Scholarship Scholarship Application Don’t miss the opportunity to take the next step in your academic journey—submit your application. Please note that only shortlisted candidates will be contacted by Yayasan PKT. Name (As per NRIC) *NRIC *0 / 12Age *Nationality *0 / 12Mobile No. *0 / 11Email Address *Address Line 1 *Address Line 2 *City *State *Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweGender *MaleFemaleRaceMalayChineseIndianOthers (please specify)ReligionMuslimBuddhistChristianHinduOther (please specify)Highest Qualification *School/ Institution *YearScholarship DetailsInstitution Name / CampusProgramme AppliedStudy ModePart TimeFull TimeScholarship AppliedPlease tick (✓) an option only.Academic Excellence ScholarshipStudy BursaryCommunity ScholarshipSports ScholarshipStudy Abroad ScholarshipAcademic QualificationSPMUECSTPM / Diploma / Certificate SPM: Enter total number of A's (e.g., 8A) UEC: Enter total points (e.g., 12 points) STPM / Diploma / Certificate: Enter CGPA or total A's Details of Father / GuardianFather / Guardian Name *NRIC NoMobile NoOccupationCompany NameMonthly Salary **Compulsary: Parents who are business owners or entrepreneurs must submit SSSM documentation as supporting documents.Father is deceased (Enter Death Certificate No.)Details of Mother / GuardianMother / Guardian Name *NRIC NoMobile NoOccupationCompany NameMonthly Salary **Compulsary: Parents who are business owners or entrepreneurs must submit SSSM documentation as supporting documents.Mother is deceased (Enter Death Certificate No.)Parents are divorcedIf checked, please upload the Divorce Certificate in the Supporting Documents sectionPlease provide the names and details of all your siblings below.NameNRIC NoAgeName of InstitutionsName of Employer & PositionPlease ensure that the application is submitted with all necessary documents. Please submit certified true copy for the following supporting documents. The supporting documents to be uploaded in 1 pdf format (Max size 18 MB). Notes: All the above documents MUST be certified by a Government Officer (gred 44 & above) or Penghulu or Official Community Leader appointed by the Government or Headmaster ONLY. Borang Pengesahan Pendapatan [ Download Form ]Required for parents without a payslip or pension slip. Please complete, sign, and upload this form in the Supporting Documents section.Passport Size PhotoNRIC - ApplicantNRIC - Parents / GuardianSPM / STPM / UEC certificateDiploma / Foundation certificate or equivalentLatest payslip/ EPF Statement / Borang Pengesahan Pendapatan/ Parent’s SOCSO benefit **(for Parents/ Guardian)A copy of Institute/College/University offer letterCEFR Result / MUET CertificateSSM document copy **(for parents who are business owner / enterprenuer)Parent’s Death Certificate (if applicable)Parents’s Divorce certificate (if applicable)Upload filePlease upload all supporting documents as a single PDF file.Choose FileNo file chosenDelete uploaded fileTerms and ConditionsBy submitting this form, you agree to our Terms and Conditions.1. All scholarship / bursary / grant offered to any recipient are at the absolute discretion of Yayasan PKT and applicable for Malaysian only.2. Recipient must posses the minimum academic achievement as per the terms and conditions.3. Yayasan PKT reserves the right to decide on the number of the scholarship / bursary / grant and the quantum to be awarded.4. Any scholarship / bursary / grant given shall be revoked immediately if the student fails to complete or withdrawn the programme.5. Only shortlisted recipients would be notified for an interview (where applicable).6. The recipient is not allowed take up any full or part-time employment while pursuing the said programme without the prior written approval of Yayasan PKT.7. The recipient must not be bonded or in receipt of any financial aid or rewards from other educational organizations or institutions without the prior written approval of Yayasan PKT.8. Yayasan PKT is not obligated to extend the award beyond the existing academic / training period.9. Yayasan PKT reserves the right to add or amend the terms and conditions listed and programme listed herein without prior notice. No complaint whatsoever shall be entertained.10. Non-compliance to any of the terms and conditions related to the relevant scholarship / bursary / grant would result in a breach of contract.11. The scholarship / bursary / grant awarded is not exchangeable for cash or any other alternatives.Declaration *I declare that the information contained in this application form and in the attached documents are true and accurate to the best of my knowledge at this time. I acknowledged that Yayasan PKT reserves the right to seek from other relevant bodies verification as to the standing of my claimed qualifications. I further acknowledge that the institution reserves the right to vary or reverse any decision regarding admission made on the basis of incorrect or incomplete information and that should the information be found raise at any stage, the scholarship will be terminated immediately and will be liable to re-pay the institution the total sum of any payments already received. Submit