport-sized photo

Grant Grant is at Grant

Name of Applicant

Passport / IdentityCard no.

Signature of ApplicantDate

Apart from the specific terms and conditions prescribed for the Grant, all applicants must:

1. Be a registered full-time student at UCSI University with a valid student visa and meet the entry and English requirements.

2. In the event that a successful applicant does not fulfill the English requirements, he/she needs to sit for the English Placement Test and undergo the English Enrichment Programme prior to the programme.

3. Complete the education grant application form.

4. Furnish true and accurate information, failing which their application will be withdrawn without prior notice.

5. Forecast result is accepted for application if the official result has not been released at the point of new intake.

6. Submit application form to the UCSI University Trust before the submission deadline.

7. Submit their applications early for prompt approval. Late and incomplete applications will not be considered.

8. Produce certified true copy of examination results and other supporting documents stipulated in the form.

9. NOT be bonded to or be a recipient of any financial aid or award/ scholarship/ bursary from other educational institution or organisations.

1. Successful applicants will be informed by the UCSI University Trust via email. They must confirm acceptance of the grant within 2 weeks, failing which the offer will be automatically withdrawn.

2. Grant offered is based on actual results only and will be effected from the date an official offer is made.

3. The grant awarded is in the form of tuition fee waiver for the programme and duration offered and is neither transferable to another candidate nor exchangeable for cash.

4. Successful applicants are to pay the initial tuition fees stated in the Letter of Acceptance issued by UCSI University, any miscellaneous fees and other fees that are not covered by the education grant including the cost for English Enrichment Programme.

5. Successful applicants have to sign an agreement with the UCSI University Trust and observe the terms and conditions as set therein.

6. Successful applicants must maintain their discipline, attendance and good behavior through their studies at UCSI University.

7. Successful applicants are to participate actively in the institution’s sports, extracurricular and other relevant activities.

8. Successful applicants must maintain a minimum CGPA of 3.00 in every semester throughout the length of education grant, below which the education grant will be revoked.

9. Successful applicants are to voluntarily contribute effort and time by participating in the Student Work Assignment to assist the UCSI University and the UCSI University Trust in its various workplace and community projects (30 - 50 SWA Points per normal semester or 15 - 25 SWA Points per short semester).

10. All information provided by the successful applicant must be true and correct. If inaccurate information is provided, the grant will be withdrawn without prior notice.

11. Grant may be terminated at any time in the event of gross misconduct or failure to meet the required academic grades.

12. Successful applicants are to pay back the grant amount received up to date in case of withdrawal.

13. Tuition fee waivers are not cumulative. If recipients qualify for other UCSI Scholarship, Grant, Assistantship or Sibling’s scheme, recipients will be entitled to either one that they are eligible for.

14. In the event of dispute on the eligibility for the grant, the decision made by the Scholarship Selection Committee is final and no appeals will be entertained.

15. The quantum and number of education grant to be offered are subject to the final approval by UCSI University Trust and no appeals will be entertained.

16. For the continuation of the scholarship, successful applicants are required to apply for the UCSI University Trust Scholarship using Degree Year 1 results. Shortlisted applicants are required to undergo scholarship interview and the continuation of scholarship will be subject to the decision made by the Scholarship Selection Committee.

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GeneralArchitecture (Degree)/Nursing/OptometryArchitecture (Diploma)PharmacyMedicine

6 Dec 2019 (Jan 2020 Intake)6 Dec 2019 (Jan 2020 Intake)6 Dec 2019 (Jan 2020 Intake)24 Jul (Aug 2020 Intake)7 Aug (Sep 2020 Intake)

10 Apr (May 2020 Intake)5 Jun (Jul 2020 Intake)10 Apr (May 2020 Intake)

7 Aug (Sep 2020 Intake)

4 Sep (Oct 2020 Intake)

examination result transcripts

UCSI UNIVERSITY TRUST EDUCATION GRANT(For International Students)

UCSI UNIVERSITY TRUST EDUCATION GRANT

.

is to be granted accordingly for diploma or degree Year 1 study at UCSI University.

(including English Language & the relevant subjects)

UCSI University Trust Education Grant is offered to International students who enroll in any of the diploma or degree programme or foundation programme leading toa degree at UCSI University.

Please approach Student Enrolment Centre of the university or college, or email to scholarship@ucsiuniversitytrust.com for finding out the eligibility to the Education Grant.

Criteria

UCSI UNIVERSITY TRUST

www.ucsiuniversitytrust.com

UCSI University Kuala Lumpur Campus, 11th Floor, Block G, No.1, Jalan Menara Gading, UCSI Heights (Taman Connaught), Cheras, 56000, Kuala LumpurTel: +603 9101 8880 | Email: scholarship@ucsiuniversitytrust.com

• Maintain a minimum CGPA of 3.00 in every semester throughout the length of Education Grant, below which the Education Grant will be revoked.Maintain their discipline, attendance and exemplary behaviour throughout their studies at UCSI University.•

Successful recipients must

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UCSI Education Sdn Bhd (185479-U)