13
SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th Floor, SUMMIT Tower Persiaran Kewajipan USJ 1 47600 UEP Subang Jaya Selangor, Malaysia www.imperia.edu.my Effective on August 2016 intake onwards IMPERIA INSTITUTE OF TECHNOLOGY

SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

  • Upload
    others

  • View
    5

  • Download
    0

Embed Size (px)

Citation preview

Page 1: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SCHOLARSHIPS & FINANCIAL AID

ENRICHING KNOWLEDGE

Suite 11.01, 11th Floor, SUMMIT Tower Persiaran Kewajipan USJ 1

47600 UEP Subang Jaya Selangor, Malaysia

www.imperia.edu.my

E f f e c t i v e o n A u g u s t 2 0 1 6 i n t a k e o n w a r d s

IMPERIA INSTITUTE OF TECHNOLOGY

Page 2: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

The IMPERIA vision is to provide global recognition education and industrial endorsement to all Malaysian Students.

To provide an opportunity for secondary school leavers to pursue their higher education, IMPERIA offers a range of scholarships for deserving students.

IMPERIA’s scholarships rewards are open to all full time Malaysian students

Page 3: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SCHOLARSHIP & FINANCIAL AID

FOR SPM/O LEVEL

Foundation/Diploma (1st year)

Academic Achievement Scholarship Entitlement SPM O-Level Foundation Diploma 9 (A+,A) and above 9As Up to 70% tuition fee waiver Up to 100% tuition fee waiver

8 (A+,A, A-) 8As Up to 40% tuition fee waiver Up to 50% tuition fee waiver

7(A+,A, A-) 7As Up to 30% tuition fee waiver Up to 40% tuition fee waiver 6(A+,A, A-) 6As Up to 20% tuition fee waiver Up to 30% tuition fee waiver 5(A+,A, A-) 5As Up to 10% tuition fee waiver Up to 20% tuition fee waiver

FOR FOUNDATION + FRANCHISED (3+0) DEGREE PROGRAMME

Academic Achievement Scholarship Entitlement SPM O-Level Foundation + Degree 8 (A+,A) and above 8As Up to 80% tuition fee waiver + 10% tuition fee waiver for Degree Year 1

7 (A+,A, A-) 7As Up to 50% tuition fee waiver + 10% tuition fee waiver for Degree Year 1

6(A+,A, A-) 6As Up to 40% tuition fee waiver + 10% tuition fee waiver for Degree Year 1 5(A+,A, A-) 5As Up to 30% tuition fee waiver + 10% tuition fee waiver for Degree Year 1 4(A+,A, A-) 4As Up to 20% tuition fee waiver + 10% tuition fee waiver for Degree Year 1

3+0 Franchised Degree Programme

FOR STPM/UEC

Qualification Achievement Scholarship Entitlement

STPM (4 best subjects) CGPA of 3.5 Up to 40% tuition fee waiver for the entire programme

CGPA of 3.0 Up to 20% tuition fee waiver for the entire programme

UEC (6 best Subjects)

10 points 40% tuition fee waiver for the entire programme

20 points 30% tuition fee waiver for the entire programme

24 points 20% tuition fee waiver for the entire programme

FOR OTHER PRE –UNIVERSITY PROGRAMMES

Qualification Achievement Scholarship Entitlement

A-LEVEL

15 points Up to 50% tuition fee waiver for 1st year

13 points Up to 30% tuition fee waiver for 1st year 12 points Up to 15% tuition fee waiver for 1st year

Australian Matriculation

ATAR/TER 90 Up to 30% tuition fee waiver for 1st year

ATAR/TER 85 Up to 20% tuition fee waiver for 1st year

ATAR/TER 80 Up to 10% tuition fee waiver for 1st year

Canadian Pre -U ( 6 Best Subjects)

90% Up to 30% tuition fee waiver for 1st year

85% Up to 20% tuition fee waiver for 1st year

80% Up to 10% tuition fee waiver for 1st year

Updated 02/06/16

Closing Date: 2 weeks before class commencement

A Level result A* - 6 points A – 5 points B – 4 points C- 3 points D – 2 points E- 1 point

