UWC HOLDINGS SDN. BHD. (Formerly Known as Unique Wire Cut Sdn. Bhd.) 797, Jalan Perindustrian Bukit Minyak 7, Mukim 13, Kawasan Perindustrian Bukit minyak, 14000 Bukit Mertajam, SPT, Penang, Malaysia. Tel : 04-5078086 (Hunting Line) Fax : 04-5079298 No. Syarikat : 203074-U SCHOLARSHIP AWARD APPLICATION FORM SCHOLARSHIP OPTIONS Certificate Scholarship Diploma Scholarship Degree Scholarship Course Studied University/College PERSONAL DETAILS Full Name (as per NRIC) NRIC No : Gender : Male Date of Birth Female : Race / / Bumi Status : Yes / No Nationality Religion Mobile Contact No Home Contact No Emergency Contact Email Address Permenant Address Poscode : State : Poscode : State : Correspondence ACADEMIC QUALIFICATIONS (Please enclose copies of your certificates,results slip,transcripts,ect.) Level SPM / O Level or equivalent Foundation / STPM / A Level or equivalent Grade Obtained Name of School / Institution A B C D Completion Year Others CGPA : UNIVERSITY COURSES (Please enclose copies of your University results, if any) Name of University Course of Study Majoring in Course Fees Duration of Course Current Years of Study Expected Date of Completion Estimated Living Expenses CO-CURRICULAR ACTIVITIES Most recent activities in which you assumed leadership position (s) in Society / Association Year Position Held e g. President / Working Committee Society / Association Institution Sport Activity Institution Most recent sport activities represented Year Level represented eg. Country/State/District/School Most recent academic awards / competition awards and commendations received Year Level represented Awards / Commendations eg. Country/State/District/School Institution LANGUAGES (Please state your community ability : Fluent, Moderate, Fair, Not Applicable) Bahasa Malaysia English Chinese Others Speak Read Write WORK EXPERIENCE ( if any ) Name of Previous Company and Location Period Designation From To FAMILY PARTICULARS (Please enclose a copy of the latest Salary Slip / EA Form/ Pension card,etc) Please fill in the details of all your immediate family members and/or guardian(s).If your respecful parents/ guardians(s) had decesed,please fill up "DECEASED" in the Occupation column. Full Name NRIC Relationship Occupation Father Mother OTHERS MATTERS a) Hobbies : b) Ambition : c) Are your currently holding any other scholarship(s)? Yes / No If yes, Name of Sponsor : Bond Period Amount (RM): : d) Do you have any relatives or friend working in this Company or its subsidiaries ? If yes, Name : Relationship : e) Have you ever been convicted of any criminal offences ? If yes, please state : f) Do you suffer from any physical handicap / illness? If yes, please state : Yes / No Yes / No REFEREES ( Name two referees not related to you ) Name : NRIC No : Relationship : Years Known : Occupation : House Address : Name : NRIC No : Relationship : Years Known : Occupation : House Address : Yes / No Monthly Gross Income CONDITIONS OF OFFER ● The successful applicant shall by virtue of this applicaDon and the acceptance of the Scholarship to have consented to bind himself or herself to work for UWC Holdings Sdn Bhd and/or any of its subsidiaries and associated companies a year of scholarship awarded immediately upon his or her graduation. ● Failure on the part of the successful applicant/recipient of the Scholarship to discharge and fulfill the above abligaDon is deemed a contractual default and UWC Holding Sdn Bhd shall reserve the right to recover from the recipient the amount of the Scholarship disbursed. ● UWC Holdings Sdn Bhd also reserves the rights and privileges to grant a waiver of the condiDons or to release the recipient of Scholarship on the above obligation. DECLARATION ● I cerDfy that the informaDon provided in this applicaDon is to the best of my knowledge true and correct. ● I understand that should any informaDon so provided be found to be false, my scholarship if approved would be cancelled and repayable to the Company forthwith. ● I have read and understood the condiDons of offer and I hereby agree to subject myself to the above condiDons. Signature of Application Date Completed application form and photocopies of certificates, results slip, testimonials, etc shall be address to : UWC HOLDINGS SDN BHD 797 JALAN PERINDUSTRIAN BUKIT MINYAK 7, MUKIM 13, KAWASAN PERINDUSTRIAN BUKIT MINYAK 14000 BUKIT MERTAJAM, PULAU PINANG. Email : hhng@uwcholdings.com Tel : 04-5078086 / 012-416 0937 Fax : 04-5088529 IMPORTANT NOTES 1. Applicants are reminded NOT to send original certificates, results slips, testimonials,etc when submitting appliction form 2.We would not be responsible for any loss in delivery or mail. 3.All questions in this application must be answered in full. 4.Where insufficient space is provided, please attach additional sheet. 5.Only shortlisted candidates will be notified.