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BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe in giving a chance to those who dare to dream towards excellence. Through Yayasan Bursa Malaysia, the Exchange is offering scholarship programmes to qualified students who are applying for or studying in public universities in Malaysia. Bursa Malaysia is committed in its efforts to be a leading marketplace in Asia. Parallel with this pursuit of growth is our deep-rooted belief to contribute towards the betterment of the community. This scholarship is an extension of that belief and we invite you to be part of our success story. ELIGIBILITY OF APPLICANT A Malaysian citizen aged below 22 years of age at the time of application Family gross household income of not exceeding RM5,000 per month Has secured acceptance to a full time undergraduate degree course at a selected local university Has achieved the following results, as may be applicable: STPM: a minimum of 2As and 2Bs; A Levels: a minimum of 2As and 2Bs; or Matriculation/Foundation: CGPA of 3.5 and above; and Malaysia University English Test (MUET): Band 4; or SPM or O Levels: distinction in Mathematics and English Was active in extra-curricular activities or sports, preferably holding leadership positions Has excellent interpersonal and leadership skills DISCIPLINES Preference will be given to applicants who are or will be studying in the following disciplines: Accounting/Finance Economics Business Administration HOW TO APPLY 1- The application form as attachment. 2- Applications can be sent via email to: [email protected] or addressed to: Yayasan Bursa Malaysia Bursa Malaysia Berhad 13th Floor, Exchange Square Bukit Kewangan 50200 Kuala Lumpur 3- Direct line: 603-2034 7437 | Email: [email protected] CLOSING DATE: 25 OCTOBER 2019
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Page 1: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

BIASISWA YAYASAN BURSA MALAYSIA 2019/2020

The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe in giving a chance to those who dare to dream towards excellence. Through Yayasan Bursa Malaysia, the Exchange is offering scholarship programmes to qualified students who are applying for or studying in public universities in Malaysia. Bursa Malaysia is committed in its efforts to be a leading marketplace in Asia. Parallel with this pursuit of growth is our deep-rooted belief to contribute towards the betterment of the community. This scholarship is an extension of that belief and we invite you to be part of our success story.

ELIGIBILITY OF APPLICANT

➢ A Malaysian citizen aged below 22 years of age at the time of application ➢ Family gross household income of not exceeding RM5,000 per month ➢ Has secured acceptance to a full time undergraduate degree course at a selected local

university ➢ Has achieved the following results, as may be applicable:

• STPM: a minimum of 2As and 2Bs; • A Levels: a minimum of 2As and 2Bs; or • Matriculation/Foundation: CGPA of 3.5 and above; and • Malaysia University English Test (MUET): Band 4; or • SPM or O Levels: distinction in Mathematics and English

➢ Was active in extra-curricular activities or sports, preferably holding leadership positions ➢ Has excellent interpersonal and leadership skills

DISCIPLINES

Preference will be given to applicants who are or will be studying in the following disciplines: • Accounting/Finance • Economics • Business Administration

HOW TO APPLY

1- The application form as attachment. 2- Applications can be sent via email to: [email protected] or addressed to:

Yayasan Bursa Malaysia Bursa Malaysia Berhad

13th Floor, Exchange Square Bukit Kewangan

50200 Kuala Lumpur

3- Direct line: 603-2034 7437 | Email: [email protected]

CLOSING DATE: 25 OCTOBER 2019

Page 2: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

Yayasan Bursa Malaysia Scholarship Programme Scholarship Application Form 2019/2020

Page 1 of 7

A. Personal Particulars

Name:

Date of birth:

Place of birth: Age:

Citizenship:

I/C No:

Permanent address:

E-mail Address:

House telephone no:

Hand phone no:

Are any of your parents an employee of Bursa Malaysia? Yes. Name: ___________________________________________ No

How did you come to know about the Yayasan Bursa Malaysia Scholarship?

Newspaper Bursa Malaysia website Word-of-mouth/ Friends/Relatives Others (please specify): __________________________________

Paste a recent passport-sized

photograph here.

YAYASAN BURSA MALAYSIA SCHOLARSHIP PROGRAMME Scholarship Application Form 2019/2020

Page 3: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

Yayasan Bursa Malaysia Scholarship Programme Scholarship Application Form 2019/2020

Page 2 of 7

B. Academic Details – Please tick ()

STPM MATRICULATION FOUNDATION

SCHOOL/INSTITUTION:

YEAR TAKEN:

SUBJECT GRADE SUBJECT GRADE

Malaysian University English Test (MUET): Band _______ A-Levels: _______ (if applicable)

Cumulative Grade Point Average (CGPA):

Sem. 1

Sem. 2 Sem. 3 Sem. 4

SPM

Year:

SUBJECT GRADE SUBJECT GRADE

GCE ‘O’ Level English (1119): Grade _______

Page 4: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

Yayasan Bursa Malaysia Scholarship Programme Scholarship Application Form 2019/2020

Page 3 of 7

C. Extra-Curricular Activities - Please tick ()

Represented Sports School University

/college District State Country

Role Uniform troop / Association / Club

Member Treasurer Secretary Vice President

President Ad-hoc Committee

D. Scholarship History- Please tick ()

Have you received any scholarship before? Yes No If yes, please provide details:

Sponsor Organization Duration Value

(RM/Year)

Are you currently bonded to any scholarship agreement? Yes No

E. Degree Course Applied

Programme of study (eg: Bachelor In Accountancy)

Name of institution (eg: Universiti Malaya)

Commencement date/ session (eg: 1/8/12 / Semester I, 2012/2013)

Duration of study (eg: 4 years)

Expected graduation date: (eg: August 2016)

Page 5: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

Yayasan Bursa Malaysia Scholarship Programme Scholarship Application Form 2019/2020

Page 4 of 7

F. Details of Father / Guardian

Name:

Citizenship:

New I/C no: Old I/C no:

Date of birth:

Place of birth:

House tel no:

Hand phone no:

Occupation:

Monthly income:

Name & address of employer:

Signature:

G. Details of Mother / Guardian

Name:

Citizenship:

New I/C no: Old I/C no:

Date of birth:

Place of birth:

House tel no:

Hand phone no:

Occupation:

Monthly income:

Name & address of employer:

Signature:

H. Details of Siblings

No. Name Age Date of birth

Occupation/ Student

Employer/School

1

2

3

4

5

6

7

8

Page 6: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

Yayasan Bursa Malaysia Scholarship Programme Scholarship Application Form 2019/2020

Page 5 of 7

Declaration

I hereby declare that all information furnished above is accurate and true to the best of my knowledge. I understand that any misrepresentation or omission of facts will be sufficient cause for cancellation of consideration for any scholarship or termination of any scholarship awarded by Yayasan Bursa Malaysia. I have read and understood the personal data notice as per Attachment 1. I hereby expressly, irrevocably consent and authorise Yayasan Bursa Malaysia to disclose any information that I have provided/disclosed to Yayasan Bursa Malaysia for the purposes of processing this scholarship application, to Bursa Malaysia Berhad and other companies within Bursa Malaysia Berhad group of companies, its agents, servants and/or such persons or third parties as Yayasan Bursa Malaysia may deem fit. Where required, I have obtained the necessary consents and provided the necessary notifications required under the PDPA to allow for the use and disclosure of personal data provided pursuant to this application, as detailed herein and in Attachment 1.

Name:

Applicant’s Signature:

Date:

* To be Completed By Employer of Parent/ Guardian/ Headmaster/ Principal/ Penghulu/ Government Officer within the home vicinity

I hereby verify that all information furnished above is accurate and true to my knowledge. I have read and understood the personal data notice as per Attachment 1. I hereby expressly, irrevocably consent and authorise Yayasan Bursa Malaysia to disclose any information that I have provided/disclosed to Yayasan Bursa Malaysia for the purposes of processing this scholarship application, to Bursa Malaysia Berhad and other companies within Bursa Malaysia Berhad group of companies, its agents, servants and/or such persons or third parties as Yayasan Bursa Malaysia may deem fit.

Name:

Designation:

Signature:

Date:

Official stamp:

Note (*): If any of the parents is an employee of Bursa Malaysia Bhd, this section must be completed by Head of Department/Section.

Note: Please check the availability and verification of the following documents and attached them with your submission.

Please tick ( )

1. Copy of I/Cs of applicant and parents/guardian

2. Copy of examination results

3. Copy of co-curricular activities certificates/ testimonials

4. Copy of Offer Letter from institution of higher learning (if available)

5. Latest copy of parents/guardian salary slip

Page 7: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

Yayasan Bursa Malaysia Scholarship Programme Scholarship Application Form 2019/2020

Page 6 of 7

ATTACHMENT 1

PERSONAL DATA NOTICE NOTIS DATA PERIBADI

We, Yayasan Bursa Malaysia, Bursa

Malaysia Berhad and its group of companies

will use the information you have provided on

this application form, together with other

information we may obtain about you, e.g.

from verification, security or credit checks,

from oral or written communications, to

assess your eligibility for the scholarship(s)

under this programme evidential purposes,

for administration and management

purposes and for statistical analysis. We may

disclose your information to our service

providers and agents for these purposes.

If your application is unsuccessful, we will

keep your information for a reasonable period

in accordance with legal requirements and for

administration purposes. In addition,

Yayasan Bursa Malaysia may contact you if

other opportunities arise in the future which

Bursa Malaysia Berhad thinks may be

suitable for you.

