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For OFFICIAL USE ONLY

App No.

FORM CS-01

UBD CHANCELLORS SCHOLAR


APPLICATION FORM

Universiti Brunei Darussalam

Please return your completed application form to the following address before the closing date for application: UBD Chancellors Scholar Secretariat
Administration Building
Universiti Brunei Darussalam
Jalan Tungku Link
Gadong BE1410
Brunei Darussalam
www.ubd.edu.bn
Tel: +673-2463001 Ext 1160/1900/1653
Fax: +673-2460757
Email: chancellor.scholarship@ubd.edu.bn
Website: http://www.ubd.edu.bn
You are required to submit one set of the completed application. Each application includes: 1. Completed application form (CS-01)
2. Two recent passport-sized photographs
3. Supporting documents as per checklist at the end of this application form
NOTE: Certified English translations must be submitted for supporting documents that are not in the English Language. Online application is currently
not available.

PERSONAL PARTICULARS (Please print in BLOCK letters)


Name Mr / Miss _________________________________________________________________
(As in Identity Card)

____________________________________________________________________________________
IC No. _______ -__________________

Colour ________________________

Nationality ______________________

Ethnic Group ___________________

Date of Birth ____________________

Birthplace _____________________

Please attach 2x recent


passport size photograph

Age________

(dd/mm/yy)

Religion ________________________

Domicile ________________________________________
(Country you live in permanently)

Passport No. _____________ Place of Issue _____________ Date of Isssue __________ Date of Expiry _______________
(dd/mm/yy)

(dd/mm/yy)

Permanent Home Address _______________________________________________________________________________________


____________________________________________________________________________________________________________
Contact No (s)

____________________ Home

____________________Mobile

____________________ Fax*

Mailing Address ______________________________________________________________________________________________


(if different from above)

___________________________________________________________________________________________________________
Other Contact No(s) ______________________________

Email* __________________________________________

*Applicants are strongly advised to provide either a fax no. or an e-mail address to facilitate correspondence)
UBD Chancellors Scholarship

FAMILY INFORMATION
Name of Parent / Guardian ______________________________________________________________________________________
Male Female
(As in Identity Card)
IC No. _______ -__________________ Colour ________________________ Ethnic Group _______________________
Occupation __________________________________

Appointment __________________________________________

Employer __________________________________________________________________________________________
Mailing Address _____________________________________________________________________________________
__________________________________________________________________________________________________
Contact No(s) ________________ Home

_________________ Mobile

____________________ Office

Fax ____________________________

Email ____________________________________________

Name of Parent / Guardian ______________________________________________________________________________________


Male Female
(As in Identity Card)
IC No. _______ -__________________ Colour ________________________ Ethnic Group _______________________
Occupation __________________________________

Appointment __________________________________________

Employer __________________________________________________________________________________________
Mailing Address _____________________________________________________________________________________
__________________________________________________________________________________________________
Contact No(s) ________________ Home

_________________ Mobile

____________________ Office

Fax ____________________________

Email ____________________________________________

Have any of your family members received the UBD Chancellors Scholarship or from Ministry of Education Goverment Scholarship in
the past?
Yes
No
If yes, please list their names, relationship to you and year of award.
1.

______________________________________________________________________________________________________

2.

______________________________________________________________________________________________________

3.

______________________________________________________________________________________________________

Do you have family members currently employed by Universiti Brunei Darussalam?

Yes

No

If yes, please list their names, rank, current posts and their relationship to you.
1.

______________________________________________________________________________________________________

2.

______________________________________________________________________________________________________

3.

______________________________________________________________________________________________________

UBD Chancellors Scholarship

EDUCATIONAL BACKGROUND
Please indicate Examining Board where appropriate, e.g. Cambridge Examination Board / London Examination Board / International
Baccalaureate and/or Equivalent. Please submit official true copies results / transcripts.
First / Masters Degree
University ___________________________________________________________________________________________________
Address ______________________________________________________________________________________________________
_____________________________________________________________ Contact No. _____________________________________
Fax _____________________________

Email ____________________________________________________________________

Reason for leaving _____________________________________________________________________________________________


Date of Attendance (From) ___________________________________________ (To) _______________________________________
(mm/yyyy)

Date

Subject

(mm/yyyy)

(Taken / will be taking)