Page 4: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SCHOLARSHIP & FINANCIAL AID

Criteria:

Qualification Achievement Scholarship Entitlement

Foundation/Diploma

CGPA 4.00 or equivalent Up to 50% tuition fee waiver for 1st year or next progression programme at IMPERIA

CGPA 3.85 or equivalent Up to 40% tuition fee waiver for 1st year or next progression programme at IMPERIA

CGPA 3.75 or equivalent Up to 30% tuition fee waiver for 1st year or next progression programme at IMPERIA

CGPA 3.25 or equivalent Up to 20% tuition fee waiver for 1st year or next progression programme at IMPERIA

CGPA 2.67 or equivalent Up to 10% tuition fee waiver for 1st year or next progression programme at IMPERIA

CGPA 2.00 RM 500 (one-off deduction)

Criteria:

Programme Entitlement Foundation/Diploma/3+0 Degree at IMPERIA RM 1500 tuition fee waiver (one-off Deduction)

Criteria:

Programme Entitlement

Foundation/Diploma/3+0 Degree at IMPERIA Payment of RM 300 will be made to student introducer for every student introduced and enrolled.

Updated 02/06/16

Existing IMPERIA students who have completed 1 programme at IMPERIA and progressing to higher

level programme at IMPERIA

This scheme is applicable to new students who are enrolling for the 1st time at IMPERIA.

The student must have a sibling who is currently studying at IMPERIA or has a sibling who is an IMPERIA alumni.

This scheme is applicable to both Malaysian and International Students.

Student introducer must be an existing student (enrolled students).

Only those successful appointments being made with the IMPERIA counselor will be counted.

Closing Date: 2 weeks before class commencement

Closing Date: Intake Date

Page 5: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SCHOLARSHIP & FINANCIAL AID

Criteria:

Entitlement National player / Representative RM 2000 tuition fee waiver (one-off Deduction) State player/ Representative RM 1000 tuition fee waiver (one-off Deduction) District Player / Representative RM 800 tuition fee waiver (one-off Deduction) School Player / Representative RM 500 tuition fee waiver (one-off Deduction) School Sportsman / Sportswoman RM 1000 tuition fee waiver (one-off Deduction)

Criteria:

Entitlement

Monitor, Prefect, Club President, Chairman, Treasurer (Uniformed Bodies) & other positions of equivalent standing

RM 500 tuition fee waiver (one-off Deduction)

Criteria:

Entitlement Diploma/Foundation 20% tuition fee waiver for the entire duration of studies at IMPERIA.

Other miscellaneous fees are not included in the tuition fees have to be borne by students.

Degree 3+0 programme 15% tuition fee waiver for the entire duration of studies at IMPERIA. Other miscellaneous fees are not included in the tuition fees have to be borne by students.

Updated 02/06/16

State or national players in various sports, or

Meet the entry requirements for each individual programme

This scholarship is applicable to both Malaysian and International Students.

Meet the minimum academic requirement

Either parent must be currently teaching in any government, private or Chinese Independent Secondary School. (Principals, Deputy Principals, Teaching Staff including Counselors)

Meet the entry requirements for each individual programme

This scholarship is applicable to both Malaysian and International Students.

Closing Date: Intake Date

Closing Date: Intake Date

Closing Date: Intake Date

Page 6: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SCHOLARSHIP & FINANCIAL AID

Criteria:

Entitlement

Foundation/Diploma/Degree (3+0) programme

15% tuition fee waiver for the entire duration of studies at IMPERIA. Other miscellaneous fees are not included in the tuition fees have to be borne by students.

