SCHOLARSHIP DIVISION MINISTRY OF HIGHER EDUCATION MALAYSIA

ENDORSEMENT FORM
(TO BE COMPLETED BY NOMINATING GOVERNMENT)

PLEASE NOTE:
Please print MIS Online Application Form and attach to this form. This Endorsement Form to be completed and endorsed by the Ministry of Foreign Affairs or the relevant agency responsible for the Malaysia International Scholarship in your country. If you’re already in Malaysia, kindly get the endorsement from your nearest Embassy/High Commission. Incomplete and/or unendorsed forms cannot be processed.
The Government of:

nominate ( name of applicant) For the scholarship ( Academic Year 2011/12 ) under Malaysia International Scholarship (MIS) and certifies that: (a) all information supplied by the nominee is complete and correct; (b) the nominee had adequate knowledge, appropriately tested of his/her English Language which can be used for selection purposes in the proposed host country; (c) the nominee have not been convicted of any criminal charge in this country nor in any other country; and (d) there is no criminal investigation against nominee in respect of any criminal activity in this country Remarks:

_________________________ ( Name ) _______________________________________ ( Designation) Official Seal/Stamp:

________________________________________ ( Signature of responsible Government official) Address of Department / Ministry:

Office Telephone number : Office Fax number : Email : Date :

Federal Government Administrative Centre, PUTRAJAYA | P: +60388844600 | F: +60388844701 | http://www.mohe.gov.my