A. APPLICANT INFORMATION (USE BLOCK LETTERS)

Club/ Game Position

GradeSubject

B. CURRENT SCHOLARSHIP HELD

C. INTERNAL RESULTS (Attach a certified true copy of the results slip)

D. COLLEGE CO-CURRICULAR ACTIVITIES (Attach a certified true copy of the co-curricular event)

PRESTON L PEACH AWARD APPLICATION FORM 2020

Name (as in MyKad/ Passport):

MyKad / Passport No. :

Registered / Interested Program : CAT

Intake : (year) (month)

AUSMATA Level ADTP

Mobile Tel :

ACCA ECE

E-mail Address (Compulsory) :

External Amount:

None

15%25%

75%100% 50%Merit SpecialMCKL Percentage Awarded

STAR StedfastSin Chew Others

Financial Aid Student Leader & Achievement Award

G. SUBMISSION INSTRUCTIONS1. Applications must be submitted to the Registrar before the stipulated deadline. 2. Incomplete forms, unsupported statements and late submissions will not be considered.

Action by:

For office use

RegistrarAction: Comments (if any) Name and signature Date

1. Receive form and relevant documents1. Endorse, check for eligibility1. Approve/ reject. Give reason if reject. 2. Determine amount

Registrar

Scholarship Panel

E. DISCLOSURE

No, I am not a recipient of, applying for or planning to apply for any external scholarships or loans.

Yes, I am a recipient of, applying for or planning to apply for any external scholarships or loans from

(name of sponsoring body)

F. DECLARATION OF APPLICANT

Date: Signed by applicant: x

1. I have read and fully understood all the terms and conditions of this application. 2. I acknowledge that the information given in this form and the attched documents is true and complete. The College reserves the right to reject or withdraw my application if any information is found to be incorrect and / or incomplete. 3. I agree to comply with and abide by (but not limited to) the College rules and regulations in academic, administrative and examination matters. 4. I have discussed the statements above with my parents / guardian (if under the age of 18 at the commencement of the programme)

Terms and Conditions

1. This award is only applicable for 100% discount off tuition fees (A Level up to 4 subjects). However, there is no scholarship/waiver of tuition fee for

A Level German Language subject.

2. This award is open to all students who achieve a minimum GPA of 3.80 in their latest internal examinations and holds at least one (1) permanent leadership

position (President / Chairman) in an MCKL organisation.

3. This application is valid for only one semester. Previous recipients of this award will need to re-apply if they qualify for the award in subsequent semester(s).

4. In the event that the recipient withdraws from the programme, is suspended or expelled by the College at any point of time, before the completion of the

programme, this award shall automatically be revoked.

5. The College reserves the right to involve recipients in interviews, advertisements, photography or publicity-related activities for the purpose of promoting

MCKL as a leading education institution.

6. This award is given at the sole discretion of the College. Applicants are not guaranteed approval of the scholarships upon fulfilling the conditions set.

7. This award is only valid for the duration of the programme enrolled and does not cover the extension of the programme beyond its minimum duration.

8. This award is not transferable or redeemable for cash.

9. Methodist College Kuala Lumpur reserves the right to amend any of the terms and conditions as well as this award at any point in time as and when it is

deemed necessary.

ACKNOWLEDGEMENT OF SUBMISSION

Student name:

Programme : Cohort: ..................................................

......................................................................................

Date Submitted:

Official stamp and signature:

A Level AUSMAT ECE CAT ACCA ADTP