Criteria:

Qualification Full Scholarship Partial Scholarship (50% entitlement) SPM/O-Level 9 (A+,A, A-) and Above including English 7(A+,A, A-)

STPM 4As or CGPA ≥ 3.80 3As or CGPA ≥ 3.40

A-Level 3As 3Bs

UEC 8As including English 5As including English

IMPERIA Diploma CGPA ≥ 3.80 CGPA ≥ 3.40

IMPERIA Foundation CGPA ≥ 3.80 CGPA ≥ 3.40

*Term & Conditions apply for all application Application Deadline : 2 weeks before the commencement of courses Application form can be obtained from Marketing Department

Updated 02/06/16

Student can also seek other financial aid from PTPTN, MARA or EPF Perbadanan Tabung Pendidikan Tinggi Nasional (PTPTN) Loan

Student can apply for PTPTN loan based on their results. For more information kindly visit www.ptptn.gov.my

MARA Study Loan Bumiputera student can apply for MARA Study loan based on their results. For more information kindly visit www.mara.gov.my

EPF withdrawal Parent can withdraw funds from their EPF Account to help finance their children’s diploma or degree education. For more information, kindly visit www.kwsp.gov.my

The amount of scholarship is subject to Associate Company Approval

Shortlisted applicants will be notified by IMPERIA via email or sms of the date, time and venue of

the interview to be conducted

Meet the minimum academic requirement

Either parent must be currently working in the related industry. (Estate Agents, Registered Negotiators, Valuers, Property Managers, Quantity Surveyors, Contractors, Property Developers)

Closing Date: Intake Date

Page 7: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

GENERAL TERM & CONDITION FOR ALL SCHOLARSHIPS (EXCLUDES FINANCIAL AID)

1. The award, unless specifically indicated, are open to Malaysian citizens only.

20. Terms and conditions are subject to change without prior notice. All decisions made by the management of IMPERIA on matters not covered above are final and binding. 2. The Scholarship is offered strictly to full-time registered student at IMPERIA

Institute of Technology. 3. The applicant must meet the programme entry requirement to be eligible

for scholarship. OTHER SPECIFIC TERMS & CONDITIONS

4. Meeting the minimum criteria does not automatically guarantee the applicant a scholarship. It subjects to quota set by IMPERIA Institute of Technology.

A) IMPERIA MERIT SCHOLARSHIP/ IMPERIA STUDENT LOYALTY SCHOLARSHIP

5. Once awarded, Scholarship recipients must be enrolled as full-time students for the entire programme.

1. The scholarship will be subjected to a review at the end of every semester. A Scholar must pass all examinations (subjects), maintain.

6. Applicant, must only use the latest (current year) official result to apply for all IMPERIA scholarship, except the following: i) IMPERIA Secondary School Teacher Recognition Award, IMPERIA

Outreach Industry Scholarship & IMPERIA Sibling Loyalty Scheme ii) O-level/A-Level qualification has validity of 1 year for IMPERIA

Scholarship application purpose.

high academic and exemplary behaviour throughout their studies at IMPERIA to continue enjoying the award. Falling which the scholarship can be withdrawn

GPA 3.33 or average 70% for scholars entitled to a tuition fee

wives of 50% and more.

7. At all times, applicants are entitled to only ONE of the following awards–

scholarship, fee waiver, fee discount or any other financial awards – given by IMPERIA Institute of Technology. The award with the highest quantum will automatically apply.

GPA of 3.0 or average 65% for scholars who entitled to tuition fee waives of less than 50%

8. a) The applicant must complete the enclosed application form together with a copy of the following documents:

i) Official exam result of the most recent examination; ii) Parent proof income-last 2 years’EA/Salary slips for 3 months, and last

2 years’ income tax form-Form B/Form BE. b) The award will only be granted if the official result meets the eligibility requirements. c) Incomplete or late application will not be accepted

2. If a student fails to maintain the required score of GPA or Grade

Average, the scholarship / award will be suspended for the next

semester. The student must pay the full tuition fee to continue with

the course in the semester where the Scholarship/ award is

suspended (“Suspended Semester”). Should the student meet the

academic requirements for the Suspended Semester, the scholarship

will be reinstated for the subsequent semester (provided that the

9. The scholarship is neither transferable nor exchangeable for cash. All scholarships are applicable for studies at campuses of IMPERIA Institute of Technology only and are NOT applicable for period of study at overseas partner universities.

scholarship / award is still valid for the subsequent semester), failing which the scholarship will be /deemed terminated. There will be no refund of fees paid by the student for the Suspended Semester.

