Asean Application Form
Asean Application Form
INFORMATION BOOKLET
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ASEAN SCHOLARSHIPS
The Singapore education system aims to bring out the best in every student, developing sound moral values and
the skills necessary to meet the demands of a rapidly changing world.
Students begin their education by entering primary school at age 6, where they spend 6 years learning basic
subjects including English and a mother tongue language. Except for selected subjects taught in the mother
tongue, English is the language of instruction in all Singapore schools. Students next proceed to the secondary
level for 4 years of study to prepare for the Singapore-Cambridge General Certificate of Education Ordinary Level
(GCE O-Level) Examination or equivalent. Those who perform well can enrol at junior colleges for 2 years of
study to prepare for the Singapore-Cambridge General Certificate of Education Advanced Level (GCE A-Level)
Examination or equivalent.
Apart from the formal school curriculum, students participate in Co-Curricular Activities (CCAs) which provide
healthy recreation, and instil self-discipline, teamwork and confidence in them. The character development and
physical growth of each child is hence provided for.
For secondary schools, the academic year consists of 4 terms of 10 weeks each, beginning on the first working
weekday in January and ending in mid-November. For pre-university studies, the academic year begins in late
January/early February and ends in mid-November.
Original documents that are not in English must be officially translated. The translations must be
accompanied by a photocopy of the original documents. Please do not send any original documents but
these must be produced upon request at the time of interview.
Please read the following instructions carefully before completing the application form:
Before you apply, ensure that you meet the eligibility criteria stated on page 16 of this application form
All items in the application form must be completed. Write “NA” if the item is not applicable to you
When filling in the boxes, please take note of the following:
- Use CAPITAL letters
- Write clearly in BLACK ink
- Use one box for each number / letter, beginning with the first box
- Leave a blank box after every word
A recent passport-size photograph is to be pasted in the space provided in the application form
Refer to the Sample of Completed Application Form (page 12 to 15) provided when completing the form
Applications received after the closing date and incomplete forms will not be considered
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Country of Application: ___________________________________
Please read the “INSTRUCTIONS FOR APPLICANTS” and the information provided on pages 12 to 16 before completing the
application form. ALL ITEMS IN THE APPLICATION FORM MUST BE COMPLETED. Write “NA” if the item is not applicable to you.
Male Female
Date of Issue (DD- MMM- YYYY) Date of Expiry (DD- MMM- YYYY)
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Home Address
Line 1
Line 2
Line 3
Province / Postal
State Code
Country
Line 2
Line 3
Province / Postal
State Code
Country
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Name of Applicant: _________________________________________________ Country of Application: ______________________
Yes
No
Yes
No
Candidates from Cambodia, Lao PDR, Myanmar, Thailand and The Philippines will be tested and interviewed in Phnom Penh, Vientiane,
Yangon, Bangkok and Manila respectively.
Section II: Examination Results (Please provide results for the final year examination of the last two years as required and attach a
copy of your school’s grading system)
If you have taken part in the national examinations (for e.g., UAN / UPSR / PSR / PT3 / PMB / SPM / GCE O-Levels), please enter your
national examination results and your school’s final year examination results the year before.
