Application Form
Note: Please enter "NA" if anything is not applicable.
*Application For the Scholarship 2009 GIIS (Malaysia) Junior College Scholarship
*Student's First Name
*Student's Last Name
*Date of Birth
*Sex
Passport Number
*Place of Birth
*Country of Birth
*Nationality
*Home Address
        *Street Name
        *Apartment/Condo Name
        *Unit No.
        *City
        *State
        *Postal Code/ Zip
*Telephone No
*Choice of Curriculum
*Whether NTS exam Passed
*Class Studying Presently
*Present School Name
*Name of Exam Board(std 10)
Tick One City in which you prefer to take the Written Test/Interview: Note: Selection Test/Interview might be held in these cities depending on candidates response.
Note: Information indicated by * is compulsory.
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