ELS STPM Graduates ScholarshipELS President’s ScholarshipELS Chairman of Board of Governors ScholarshipUPM-ELS Scholarship






MaleFemale




Permanent address







Postal address


























Full-Time WorkPart-Time WorkUnemployedRetired














Prizes / awards won such as academic / subject prizes, trophies, medals for sports / other competition in school / college / university.

Prizes / awards won such as academic / subject prizes, trophies, medals for sports / other competition in school / college / university.

Prizes / awards won such as academic / subject prizes, trophies, medals for sports / other competition in school / college / university.

Details of past and present assistance, including loans, if any, received from other organisations or other sources.








YesNo


Name of two Referees

Name of two referees to whom reference may be made. Referees named should have known the applicant for a period of not less than three years. Referees can be contactable by telephone during office hours.












Required Documents

Please submit the following documents by uploading them here.


Identity cardSPM / STPM resultsUniversity / College results (if any)References / School testimonialsMUET results


I hereby declare that the information given in this form is true to the best of my knowledge and that I have not wilfully suppressed any material fact relevant to this application.