Scholarship Type

Degree Diploma Foundation Excellent Co-curriculum

A. Personal Information
Name
 (Chi)
(Eng) *
Student ID *
Gender Male Female
NRIC No. *
Email *
Home Tel *
H/P No.
 *
Postal Address *
Permanent Address
(if different from Postal Address)		 *
Course *

B. Academic Result (for Degree, Diploma and Foundation Scholarship)
Year Name of Institution Qualification
e.g. SPM, Diploma		 Result / Grade

C. Co-curriculum Records (for Excellent Co-curriculum Scholarship)
Year Competition / Performance Level (e.g. National) Position (e.g. Gold)

D. Family Information
  Name NRIC No. Telephone Status
(e.g deceased, retired)
Father
Mother
Guardian

E. Details of Family Members
Name Relationship School / Occupation Form / Course / Income

House type:

Own House/s Rent House     Type: (e.g single storey terrace, condominium)

Vehicle type:

Unit/s

Document *

For Applicant
Applicant’s Remarks:

I have read and fully understood all the terms and conditions governing admission for this application. I hereby declare that all the information provided in this application and its attachments or supporting documents are true, correct and complete in all respect and no information has been wilfully or intentionally misrepresented, withheld or concealed. I acknowledge and agree that Southern University College reserves the right to vary or reverse any decision made on the basis of incorrect, incomplete or fraudulent information.