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Multimedia University Scholarship Form

MMU UNDERGRADUATE EXCELLENCE SCHOLARSHIP (FOR LOCAL STUDENT) (Please tick)

MMU President Scholarship MMU Talent Scholarship MMU Merit Scholarship

APPLICATION FORM

Part I: Personal Information

Name (as in NRIC/ Passport):

Home Address:

Correspondence Address:

IC No.: - - Age: years

Date of Birth (dd/mm/yyyy): - -

Intake: - - Programme: ________________________________________

Nationality: ___________________________________ Race: _________________________________ Sex: Male Female

Contact No. : Mobile - Home -

Household (Monthly Income): RM _____________________________ Email Address: ______________________________________

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Part II: Family Background

No. Name of Parents/Guardian & Siblings /Other Dependents Relationship Age Occupation Monthly Income
Part III: Education Background

Name of school:

Highest Academic Qualification: (Please (x) and state year)

SPM STPM A-Levels UEC Matriculation Others (Please state): _________________________

Please attach Certified True Copies of all relevant qualifications

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Part IV: Extra Curricular Activities

No. Name of Club/ Society/ Association Position Year Achievement

Part V: Involvement in Sport, Music, Art, Debate, Theatre and Writing (State / National / International)

No. Type of Sport Representing Level Year Achievement

(Attached verification letter from MSSM or SUKMA, MSN or National Sports Association, or recommendation letter from State / National Coach)

State briefly as to why you are deserving of this Scholarship

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Multimedia University hereby offers the Multimedia University CONSIDERATION
Scholarship (hereinafter referred to as “Scholarship”) to the Student In consideration of Multimedia University granting the Scholarship to the
subject to the terms and conditions stated hereinafter. Scholar, the Scholar hereby agrees and undertakes to comply with the
terms of the Agreement and the specific terms of the Scholarship.
ELIGIBILITY:
The Scholarship is granted to the Student who has complied with the BREACH
criteria as set forth by Multimedia University: - In the event the Student breaches the terms of the Agreement, Multimedia
University has the right to withdraw or terminate the Scholarship.
(a) Eligible for students enrolled in 2022 intakes only;
(b) The Student shall comply with the scholarship criteria as stated in the PRIVACY STATEMENT
MMU Financial Aid webpage; The personal information (hereinafter referred to as “Data”) collected in this
(c) The Student is required to provide information on the family’s financial application form or otherwise for the purpose of the Scholarship and is
position, as stated in the Scholarship Application form; and processed, used and retained by Multimedia University in accordance with
(d) Any other relevant documentation as requested or required by the Data Protection Act 2010 (PDPA 2010). The Data may be collected or
Multimedia University disclosed to relevant bodies for the purposes of verification of grades,
qualification and experiences or as otherwise required by Multimedia
APPLICATION PROCESS & SUPPORTING DOCUMENTS: University by applicable laws or relevant authorities. Multimedia University
The Student shall complete the application Form for the Scholarship and may also retain and continue to retain, process or use the Data for archiving
submit the application form together with the following documents to the purposes, alumni, for the purposes of maintain the grades and qualification
google form link provided: - or experiences as may be required by Multimedia University. All documents
provided shall be the property of Multimedia University and will not be
(a) Completed Scholarship Application form; returned to the Student. The Student has the right to access or update the
Data or make inquiries or submit concerns that may arise by contacting the
(b) 1 Passport size photograph;
Registrar Office of Multimedia University.
(c) Certified true copy of the Student’s NRIC/Passport;
(d) Certified true copies of the examination certificates and/or transcripts; The Student confirms and acknowledges that the personal information data
(e) Extracurricular certificates; collected pursuant to this application form is given voluntarily and the
(f) Latest EA/E Form (Income Tax Returns Form) and/or Student that Multimedia University
Parent/Guardian’s three months’ pay slip or any documentary
evidence of financial hardship
CONFIDENTIALITY
The Student must submit the certified true copy of the actual results. The Student hereby agrees to maintain the confidentially imposed by
Forecast results are not acceptable. Multimedia University for the Scholarship granted to the Student by and
shall not disclose the details of the Scholarship to anyone with Multimedia
The Student may be required to attend an interview for the purposes of the University’s express consent.
Scholarship and the date, time and venue of the interview will be informed
to the Student. GOVERNING LAW
The Agreement shall be governed by and construed and enforced in
The Student undertakes to pay any fees incurred that are not covered by accordance with the laws of Malaysia and the courts of Malaysia shall have
the Scholarship. exclusive jurisdiction.

ASSIGNMENT
OBLIGATIONS OF THE SCHOLAR This Scholarship is not assignable.
The Scholar must be enrolled as a Student at Multimedia University and
shall be responsible to: NOTICES
The Student is responsible to inform Multimedia University by giving a
(a) comply with the rules and regulations as set forth by Multimedia written notice of any change in the postal address and/or electronic mail
University; address of the Student.
(b) maintain the required academic achievement for the duration of the
Scholarship; GENERAL
Multimedia University has the right to withdraw or suspend the Scholarship
(c) meets the entry requirements for the next level and is successfully
if the Student has failed, neglected or omitted to adhere to the Student’s
admitted to the next level programme;
responsibility and obligations as stated in the Scholarship Agreement.
(d) take part in promotional activity and conduct workshop hosted by
MMU, if necessary, especially in attracting the future batch of students Multimedia University reserves the right to change the selection criteria and
who will enrol the same scholarship programme. Scholarship policy without prior notification.

Multimedia University reserves the right to withdraw the Scholarship should

Multimedia University has the right to use the Student’s examination details
for the purposes of marketing subject always to the Student’s right under
the Data Protection Act 2010.

OTHERS
For enquiries, please email to [email protected].

DECLARATION

I, the Student named hereinafter hereby declare that all information provided are true and correct. If inaccurate information is provided, the Multimedia University
(MMU) reserves the right to withdraw this Scholarship application without prior notice. I also promise to comply with all the requirements set by the university.

I, the Student named hereinafter hereby consent to Multimedia University (MMU) to collect, process, record, store and/or disclose personal data and sensitive
personal data for all purposes associated in relation to my agreement, education, administration, attendance record and any other lawful activities performed or
related to services rendered by MMU

_________________________________________________
Name:
NRIC/ Passport No:
Student ID No:
FOR OFFICE USE ONLY

Bursary Office

Document Checklist

√ Documents
Completed Scholarship Application form
1 Passport size photograph (Scan/Paste on Application Form)
Certified true copy of the Student’s NRIC/Passport
Certified true copies of the examination certificates and/or transcripts
Extracurricular certificates
Latest EA/E Form (Income Tax Returns Form) and/or Parent/Guardian’s three (3) months pay slip or any documentary evidence of financial hardship

Documents complete Documents Incomplete

Date : _____________________________

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Scholarship Committee

Remark :

Signature : _______________________________

Date : _____________________________