10. The awards recipient is responsible to : i) Make timely payment of fees in line with IMPERIA policies and

procedure, failing which IMPERIA reserves the right to take necessary action, including suspension/termination of the award. Reinstatement of the award is also subject to the discretion of IMPERIA;

B) IMPERIA SECONDARY SCHOOL TEACHER

RECOGNITION SCHOLARSHIP/ IMPERIA

OUTREACH INDUSTRY STUDY SCHOLARSHIP

ii) Comply with all applicable rules and regulation stipulated by IMPERIA iii) Take part in student activities or community projects specified by

IMPERIA and where required; iv) contribute up to maximum 40 hours per year of their time to assist

the IMPERIA in marketing and promotional activities, peer counselling, extracurricular activities, and other administration work as notified by the IMPERIA. Failure to comply with such requests without reasons/acceptable to the IMPERIA may result in suspension or termination of the award/ scholarship

1. 2.

Award recipient must maintain high academic and exemplary behaviour throughout their studies at IMPERIA to continue enjoying the award. Falling which the scholarship can be withdrawn. - Full passes in all subjects and the applicable GPA/required average

below:

GPA 2.70 or average 60% The parent must submit a certified true copy of Secondary School Teacher/Industry identification/Staff identification document as proof.

11. 12.

The Scholarship is awarded in the form of deduction on tuition fee ONLY. The award is only for tuition fee waiver; the award is exclusive of application, registration, resource, assessment and franchise fees to partner university (if applicable), all of which must be borne by the successful applicant.

C) IMPERIA LEARDERSHIP EXCELLENCE SCHOLARSHIP/ IMPERIA SPORT EXCELLENCE SCHOLARSHIP

13. 14. 15.

Students receiving scholarship from other bodies are not eligible for the scholarship. The terms and manner in which the scholarship is disbursed will be decided by IMPERIA. All decision made by the IMPERIA Institute of Technology Scholarship Committee are final. IMPERIA reserves the right to change the term & Condition of the scholarships as and when required without prior notice.

1. 2.

At all times, applicants/students are entitled to only ONE of the following awards– scholarship, fee waiver, fee discount or any other financial awards – given by IMPERIA Institute of Technology. The award with the highest quantum will automatically apply. The award is for /as partial tuition fee waiver and is exclusive of application, registration, resource, assessment and franchise fees to partner university (if applicable), all of which must be borne by the successful applicant.

16. In the event of a dispute on the eligibility for the scholarship, the decision by the Scholarship Committee is Final.

D) IMPERIA SIBLING LOYALTY SCHEME/IMPERIA AMBASSADOR SCHEME

17. IMPERIA reserves the right to involve the scholarship recipients in interviews, advertisements, photography or other publicity related activities for the purpose of promoting the education institution.

The applicant must submit a certified true copy of: i) Birth certificate of student and sibling ii) Alumni’s official certificate or examination result(s) for IMPERIA

18. The scholarship will be terminated upon completion of the normal prescribed study period specified by the IMPERIA.IMPERIA Institute of Technology reserves the right to decide on the number / amount of scholarships to be awarded.

2. At all times, applicants/students are entitled to only ONE of the following awards– scholarship, fee waiver, fee discount or any other financial awards – given by IMPERIA Institute of Technology. The award with the highest quantum will automatically apply

19. IMPERIA Institute of Technology reserves the right to terminate the scholarship if the student does not comply with the rules and regulation stipulated by IMPERIA in the student handbook and conditions mentioned herein.

3. The award is for /as partial tuition fee waiver and is exclusive of application, registration, resource, assessment and franchise fees to partner university (if applicable), all of which must be borne by the successful applicant.

Page 8: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SPECIFIC TERM & CONDITIONS FOR EDUCATION SCHOLARSHIP FROM ASSOCIATE COMPANY (EG: SENTORIA BHD, ACCORD CONSTRUCTION SDN BHD, OTHERS) 1. The award is open to Malaysian citizens only. 12. The scholarship is neither transferable nor exchangeable for cash.

2. The Scholarship is offered strictly to full-time registered student at IMPERIA Institute of Technology.

13. All scholarships are applicable for studies at campuses of IMPERIA in Malaysia only and are not applicable for period of study at overseas partner universities.