UBD Chancellors Scholarship

(mm/yyyy)

Semester

Numerical and/or
Level Grade

GCE A / AS Level / STPUB / IB or Equivalent


School / College / Institutions _____________________________________________________________________________________
Address ______________________________________________________________________________________________________
_____________________________________________________________ Contact No. _____________________________________
Fax _____________________________

Email ____________________________________________________________________

Reason for leaving _____________________________________________________________________________________________


Date of Attendance (From) ___________________________________________ (To) _______________________________________
(mm/yyyy)

Date

Subject

(mm/yyyy)

(Taken / will be taking)

(mm/yyyy)

Examining Board

Level
(A/AS)

Numerical and/or
Level Grade

PROFESSIONAL QUALIFICATION / CERTIFICATION


List your current and most recent qualification / certification and first and submit documentary evidence.
From

To

(dd/mm/yyyy)

(dd/mm/yyyy)

E.g. 01/01/2000

07/01/2000

UBD Chancellors Scholarship

Organisation / Institution / Location

Certificate (C) / Diploma (D)

Grade

Informatics (Singapore)

NETWORK + (C)

Pass

ACADEMIC, FINANCIAL AND SPORTING AWARDS


E.g. honours, distinctions, book prizes won. Please list in chronological order (since Form 4 or equivalent) and submit documentary
evidence.
Date

Award

Awarded by

(mm/yyyy)

EXTRA-CURRICULUAR AND CIVIC OR COMMUNITY ACTIVITIES


Please list in order of importance and submit documentary evidence.
Activity

UBD Chancellors Scholarship

Office /
Position Held

Elected /
Appointed /
Voluntary

Level (School /
District /
National)

Active Dates
(dd/mm/yy)

WORK EXPERIENCE
List your current and/or most recent position (if any).
Position ______________________________________________

Organisation _________________________________________

Date Employed (From) _______________________ (To) ______________________________ Part Time / Full Time
(dd/mm/yy)

(dd/mm/yy)

Responsibilities Held ____________________________________________________________________________________________


_____________________________________________________________________________________________________________
Nature of Organisation:

Government Non-Profit

Private Sector

Mailing Address ________________________________________________________________________________________________


Contact No. ______________________________

Fax No. ____________________________ E-mail _________________________

VOLUNTARY SERVICE
List your current and/or most recent position (if any).
Position ______________________________________________

Organisation _________________________________________

Date Volunteered (From) _______________________ (To) ____________________________


(dd/mm/yy)

Part Time / Full Time

(dd/mm/yy)

Responsibilities Held ____________________________________________________________________________________________


_____________________________________________________________________________________________________________
Nature of Organisation:

Government Non-Profit

Private Sector

Mailing Address ________________________________________________________________________________________________


Contact No. ______________________________

UBD Chancellors Scholarship

Fax No. ____________________________ E-mail _________________________

COURSES AND UNIVERSITIES


Please list the course and university you wish to apply to in the order of preference and remark appropraitely if you have submitted
your application to them (please submit proof of application if you have already done so). Note that you must gain admission to the
Universities specified in order to be considered for the scholarship.
Choice

Course of Study

University Location

Application
Submitted

Outcome of
Applciation

E.g.

Poticial Science

Harvard University (USA)

YN

Awaiting Reply

YN

YN

YN

YN

YN

YN

YN

YN

OTHER AWARDS / FINANCIAL ASSISTANCE SCHEMES


Have you applied for any other Scholarships / Bursaries / Loans from any other organisations? Yes

No

If yes, please furnish the following details:


Name of Award / Loan __________________________________________________________________________________________
Outcome of application: Successful

Unsuccessful Awaiting Offer

Duration of Award ___________________________________

Amount Granted _____________________________________

Approved Institution of Study ___________________________________________________________________________________


Any other Information _________________________________________________________________________________________

PREVIOUS APPLICATION
Have you previously applied for this Scholarship before?

