SHELL MALAYSIA 2014 SCHOLARSHIP APPLICATION FORM

Confidential
CLOSING DATE: 28th February 2014
IMPORTANT INFORMATION
1.

The scholarship is awarded to Malaysian students who intend to pursue/Pursuing full-time undergraduate studies
tenable at recognized universities in Malaysia or abroad.
2. Students who have completed their STPM/A-Level/Foundation Year/Diploma or currently in their final semester of
Matriculation studies are eligible to apply.
3. Please complete the form digitally.
4. Incomplete and late application will be rejected.
5. If you do not receive any reply from us by 30 April 2014, your application is therefore considered unsuccessful.
6. *Please delete whichever is NOT applicable.
This Scholarship Application Form should be submitted online via the Shell Malaysia Online Application website on
www.shell.com.my/scholarship-application
CHOICE OF STUDY
Choose (one) either Overseas or Local Scholarship only.
Not allowed to apply for both Overseas and Local.

b) Local (Malaysia)
Technical:
Petroleum Engineering
At which university? Universiti Teknologi Malaysia (UTM)
WHY HAVE YOU CHOSEN THIS CHOICE OF STUDY?
Make a brief statement, of not more than 200 words, of your choice as they relate to your aspirations, career objectives and
long term goals.
I choose this course of study because I find it very interesting which I can put my soft skills to a test for how far can it bring me.
Of course, with I see there is many things that I need to improve in term skills and academics. Keep Moving Forward, I hold on
to the principle which made me who I am today. I notice the weakness that I have, and do something about it. I became an
active member of AIESEC club in UTM which helps me a lot in developing my confidence level. I understand that, the career
opportunity for this course is not so wide. And that is why Im gonna try my hardest to bring out for even one percent more of
crude oil of what we are producing right now. That will be my career objective which can helps Malaysias economic. I believe
that SHELL can help me to make it into a reality.

1.

PERSONAL PARTICULARS

Name

(as per your MyKad)

Mohamad Khairil Ikram Bin ABdull Halim

NRIC No. : 941022-03-5031
Age: 20
State of origin: Peninsular Malaysia( Kelantan)
Combined Family income : RM 2200.00
(in RM per month)
Family Income statement
(Are there any unusual family circumstances you want considered as part of your application? Max 100 words)
-

Any physical disability (eg. sight, hearing, speech) :

Any previous illness/operation :

2. ACADEMIC RESULTS

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Please state your specific academic subjects plus exact grade (A+, A-, C+ etc) from STPM/A-level onwards to the highest level
of study achieved to date
Matriculation
Subject
Physic
Chemistry
Mathematics
Computer Science

Grades
A
A
A
A
Semester one

subject
Fundamental of Petroleum Engineering
Mechanics
Electrical of engineering
Engineering Mathematic 1
English
Introduction to Engineering

grades
A
B+
A
A+
AA

3. EXTRA CURRICULAR ACTIVITIES

CLUBS/SOCIETIES/OTHERS
YEAR

REPRESENTED

ACTIVITIES

POSITION HELD
(Please refer to the list below)

e.g. 2012 2013

e.g. - Interact Club Swimming

e.g. - National

e.g. - President

2014

MITC club

College

Treasurer

2014

Board Member of JKM KTHO

College

Committee

2014

CARE

University

Commitee

2012

SLAD club

School

Treasurer

REPRESENTED :
POSITION HELD :
Secretary;

House; School; District; Division; State; National

Chairman; President; Vice/Dep. President/Chairman; Captain/Leader; Treasurer; School Prefect;

Assistant; etc.
4. SPECIAL AWARDS RECEIVED
YEAR
TYPE OF AWARDS

GRANTED/SPONSORED BY

2014

Best Performing member in team department

AIESEC UTM

2014

Best Performing member in LC UTM

AIESEC UTM

2010

Golden Award

MCKK

5. OTHER FINANCIAL INFORMATION

Are you currently receiving any financial assistance or sponsorship from other institution, fund or foundation? YES/NO* If YES,
please give details:
Institution/Fund/Organization/Foundation (e.g. JPA, MARA, PETRONAS, PTPTN,
Year
Amount (RM)
etc.)
1) JPA
2014
5400
2)
3)
6. RECOMMENDER
Provide name and contact information of a teacher, counselor, instructor or work supervisor
Name: Dr. Wan Rosli
Role: Academic Advisor
Contact info:

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014 312 5432

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