3. Once awarded, Scholarship recipients must be enrolled as full-time students for the entire programme

14. At all times, applicants/students are entitled to only ONE of the for Scholarship award. Students receiving scholarship from other bodies are not eligible for this scholarship. 4. Shortlisted applicants will be notified by IMPERIA via email or sms of the

date, time and venue of the interview to be conducted. 15. The terms and manner in which the scholarship is disbursed will be decided by IMPERIA/Associate Company. All decision made by the IMPERIA Institute of Technology Scholarship Committee and Associate Company are final.

5. Successful applicant will be informed by the IMPERIA via email within 2 weeks after the interview, they must confirm acceptance of the scholarship within 2 weeks, failing which it will be automatically withdrawn.

6. Applicant must only use the latest (current year) official result to apply for this scholarship award.

16.

IMPERIA/Associate Company reserves the right to change the term & Condition of the scholarships as and when required without prior notice. 7. Student must meet the programme entry requirement prior to be eligible

for scholarship. 17. In the event of a dispute on the eligibility for the scholarship, the decision by the Scholarship Committee is Final. 8. Awardees have to sign an agreement with Associate Company and

observe the terms and conditions as set therein. 18. IMPERIA/Associate Company reserves the right to involve the scholarship recipients in interviews, advertisements, photography or other publicity related activities for the purpose of promoting the education institution.

9. Awardees must achieve and maintain high academic and exemplary behaviour throughout their studies at IMPERIA to continue enjoying the award:- • Full passes in all subjects and the applicable GPA/require average

below: GPA of 3.33 or average 70% every semester

• Actively in College’s sport, extracurricular and other related activities.

19. All scholarship applications must be accompanied by completed registration form and any other required documents.

20. The scholarship will be terminated upon completion of the normal prescribed study period specified by the IMPERIA campus.

10. If a student fails to maintain the required score of GPA or Grade Average, the scholarship / award will be suspended for the next semester. The student must pay the full tuition fee to continue with the course in the semester where the Scholarship/ award is suspended (“Suspended Semester”). Should the student meet the academic requirements for the Suspended Semester, the scholarship will be reinstated for the subsequent semester (provided that the scholarship / award is still valid for the subsequent semester), failing which the scholarship will be/deemed terminated. There will be no refund of fees paid by the student for the Suspended Semester.

20. IMPERIA Institute of Technology/Associate Company reserves the right to decide on the amount of scholarships to be awarded.

21. IMPERIA Institute of Technology/Associate Company reserves the right to terminate the scholarship if the student does not abide by the rules and regulations stated in the student handbook.

22. Terms and conditions are subject to change without prior notice. All decisions made by the management of IMPERIA and Associate Company on matters not covered above are final and binding.

11. Awardees are required to contribute effort and time up to maximum 40 hours per semester of their time to assist the IMPERIA & Associate Company in it various office and community projects. (Including marketing and promotional activities, peer counselling, extracurricular activities, and other administration work as notified by the College. ) Failure to comply with such requests without reasons/reasons acceptable to the College may result in suspension or termination of the award/ scholarship.

Page 9: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SCHOLARSHIP & FINANCIAL AID APPLICATION FORM

SCHOLARSHIP - Please tick (√) the applicable category (one only):

IMPERIA Merit Scholarship IMPERIA Secondary School Teacher Recognit ion Scholarship

IMPERIA Student Loyalty Scholarship IMPERIA Outreach Industry Study Scholarship

IMPERIA Sport Excel lence Scholarship IMPERIA Ambassador Scheme

IMPERIA Leadership Excel lence Scholarship Other:

IMPERIA Sibl ing Loyalty Scheme

Are you currently holding any other scholarship/Financial Aid? Yes No

If yes, please state the name of the provider :

SECTION A: PERSONAL INFORMATION Please fill in all the sections using BLOCK LETTERS only.