If your application is successful, we will use

your information obtained herein, and your

information obtained during the course of the

scholarship tenure, for the purposes related

to your scholarship under Yayasan Bursa

Malaysia, training and management

purposes including verification checks (which

may include searching the files of credit

reference agencies who will record the

search) and for purposes of or in relation to

company policies. We may need to share

your information with Bursa Malaysia Berhad

and its group of companies, agents and

service providers for these purposes. We

may also share your personal data with the

relevant institutions of higher learning or

relevant entities in the field of education,

where needed.

Kami, Yayasan Bursa Malaysia, Bursa

Malaysia Berhad bersama kumpulan anak

syarikat, akan menggunakan maklumat yang

telah tuan / puan nyatakan di dalam borang

permohonan ini [bersama maklumat tuan /

puan yang lain yang mungkin pihak kami

perolehi daripada penyemakan verifikasi,

sekuriti / kredit, komunikasi lisan atau

bertulis], bagi menilai kelayakan tuan / puan

untuk menerima biasiswa di bawah program

ini, atau bagi tujuan keterangan, pentadbiran

& pengurusan atau analisa statistik. Pihak

kami mungkin akan mendedahkan maklumat

tuan / puan kepada pembekal perkhidmatan

dan ejen-ejen yang dilantik oleh Yayasan

Bursa Malaysia bagi tujuan-tujuan tersebut.

Sekiranya permohonan tuan / puan tidak

berjaya, pihak kami akan menyimpan

maklumat tuan / puan untuk tempoh masa

yang munasabah mengikut peruntukkan

undang-undang dan bagi tujuan pentadbiran.

Yayasan Bursa Malaysia mungkin akan

menghubungi tuan / puan di masa akan

datang sekiranya terdapat peluang lain yang

bersesuaian dengan kelayakan tuan / puan.

Sekiranya permohonan tuan / puan berjaya,

pihak kami akan menggunakan maklumat

yang diperolehi melalui borang permohonan

ini serta apa-apa maklumat tambahan yang

diperolehi semasa biasiswa kamu

berlanjutan, bagi tujuan pentadbiran

kakitangan, tujuan latihan dan pengurusan,

termasuk menjalankan pemeriksaan

verifikasi yang bersesuaian (yang mungkin

melibatkan carian fail–fail agensi-agensi

rujukan kredit yang akan merekodkan

pencarian tersebut) serta apa-apa perkara

berkaitan polisi syarikat. Pihak kami mungkin

akan mendedahkan maklumat tuan / puan

kepada Bursa Malaysia berhad dan mana-

Page 8: BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 · BIASISWA YAYASAN BURSA MALAYSIA 2019/2020 The well-being of our nation depends on how we nurture the young. At Bursa Malaysia, we believe

Yayasan Bursa Malaysia Scholarship Programme Scholarship Application Form 2019/2020

Page 7 of 7

ATTACHMENT 1

PERSONAL DATA NOTICE NOTIS DATA PERIBADI

By signing and returning this form, you

consent to our processing of your sensitive

personal data such as information about your

(e.g. health, commission or alleged

commission of any offence) in relation to your

application and, if successful, for the purpose

of your administering the scholarship.

We may keep your information for a

reasonable period in accordance with legal

requirements if you cease to be under the

scholarship.

You have the right to request (in writing) for a

copy of the information which we hold on you

and which is subject to the Personal Data

Protection Act 2010 (for which we may make

a charge), to correct or to delete any

inaccuracies in your information.

mana anak syarikat dalam kumpulan Bursa

Malaysia Berhad, ejen-ejen dan pembekal

perkhidmatan, bagi tujuan-tujuan tersebut.

Pihak kami juga mungkin mendedahkan data

peribadi tuan / puan kepada institusi

pendidikan atau organisasi di dalam bidang,

di mana releven.

Dengan menandatangani dan

mengembalikan borang ini, tuan / puan

membenarkan kami memproses data

peribadi sulit tuan / puan seperti maklumat

berkenaan kesihatan, sabitan jenayah dan

lain-lain, berhubungan dengan permohonan

tuan / puan dan sekiranya pemohonan tuan /

puan berjaya, untuk tujuan biasiswa tuan /

puan.

Pihak kami juga boleh menyimpan maklumat

tuan / puan untuk tempoh masa yang

munasabah mengikut peruntukan undang-

undang sekiranya tuan / puan tidak lagi

memegang biasiswa di bawah program ini.

Tuan / puan berhak (secara bertulis),

memohon salinan maklumat tuan / puan yang

disimpan oleh Bursa Malaysia yang tertakluk

kepada Akta Perlindungan Data Peribadi

2010 (yang mana kami berhak mengenakan

bayaran), untuk pembetulan dan / atau

menghapuskan apa-apa ketidaktepatan

dalam maklumat tuan / puan.


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