Please affix a recent

passport size
OCBC PUBLIC SCHOLARSHIP photograph here

APPLICATION FORM

PERSONAL INFORMATION

Full Name (As per IC) Telephone/ Mobile No.

(012-12345678)

Gender (Female/Male) Marital Status

(Single/Married)

Permanent Address

Date of Birth Place of Birth

(DD/MM/YY)

Nationality Identity Card No.

(xxxxxx-xx-xxxx)

Do you have any physical If yes, please specify:

disability or handicap? Yes No

FINANCIAL POSITION

FATHER

Full Name (As per IC) Age

Occupation Name of Employer

MOTHER

Full Name (As per IC) Age

Occupation Name of Employer

FAMILY INCOME
Please indicate below the amount of income earned by each member of your family. Family members include father, mother, brothers and sisters.

Total Monthly Contribution to

Full Name Relationship Occupation Income Family
(RM) (RM)

What is the estimated monthly expenditure of your family? RM:

Please list below all family dependents

Full Name Relationship Age

_x000D_ Internal
#
Do any of your family members own properties or have a share in any business? If yes, please specify.

Please state the types of bursary, scholarships or financial grants and their values which you are currently in receipt, if any.

1.
2.
3.
4.
5.
6.

ACADEMIC BACKGROUND
List below, in reverse chronological order, each educational institution you have attended and the highest level of examination passed. You must enclose
photocopies of all academic transcripts.

Dates (Year)
Educational Institution Exam Passes / Grades Obtained
(Most Recent) From To

List below any scholastic awards and honours you have obtained in schools and/or universities.

Award / Honour Year

LEADERSHIP ACTIVITIES
List below all leadership activities in which you have actively participated (Academic / Sports / Community). You may also include other relevant and
important activities if any.

Types of Activities Position and Responsibilities Year

_x000D_ Internal
#
HOBBIES AND INTERESTS
List below your hobbies, interests and other social activities. You may also include information about other relevant and important activities if any.

1.
2.
3.
4.
5.
6.

UNIVERSITY ADMISSION
List below your intended course of studies and the universities you have applied to (in order of preference).

Name of University Field of Study

First Choice

Second Choice

Third Choice

REFERENCE
List below the names and information of TWO referees who are not related to you. One of the referees must be competent to share on your previous
academic achievements.

Name Telephone Occupation / Place of Work

OTHER INFORMATION

Why are you interested in getting an OCBC Scholarship?

What are your career goals?

_x000D_ Internal
#
DECLARATION
I understand that the personal data indicated in this Form is necessary for the Bank to process my scholarship application and I have voluntarily
provided my personal data including my sensitive personal data to the Bank including their appointed personnel, representatives, and/or their
respective employees.
I authorise investigation of all statements and attachments contained in my application for an OCBC scholarhip. I fully understand that a
misrepresentation or omission of facts will be sufficient cause for cancellation of consideration or withdrawal of the said scholarship if my application
is successful.

Insert your e-signature here

Name: Date

Note:
Please read the declaration and acknowledge before signing.

February 2022

_x000D_ Internal
#
OCBC PUBLIC SCHOLARSHIP
APPLICATION FORM

Prepare an essay of 800 words on the topic below:

"Have you been in leadership positions in school/university? If yes, what are the biggest challenges you have faced and what have you learned from it?"

February 2022

_x000D_ Internal
#
bruary 2022

_x000D_ Internal
#
OCBC PUBLIC SCHOLARSHIP
CHECKLIST OF REQUIRED DOCUMENTS

Full Name
Email

Contact No.

IMPORTANT1. Please attach this checklist with all required documents listed below.2. All documents should be emailed to OCBC Public Scholarship Secretariat (MYScholarship@ocbc.com) latest by 30 June 2022.3.

Please tick (√) if documents are available.

Tick (√) Required documents for all applicants: Reason(s) if unavailable.

Indicate date of availability
OCBC Public Scholarship Application Form - First tab: Part 1-Application Form
(Complete with e-signature)

Passport size photograph (Blue background)

Copy of NRIC (Front & Back)

Curriculum Vitae
(Including details on extra-curriculum activities, leadership and achievements)

Copy of SPM / UEC results

Copy of STPM / GCE A-Level / Matriculation / Foundation / Diploma Results

Copy of MUET results (If available)

Copy of Year 1 academic transcript

(For existing university students only)

Copy of relevant certificates of achievements, appreciations,

appointments and/or participations in schools and/or university

Copy of parents / guardian’s pay slip or income declaration form

Copy of Parents / Guardian Income Tax (EA Form or J Form)

Your essay of 800 words - Second Tab: Part 2-Essay

Note:

All documents above must be certified true copy by either one of the following:-

1. Government School Principal

2. Community Leader

3. Government Servant (Management / Professional)

February 2022

_x000D_ Internal
#