The Sellappah Undergraduate Scholarship Application Form,
Academic year 2016/17
Your application will only be considered if you answer all relevant sections fully.
Please also attach a brief CV with this form.
Personal details / degree programme details
Surname (in full)
_________________________________________________ Prof/Dr/Mr / Ms / Mrs / Miss
First name(s) (in full) ___________________________________________________
Nationality ____________________
Male 
Date of Birth:
D
D
YY
M
M
Y
Y
Y
Y
Female 
Student ID/Offer Number/Application number: ____________________
Address: ______________________________________________________________________________
_________________________________________________________ Postcode____________________
Email ___________________________________
Mobile Phone
___________________________
Details of your Degree Programme:
Degree Programme:
Month and year of the start of your Degree:
M
M
Y
Expected month and year of completion:
Y
Confirm that you are a registered student or
have accepted a place at Newcastle University
M
Yes □
M
Y
Y
No □
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Personal statement – Please give details of why you are applying for this scholarship fund, no more than
300 words, providing evidence of academic ability, energy and commitment to studies.
Please explain why you have chosen your specific course and what your aspirations are in terms of your
academic and future careers
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Please explain why you need this award and how it would make a difference to you (financial/personal
reasons etc.)
Data Protection:
In order to conduct certain parts of its business, for example communicating with you as an applicant, monitoring
recruitment campaigns, the University will need to retain personal data that you have supplied in this form. The retention
of any data will be conducted in accordance with the Data Protection Act (1998) and will not normally be retained for
more than two years. Please feel free to contact us if you wish to view the data that has been retained, or if you do not
wish for any data to be retained.
Terms and Conditions:
Please note that you have an obligation to inform the University immediately of any change in your circumstances that
have significance to your application.
Please disclose any other scholarships or bursaries that you have applied for or have been awarded, both from
within and/or outside the UK:
Sign below to indicate that you have read and accepted the terms and conditions outlined above:
(Student)
Signed
Date
Please return the completed form and supporting documentation to
scholarship.applications@ncl.ac.uk
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Sellappah Scholarship Regulations 2016-17
The University offers a number of partial scholarship awards to encourage undergraduates to undertake
study at Newcastle University on the Newcastle UK campus. One award is available to applicants to the
Faculty of Humanities and Social Sciences, one to the Faculty of Medical Sciences and one to the Faculty of
Agriculture, Food and Rural Development.
1. To be considered for an award, applicants should have applied to study as an undergraduate student at
the University who will study on the Newcastle UK campus (Stage 2 transfer students to the Newcastle
Campus are not eligible).
2. Applicants must be Malaysian nationals and must be assessed as international (overseas) for fees
purposes. UK students and EU students assessed as ‘home’ for fees purposes are not eligible to apply.
3. To be eligible candidates must register at Newcastle University in the 2016-17 academic year for an
undergraduate degree course which they have not already begun at the time of the award.
4. Students applying for part-time study are eligible to apply for these scholarships and, if successful, will
receive the scholarship at the appropriate pro-rata rate.
5. This award cannot be held concurrently with a fully-funded scholarship. Applicants must state on their
application whether they have applied for or have been awarded any fully-funded
scholarship/sponsorship and immediately inform the University of any such award. Any student in breach
of this regulation will have further scholarship payments suspended and the University may seek to
recover any or all previous payments.
6. The University awards scholarships on the basis of academic merit and other information on the
Scholarship application form.
7. The value of the scholarship shown below will be credited to the student’s bank account to contribute to
living costs while in Newcastle.
Selleppah Scholarship £1000
8. The University reserves the right to vary all or any scholarship and discount awards and regulations at its
sole discretion.
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