scholarship form- final 20120-pdf

7/30/2019 Scholarship Form- Final 20120-PDF

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Name of Applicant : ...................................................................................... .

Citizenship : .................................................................

Course Applied for : ...........................................................................................

Name of University/ Institution: ..................................................................................

Postgraduate: PhD Please select mode of the programme:

Master Coursework

CIFP Research

Coursework and research

Undergraduate:

Photograph

NOTES FOR APPLICANT

1. All required documents must be submitted with the application form to the followingaddress:

Shariah Scholarship AwardInternational Shariah Research Academy for Islamic Finance

ISRA @ INCEIF, Lorong Universiti A,59100 Kuala Lumpur, MALAYSIA

2. The application form should be accompanied by a complete portfolio of documentsincluding the following:

Certified academic certificates and transcriptsLetter of Offer from the institution of higher learningPhotocopy of personal identification document (passport/ birth certificate/identity card)Two letters of recommendation (for post-graduate study). Please use the

following template.Thesis proposal (for post-graduate study)Other relevant materials to support the application.

3. Please provide an official English translation if the certificates and academictranscripts are not in English.

4. Applicants SHOULD NOT be in receipt of any other scholarship award.5. Applications received incomplete will not be entertained.6. False particulars or information will render you liable to be disqualified.7. Bank Negara Malaysia/ISRA will not bear any expenses incurred in the process of

applying for and attaining the scholarship.

SHARIAH SCHOLARSHIP AWARD

TYPE OF SCHOLARSHIP


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PERSONAL DETAILS

*Full Name (capital letters):

Date of Birth:

Place of Birth:

Number of Children: Marital Status:

Name of Father/Guardian:

Address of Father/Guardian:

*Telephone Number:* The information must be written clearly.

*Residential Address:

*Postcode / ZIP:

*Mobile Telephone Number:

Home Telephone Number:

Fax Number:

*E-mail Address:

*MyKad/ IC No: Religion:

*Citizenship: Gender:

*International Passport No: Date/Place Issued:

*Passport Expiry Date:

Age:

First Name: Last Name/ Family Name:


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WORK EXPERIENCE (if any)

*Educational qualifications must be indicated correctly and please attach a copy of thetranscript.

SPECIALIZATION(For tertiary level and above)

Type of Masters/Professional Certification Specialization Title of Dissertation/ Thesis (if any)

MONETARY AID FROM OTHER ORGANISATION(PREVIOUSLY RECEIVED OR CURRENTLY RECEIVING)

Organisation Amount Form of assistance(Scholarship/Loan)

Period of Aid

School/College/Institution

Date/ Year Type ofcertificate/Diploma/Degree

CGPA/Class/Grade

From Till

Name and Address of Employer Designation Period

EDUCATIONAL QUALIFICATIONS


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SUMMARY OF THESIS PROPOSAL (must be in the area ofFiqh Muamalat)

Topic Area:

Supervisor/proposed supervisors name (if known):

Telephone number:

Brief Summary of Thesis Proposal:

(Please attach a full copy of the proposal.)

Research Experience. Please provide details of previous research or

development work performed, together with references to papers published. (add

additional pages if necessary.)


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REFEREES

LANGUAGE PROFICIENCY

Name of Language

Level of Proficiency(E=Excellent, IM= Intermediate, B=Beginner)

Please indicate your level in the relevant spaces provided.

Speaking Writing Reading

(Please name the two persons who completed your enclosed reference forms.)

1) Name: (Dr./Mr./Mrs./Ms.) 2) Name: (Dr./Mr./Mrs./Ms.)

Full Address: Full Address:

Occupation: Occupation:
mailto:%[email protected]


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ESSAY

Write an essay of not more than 100 words on, "Why you should be awarded thescholarship and how you plan to contribute to the Islamic financial servicesindustry."

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APPLICANTS DECLARATION

I declare that the particulars stated in this scholarship application and theattachments are true and that I have not willfully suppressed any material fact.Bank Negara Malaysia/ISRA has the right to terminate my scholarship if theinformation given is found to be false.

I authorize Bank Negara Malaysia/ISRA to obtain from other educationalinstitutions and relevant authorities, at any time, details of my enrolment,

variations and attendance. I agree that these details may be made available tothe Scholarship Evaluation Committee. I agree to abide by the conditions of theaward as emended from time to time.

Date: ............................. Signature: ..................................

scholarship form- final 20120-pdf

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