MIDF Education Assistance Programme

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Marshall Wilcox
5 years ago
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1 MIDF Education Assistance Programme IMPORTANT : 1. Please read this form carefully before filling up. 2. All Information given herein will be treated in strict confidence. SECTION A : INSTRUCTION 1. Please complete all the information required in the form. 2. Submit the form via to midf.eduassistance@midf.com.my OR mail to: Malaysian Industrial Development Finance Berhad (3755-M) Level 21, Menara MIDF 82, Jalan Raja Chulan Kuala Lumpur, Malaysia (Attention to Group Human Resources) 3. The application form shall be submitted together with the following document: STPM 2017 Leaver Copy of Identification Card (NRIC) School Leaving Certificates School Testimonials (if any) Copy of STPM result Income Statement as follows: Parents / Guardian s latest pay slip (2018) AND/OR Form J from Inland Revenue Board (LHDN) OR Income Declaration for those with no income duly certified by OR Copy of Pension Card and latest pension slip (2018) duly certified by Document stating the financial assistance received from other organisations / sources (if any) Pre-University Level (Foundation/Matriculation ) Copy of Identification Card (NRIC) School Leaving Certificates School Testimonials (if any) SPM / SPVM / Results Latest Pre-University Level (Foundation/Matriculation ) University/College acceptance letter (if any) Income Statement as follows: Parents / Guardian s latest pay slip (2018) AND/OR Form J from Inland Revenue Board (LHDN) OR Income Declaration for those with no income duly certified by OR Copy of Pension Card and latest pension slip (2018) duly certified by Document stating the financial assistance received from other organisations / sources (if any) First Year of Bachelor s Degree Copy of Identification Card (NRIC) School Leaving Certificates School Testimonials (if any) SPM / SPVM / O Level / A Level / Matriculation / Foundation / University/College Results University/College acceptance letter Document stating the course fee from the University/College Academic Calendar Income Statement as follows: Parents / Guardian s latest pay slip (2018) AND/OR Form J from Inland Revenue Board (LHDN) OR Income Declaration for those with no income duly certified by Commissioner of Oath (Pesuruhjaya Sumpah) OR Copy of Pension Card and latest pension slip (2018) duly certified by Document stating the financial assistance received from other organisations / sources (if any) 1

2 SECTION B : APPLICANT PERSONAL DATA Name (as per NRIC) : Address : NRIC No. : Nationality : Tel No.(House) : Tel. No. (Mobile) : Date of Birth : Place of Birth : Gender : Female / Male Religion : Marital Status : Single / Married / Divorced / Widow Race : Address : SECTION C : FAMILY INFORMATION FATHER / GUARDIAN Name Age : NRIC No. Contact No. (House / Mobile) Current Employer & Address Designation / Position Monthly Gross Income (RM): (as per pay slip or other income statement provided) MOTHER / GUARDIAN Name Age : NRIC No. Contact No. (House / Mobile) Current Employer & Address Designation / Position Monthly Gross Income (RM): (as per pay slip or other income statement provided) 2

3 DETAILS OF SIBLINGS (Please fill in according to age, eldest first) NAME AGE GENDER OCCUPATION NAME OF EMPLOYER/INSTITUTION SPOUSE (IF ANY) Name NRIC No. Contact No. (House / Mobile) Current Employer & Address Age: Designation / Position Monthly Gross Income (RM) : (as per pay slip or other income statement provided) DETAILS OF CHILDREN (IF ANY) NAME DATE OF BIRTH GENDER 3

4 SECTION D : EDUCATION INFORMATION NAME OF SCHOOL / INSTITUTION FROM TO COURSE/MAJOR SECTION E : ACADEMIC RESULT INFORMATION EXAMINATION YEAR RESULT SPM / SPVM STPM MATRICULATION / FOUNDATION 1 ST YEAR DEGREE OTHERS SECTION F: CURRENT FIELD OF STUDY Course/Major Location of Institution Name of Institution Expected Duration of Study Commencement of Study (mm/yyyy) Expected Completion of Study (mm/yyyy) 4

5 SECTION G : EXTRA CO-CURRICULAR ACTIVITIES/SPORTS STUDENTS SOCIETY/ASSOCIATION/CLUB POSITION HELD ACHIEVEMENT YEAR SECTION H : FINANCIAL ASSISTANCE Details of past and present assistance, including loans, if any, received from other organizations or other sources Year received Loan or Scholarship Name of organisation / other sources Amount (RM) Bonded/Contractual Employment Obligation (circle any) Yes No Yes No Yes No DECLARATION I hereby declare that the information given in this form is true to the best of my knowledge and that I have not willfully suppressed any material fact relevant to this application. I understand that MIDF BERHAD has the right to reject my application if the information provided in this form is found incorrect or inaccurate during validation. Name : Signature : NRIC No. : Date : 5

6 DOCUMENT CHECKLIST The following documents will be required IF you are shortlisted for interview session. Only shortlisted candidate will be notified. No. Documents Original (Yes/No) Certified True Copy (Yes/No) 1. University/College acceptance letter 2. Document stating the course fee from the University 3. Academic Calendar 4. Identification Card (NRIC) 5. SPM / SPVM results 6. STPM / Matriculation / Foundation results 7. University/College results 8. School Leaving Certificates 9. School Testimonials (if any) 10. Income Statement as follows: Parents / Guardian s latest pay slip (2018) AND/OR Form J from Inland Revenue Board (LHDN) OR Income Declaration for those with no income duly certified by (Pesuruhjaya Sumpah) OR Copy of Pension Card and latest pension slip (2018) duly certified by 11. Document stating the financial assistance received from other organizations / sources 6

MIED STUDY LOAN APPLICATION FORM

For Office use only Affix Photo App. No: Std No: (Please paste) Ref. No: : Received By: Date: 2008 Closing Date: August 15, 2008 MIED STUDY LOAN APPLICATION FORM TERMS OF APPLICATION 1. MiED Study Loan