| 2014年度会员子女学业成绩优异奖励金申请表格 | ||||||||
| 2014 BURSARY AWARDS APPLICATION FORM | ||||||||
| 学生资料 PARTICULARS OF STUDENT | ||||||||
| 学生姓名(中文) :__________________________________________________________ | ||||||||
| Name of Student (English):____________________________________________________________________ | ||||||||
| 性别 (Sex) :________________ 年龄(Age) : _________________________ | ||||||||
| 就读学校(中文):______________________________________________________________________________ | ||||||||
| Name of school (English):_____________________________________________________________________ | ||||||||
| 2013年就读年级(Standard/Form in 2013):________________________________________________________ | ||||||||
| 家长资料 PARTICULARS OF PARENT | ||||||||
| 厂商名称(中文) : _____________________________________________________________________________ | ||||||||
| Name of Workshop (English): _________________________________________________________________ | ||||||||
| 家长姓名(中文) :________________________ 性别(Sex): _____________________________ | ||||||||
| Name of Parent (English) : _____________________________________________________________________ | ||||||||
| 身份证号码(I.C. No): ____________________ 与学生关系Relationship with student:__________________ | ||||||||
| 地址 Address:______________________________________________________电话Tel:_______________ | ||||||||
| 普通会员Ordinary Member | ||||||||
| 附属会员Associate Member | ||||||||
| __________________________ | ||||||||
| 日期 Date: _________________ | 家长签字Signature of Parent | |||||||
| 特优奖励:特别准备为参加政府考试及独中统考成绩特优者填写 | ||||||||
| Outstanding Award:Specially for those did very good in the government & Indepant School Exam to fill in | ||||||||
| 小六检定试UPSR | 马来西亚高级教育文凭STPM | |||||||
| 初级教育文凭PMR | 独中初中统考 | |||||||
| 马来西亚教育文凭SPM | 独中高中统考 | |||||||
| 在空格里划 Please tick the right box ( /) | 成绩Result: __________A _________B | |||||||
| 只供本会填写 FOR ASSOCIATION USE ONLY | ||||||||
| 批准 | 1 拖欠年捐 | 4 文件不足 | ||||||
| Approve | (In arrears of Subscription) | (Insufficent documents) | ||||||
| 不批准 | 2 逾期申请 | 5 资料不完整 | ||||||
| Not Approve | (Late Application) | (Particulars not complete) | ||||||
| 3 成绩不符细则 | 6 其他______ | |||||||
| (Result cannot meet requirement) | (Others) | |||||||
| 会长签名:_________________ 文教组主任签名:_______________ 日期(Date):______________ | ||||||||
| Signature of Chairman | Signature of Edu & Culture Sub-Com.Chairman | |||||||