Year of Examination 2 0 2 0
Level of Study
Subject Marks / Grade / GPA Maximum Marks / GPA Marks / Grade / GPA Maximum Marks / GPA
English Language / /
Chinese Language / /
Mathematics / /
Additional Mathematics / /
Science / /
Biology / /
Chemistry / /
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Name of Applicant: _________________________________________________ Country of Application: ________________________
Subject Marks / Grade / GPA Maximum Marks / GPA Marks / Grade / GPA Maximum Marks / GPA
Physics / /
History / /
Geography / /
Social Science / /
Others (please specify)
_____________________ / /
Others (please specify)
_____________________ / /
Others (please specify)
_____________________ / /
Others (please specify)
_____________________ / /
Others (please specify)
_____________________ / /
Others (please specify)
_____________________ / /
Class Position Class: ( / ) Class: ( / )
Government
1
/ Public
Private
International
Independent
Grade ________ / Standard ________ / Mathayom ________ / Year ________ / Form ________ /
Current Level
Primary ________ / Completed GCE ________
Period of Study
Language Level of (MMM-YYYY)
Name of Primary / Secondary Schools (In chronological order) Type of School
Medium Study
From To
Government
2
/ Public
Private
International
Independent
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Name of Applicant: _________________________________________________ Country of Application: ________________________
Period of Study
Name of Primary / Secondary Schools Language Level of
Type of School (MMM-YYYY)
(In chronological order) Medium Study
From To
Government
3
/ Public
Private
International
Independent
Government
4
/ Public
Private
International
Independent
Name
Citizenship Country of PR
Identity Card
Number
Email
Employer/
Company
Occupation
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Name of Applicant: _________________________________________________ Country of Application: ________________________
IT / Programming Legal
Mother’s Particulars
Name
Citizenship Country of PR
Identity Card
Number
Email
Employer/
Company
Occupation
IT / Programming Legal
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Name of Applicant: _________________________________________________ Country of Application: ________________________
Mother’s Particulars
Siblings’ Particulars (From the eldest to the youngest) Number of Brothers (B) Number of Sisters (S)
* Delete whichever is inapplicable
Name 1
Identity Card
Number
Employer/
Company/
School
Occupation
Name 2
Identity Card
Number
Employer/
Company/
School
Occupation
Name 3
Identity Card
Number
Employer/
Company/
School
Occupation
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Name of Applicant: _________________________________________________ Country of Application: ________________________
Name 4
Identity Card
Number
Employer/
Company/
School
Occupation
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Name of Applicant: _________________________________________________ Country of Application: ________________________
1 Have you previously applied for other scholarships (including the ASEAN Scholarships) to study in Singapore? *Yes/No
If yes, please give details below.
Date of Application
Name of Scholarship
Month Year
2 Have you ever been awarded a scholarship / award to study in Singapore and either rejected the award or had it *Yes/No
terminated? If yes, please give details below.
School
Name of Scholarship
(If any)
3 Have you ever suffered or are you currently suffering from any medical condition, illness, disease, mental illness or *Yes/No
physical impairment? If yes, please give details below.
4 Have you ever been charged in a court of law in any country? If yes, please give details below. *Yes/No
5 Have any of your relatives been awarded scholarships to study in Singapore? If yes, please give details below. *Yes/No
Period Held
Name of Relative Relationship Name of Award Country of Award
(YYYY-YYYY)
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Name of Applicant: _________________________________________________ Country of Application: ________________________
6 How did you come to know about the ASEAN Scholarships? (You may tick more than one)
Newspaper
Friends
Relatives
School/Teacher
Internet
7 From which newspaper did you or your contact read about the ASEAN Scholarships?
Applicant
1 I declare that the particulars provided in this application are true and that I have not wilfully suppressed any material fact.
2 I understand that if any entry is false, my application will be rejected; and if I am awarded the scholarship, the award will be
terminated.
3 Certified copies of the relevant documents required are attached.
______________________ ______________________
Date Signature of Applicant
* Parent / Guardian
I, *father / mother / guardian of __________________________________, have no objection to my *son / daughter / ward’s application
for the scholarships.
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SAMPLE OF COMPLETED APPLICATION FORM
Section I: Personal Particulars (In Capital Letters)
Full Name (Underline Surname)
Enter your full official name (as shown in your birth certificate / passport / identity card) and underline your
surname or family name.
R U D I N R A O Affix one (1) recent
passport-sized
photograph here
Example (35mm x 45mm)
If your name takes more than 58 boxes, please use suitable abbreviations.
If you have more than one name, use only one of them.
Name in Chinese Gender Race Religion Citizenship
Character (If any) Please tick the Enter your race. Enter your religion. Enter your
appropriate box. Example: Example: citizenship.
If yes :-
Indian, Chinese, etc. Christian, Muslim, Example:
鲁丁
Male Female Hindu, Buddhist,
Roman Catholic,
Thai, Indian, etc.
If no :-
NA Taoist, etc.
Home Address
Enter your home address and country. Leave a blank space between words and use commas to distinguish between different parts of your address. Do
not break a word into two lines.
