Application Form

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.

a) Overseas
Technical:
Petroleum Engineering Mechanical Engineering Geosciences Others: __________________ (Specify)
At which university? ___________________________ (Specify)

b) Local (Malaysia)
Technical:
Petroleum Engineering Mechanical Engineering Geosciences Others/Commercial: __________________ (Specify)
At which university? ___________________________ (Specify)

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.

1. PERSONAL PARTICULARS

Name (as per your MyKad)

NRIC No.
Age:

State of origin: Peninsular Malaysia/Sarawak/Sabah

Combined Family income
(in RM per month)

Family Income