Name of Applicant as per I.C./Passport (Please underline surname)

NRIC/Passport Number : Nationality :

Gender : Female Male

Telephone Number : Mobile Number :

Email : Race : Age :

SECTION B: QUALIFICATION (Please tick (√) and attach a certified copy of certificate)

SPM O-Level Year Completed

STPM A-Level

UEC Australian Matriculation

Foundation Canadian Matriculation

Others, (Please State) Year Completed

Diploma Programme Name Year Completed

SECTION C: PROGRAMME APPLIED

Programme :

Intake : School/Faculty :

Year :

IMPERIA INSTITUTE OF TECHNOLOGY

Page 10: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SECTION D : ACADEMIC QUALIFICATION (SECONDARY SCHOOL/INSTITUTION ATTENDED)

Name of School (SPM/O-Level) :

Year : Result :

Address :

Tel : Fax :

Name of School (STPM/A-Level) :

Year : Result :

Address :

Tel : Fax :

Name of Institution (Others) :

Programme Name :

Year : Result :

Address :

Tel : Fax :

SECTION E : EXTRACURRICULAR ACTIVITIES (Please attach certified copies of testimonial and certificates)

ACTIVITIES/SOCIETIES No. Activities/Societies/Others Year Position

1.

2.

3.

4.

5.

ACHIEVEMENTS No. Prizes/Awards won Name of Competition Placing Level of Competition Year

1.

2.

3.

4.

5.

Page 11: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

SECTION F : FAMILY BACKGROUND (Please attach a certified of Parents’/Guardian’s income tax statement)

DETAIL OF PARENTS FATHER/GUARDIAN MOTHER

Name :

NRIC Number :

Occupation :

Name & Address of Employer :

Office Telephone Number :

Mobile Telephone Number :

Monthly Income (RM) :

SIBLINGS’ DETAILs

Sibling who are working

Name Age Gender Occupation Name of Company Monthly Income (RM)

Sibling who are currently pursing their education

Name Age Gender Name of School/College Source of Financial Support

Page 12: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

FOR SIBLING LOYALTY SCHEME

Name of Sibling (IMPERIA ALUMI/STUDENT) : NRIC :

Contact Number : Programme: Intake/Year:

FOR AMBASSADOR SCHEME

Name of Ambassador : NRIC :

Contact Number : Programme: Intake/Year:

Name of Registered Student : NRIC :

Contact Number : Programme: Intake/Year:

Amount

Name of Registered Student : NRIC :

Contact Number : Programme: Intake/Year:

Amount

Name of Registered Student : NRIC :

Contact Number : Programme: Intake/Year:

Amount

TOTAL :

All application are to be mailed or handed to:

IMPERIA Institute of Technology 11th Floor, SUMMIT Tower Persiaran Kewajipan USJ 1 47600 UEP Subang Jaya Selangor, Malaysia

Email : [email protected] Website : www.imperia.edu.my

SECTION G : DECLARATION

I declare that the information contained in this application form and in the attached documents are true and accurate to the best of my knowledge at this time. I acknowledge that IMPERIA Institute of Technology reserves the right to seek from other relevant bodies verification as to the standing of my claimed qualifications. I further acknowledge that the Institution reserves the right to vary or reverse any decision regarding admission made on the basis of incorrect or incomplete information and that should the information be found false at any stage, the scholarship will be terminated immediately and I will be liable to re-pay the institution the total sum of any payments already received.

Applicant Signature Parent/Guardian Signature

Applicant Name : Parent/Guardian Name: Date

Checklist for documents to be enclosed:

Completed application form 1 copy of passport size photo

Certified true copy of forecast or actual result Other supporting documents(s)

Certified true copy of Identity Card

ANY INCOMPLETE OR LATE APPLICATION WILL NOT BE ACCEPTED

Page 13: SCHOLARSHIPS & FINANCIAL AID - Imperiaimperia.edu.my/iit/wp-content/uploads/2013/08/SCHORLARSHIP-FINANCIAL... · SCHOLARSHIPS & FINANCIAL AID ENRICHING KNOWLEDGE Suite 11.01, 11th

OFFICE USE ONLY (ACADEMIC DEPARTMENT)

APPROVED Amount

NOT APPROVED

Feedback/Comments

Signature Date

(PRINCIPAL OFFICE)

APPROVED Amount

NOT APPROVED

Feedback/Comments

Signature Date

(ASSOCIATE COMPANY/OTHERS)

APPROVED Amount

NOT APPROVED

Feedback/Comments

Signature Date