N O . 8 8 A B C R O A D # 0 2 - 3 4 5 Line 1
Line 2
Line 3
Province / Postal
State
M A L A C C A Code
1 2 3 4 5
Country M A L A Y S I A
Line 2
Line 3
Province/ Postal
State
M A L A C C A
Code
1 2 3 4 5
Country M A L A Y S I A
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Name of Applicant: RUDIN RAO Country of Application: MALAYSIA
Country Code Area Code Number Country Code Area Code Number
6 0 6 1 2 3 4 5 6 7 6 0 1 2 3 4 5 6 7 8
Yes
No
Yes
No
Choice of Test/ Interview Centre (For candidates from Indonesia, Malaysia, Brunei and Vietnam only)
Please rank your choice of test city by indicating “1” in the box next to your first choice test / interview city and “2” in the box next to your second choice test / interview city.
Candidates from Cambodia, Lao PDR, Myanmar, Thailand and The Philippines will be tested and interviewed in Phnom Penh, Vientiane,
Yangon, Bangkok and Manila respectively.
Section II: Examination Results (Please provide results for the final year results of the last two years as required and attach a copy of
your school’s grading system)
If you have taken part in the national examinations (for e.g., UAN / UPSR / PSR / PT3 / PMB / SPM / GCE O-Levels), please enter your national
examination results and your school’s final year examination results the year before.
Year of Examination 2 0 1 3 2 0 1 4 2 0 1 4
3 5 5 4 0 0
English Language 9 0
/ 1 0 0 A +
/ /
4 0 0 4 0 0
Mathematics 1 2 5
/ 1 5 0 A
/ /
3 9 0 4 0 0
Science 1 8 5
/ 2 0 0 B +
/ /
Class Position Class: ( 5 / 40 )
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Section III: Educational Background
Enter the names of your previous and current schools in chronological order. For each school listed, tick the type of school and enter
the language medium, the highest standard passed and the period of study.
Government
1 N E W A B C
/ Public
I N T E R N A T I O N A L Private
LOWER
ENGLISH SECONDARY
MAY-2012
S C H O O L International
Independent
Grade ________ / Standard ________ / Mathayom ________ / Year ________ / Form ________ /
Current Level
Primary ________ / Completed GCE ________
Period of Study
Language Level of (MMM-YYYY)
Name of Primary/Secondary Schools (In chronological order) Type of School
Medium Study
From To
2 S A N P U B L I C S C H O O L Government
/ Public
Private
MAY- MAR-
MALAY PRIMARY
2006 2012
International
Independent
Example: Name
Section IV: of schools
Family attended including the present school (in chronological order)
Background
* Father’s / Guardian’s Particulars and Mother’s Particulars
* Delete whichever is inapplicable
Enter your parents’ / guardian’s name, contact number, email, citizenship, country of PR, identity card number, occupation, employers/
businesses, occupational field/sector and the highest qualification level attained in the boxes provided. Enter also their date of birth.
th
Example, if the date of birth is 30 December 1961, you should enter:
Date of Birth 3 0 - D E C - 1 9 6 1
(DD-MMM-YYYY)
Siblings’ Particulars
Enter the particulars of your siblings from the eldest to the youngest.
Enter the number of brothers and sisters you have in the boxes provided.
Relationship: B- Brother, S- Sister
Example:
Siblings’ Particulars (From the eldest to the youngest) Number of Brothers (B) 0 2 Number of Sisters (S) N A
* Delete whichever is inapplicable
Name 1 V I S H N U R A O
Identity Card
G 8 7 6 5 4 3 2
Number
Employer/ A B C T R A D I N G
Company/
School
Occupation A C C O U N T M A N A G E R
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Section V: Outstanding Academic Achievements in the Past Two Years (Scholarships, awards, book-prizes, etc.)
Enter the details (if any) of any outstanding academic performance for the last two years and the year you achieved them.
Section VI: Co-Curricular Activities in the Past Two Years (Sports, games, scout/guide/cadet groups, clubs, societies, etc.)
Enter the details (if any) of your participation in co-curricular activities, position held and the year of participation.
Completed application form, together with certified copies of your birth certificate; identity card or passport (if any); and result slips for
the last two years, should be sent directly to and reach Singapore Ministry of Education at the following address before the application
closing date:
Example:
ASEAN SCHOLARSHIPS (MALAYSIA)
Ministry of Education
School Placement and Scholarships Branch
1 North Buona Vista Drive
Singapore 138675
Applications received after the closing date and incomplete forms will not be considered.
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