International College of Automotive (ICAM) : Apply Now

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ICAM Financial Assistance Application Form

Please tick your preference in the boxes provided

Bonding Scholarship

Education Loan

Privileged Scholarship

Zakat Scholarship

* Subject to availability

Applicant's Information

Personal Details

Name

Identity Card No (New)

Date of birth

Age

Place of birth

Marital Status

Nationality

Gender

	Male
	Female

Race

Religion

Any of your parents being employed by DRB-HICOM Bhd?

	Yes
	No

Contact Details

Mobile

House telephone No.

Email Address

Home Address

City

Postcode

State

Academic Details

SPM / SPMV / O'LEVEL

Year taken

Name of Institution

Address

Telephone

Fill in grade achieved for: SPM 1, 2, 3, 4, 5, 6, 7, 8, 9 and O'Level A, B, C, D, E, F, G

Subject

Grade

STPM

Year taken

Name of Institution

Address

Telephone

Fill in grade achieved for: STPM/ A' Level A, A-, B+,B, B-,C+, C, C-, D+,D-,D, E, F, R

Subject

Grade

PRE-UNIVERSITY

Matriculation

A - Level

Foundation

Year taken

Name of Institution

Address

Telephone

Fill in grade achieved for: STPM/ A' Level A, A-, B+,B, B-,C+, C, C-, D+,D-,D, E, F, R

Subject

Grade

CGPA

Overall Grade

Extra-Curricular Activity

Sports Activity

Represented

Uniform Troop / Association / Club

Role

Other Qualifications / Awards

Date

Name of Examination/Award

Grade / Award

Work Experience (if any)

Name of Employer

Designation

Period

Medical Condition

State present health condition and give details of any illness or disability that requires
attention.

Scholarship History

Have you received any scholarship before?

	Yes
	No

Sponsoring Organization

Duration

Value (RM / Year)

Are you currently bonded to any scholarship agreement?

	Yes
	No

Course / Programme Details Applied for this Scholarship

Programme of Study

Name Of Institution

Intake

Duration of Study

Expected Graduation Date

Parents / Guardian Information

Father / Guardian

Name

Nationality

Identity Card No (New)

Identity Card No (Old)

Religion

Race

Date of birth

Place of birth

House Tel No.

Mobile No.

E-mail

Occupation

Monthly Income

Employer's Name

Employer's Address

Mother / Guardian

Name

Nationality

Identity Card No (New)

Identity Card No (Old)

Religion

Race

Date of birth

Place of birth

House Tel No.

Mobile No.

E-mail

Occupation

Monthly Income

Employer's Name

Employer's Address

Details of Siblings

Sibling #1

Name

Age

Date of birth

Relationship

Occupation

Annual Income

+ Add another sibling

Family Expenditure

Monthly (RM)

Yearly (RM)

House Instalments /
Rental

Electricity & Water

Telephone

Loan Repayment (car etc)

Transportation

Education

Others

Total

Haddul Kifayah (for Muslim only)

Amount

Amount (RM)

Head of the family

x RM 680

Adult
Employed – Staying Together

x RM 420

Adult
Unemployed – above 18 years

x RM 240

Children
7 – 17 years old

x RM 180

Children
1 – 6 years old

x RM 130

Disabled Children

x RM 200

Children Nursery

x RM 190

Additional Cost for Medication
Chronic Disease

x RM 200

Total

Referees

Give names, addresses and occupations of two (2) referees (not related to the applicant)

Referee #1

Name

Address

Telephone

Occupation

Referee #2

Name

Address

Telephone

Occupation

Supporting Documents

You will be requested to provide the documents below in the final submission. Please ensure that all above documents are certified by Employer of Parent or Guardian/ Headmaster/ Principal/ Penghulu/ Government Officer (Grade A) within The Home/ Vicinity.

Scanned copy of IC for Applicant

Scanned copy of IC for Parents / Guardian

Scanned copy of Examination Result

Scanned copy of Co-Curricular Activities Certificates

Scanned copy of Offer Letter from Institution of Higher learning

Scanned copy of Parents/Guardian Salary Slip (Latest 2 months)

Survey Form

Website

Facebook / Twitter

	Television

	Radio

	Exhibition / Roadshow

	Newspaper

	School's Counsellor

	ICAM Staff / Student

Agency (EMPS)

Hotline / Call-in

Mail-in

Walk-in

Relatives / Family Members / Friends

Newsletter

	Magazine

	Billboard

	Train Advertisement

Others

Please select at least one.

Declaration

I hearby declare that the information given in this form is true & correct, and understand what it says, and abide by the terms and conditions set here of. I understand that my application can be rejected in the event that I have submitted incorrect and incomplete information with false document.

By checking this check box, I confirm that the information given is true & correct.
Please confirm the declaration.

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