UBD Chancellors Scholarship

Yes

No

STANDARDISED TEST INFORMATION


Please provide your TOEFL, SAT I and SAT II scores below. Note that you will need to sit for TOEFL and the SAT I in order to be
considered into most US Colleges / Universities some will also require the SAT II (please check with the university that you plan to
apply to). If you have booked a place in these said tests, please indicate the date(s) which you will be dong them. Please provide
highest scores.
I have not applied for the TOEFL
I have taken the TOEFL

I will be taking the TOEFL

Date (mm/yyyy) ___________________________

Date (mm/yyyy) _______________________________

Listening Score ___________________________


Writing Score

___________________________

Reading Score

___________________________

Total Score

___________________________

I have not applied for the SAT I


I have taken the SAT I

I will be taking the SAT I

Date (mm/yyyy) ___________________________

Date (mm/yyyy) _______________________________

Critical Reading Score

____________________

Math Score

___________________________

Writing Score

___________________________

Total Score

___________________________

I have not applied for the SAT II


I have taken the SAT II

I will be taking the SAT II

Date (mm/yyyy) ___________________________

Date (mm/yyyy) _______________________________

Subject and Score

________________________

Subject and Score

________________________

Subject and Score

________________________

Subject and Score

________________________

UBD Chancellors Scholarship

REFERENCES
Please provide the details of at least 2 referees below. Referee reports are to be completed by your Dean, Lecturer and/or
Club/Organisation Leader. The Referees report must be submitted in a sealed envelope with the referees signature across the flap of
the envelope.
Name ____________________________________________________

Position ___________________________________

Address of Organisation / Institution ________________________________________________________________________


_____________________________________________

Contact No. ___________________

Fax No. _______________

Email _______________________________________________________________________________________________

Name ____________________________________________________

Position ___________________________________

Address of Organisation / Institution ________________________________________________________________________


_____________________________________________

Contact No. ___________________

Fax No. _______________

Email _______________________________________________________________________________________________

Name ____________________________________________________

Position ___________________________________

Address of Organisation / Institution ________________________________________________________________________


_____________________________________________

Contact No. ___________________

Fax No. _______________

Email _______________________________________________________________________________________________

UBD Chancellors Scholarship

DECLARATION
Have you ever been convicted by a Court of law of any country?

Yes

No

If yes, please give details:


____________________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

I hereby declare that the information provided in this application is correct and the attachments are true to the best of my knowledge
and belief, and I have not witfully suppressed any material fact. I authorise Universiti Brunei Darussalam to obtain official records, if
necessary, from any educational institution I have attended.
As far as I am aware, I am medically fit and free from any medical problem which may impair my ability to attend to my studies.
I understand that any provision of inaccurate and false information or omission of information will render this applciation invalid and
that, if admitted on the basis of such information, I can be required to withdraw from the Scholarship.

Signature _____________________________________

Date ___________________________

FOR OFFICE USE ONLY

Date Received:

UBD Chancellors Scholarship

Application No:

10

ATTACHMENT 1 ESSAY
Please note that the essay is an important part of your Scholarship application. Please attach (not staple) a typed or computergenerated copy in thte space below. We strongly prefer that you do not handwrite your responses.
Write a short essay on who you are and what you are passionate about (400-500 words). The essay has to be an original piece, and no
part of it may be copied.

UBD Chancellors Scholarship

11

CONFIDENTIAL
ATTACHMENT 2 FACULTY DEAN REFERENCE FORM
TO THE APPLICANT
Please fill in the personal information below and forward this form to your current or previous Faculty Dean. Each reference must be
put in a sealed envelope, signed across the seal by the referee and returned to you by submission with your scholarship application
package.
PERSONAL INFORMATION
Name Mr / Miss _________________________________________________________________
(As in Identity Card)

Contact No(s) ________________ Home

_________________ Mobile

____________________ Office

Other Contact No (s) ______________________________________ Email ______________________________________________

University / Institution now /previously attended ____________________________________________________________________

TO THE FACULTY DEAN


The applicant has applied for the Universiti Brunei Darussalam Chancellors Scholarship. Please complete and return this form in a
sealed envelope to the applicant, who will forward it, unopened to the Scholarship Office, Universiti Brunei Darussalam. When you
seal the envelope, please sign across the seal.
Please write as fully as you can about the applicant from your perspective in providing us with but not limited to:
i.
ii.
iii.

Relevant factual data about the applicants academic performance and elevel fo extra-curricular achievement;
Your impressions of the candidates personal qualities and contribution to your school community; and
Information about personal circumstances that might have disadvantaged the applicant.

If you prefer to send a letter or statement (on the Universitys / Institutions letterhead and/or stamped), please feel free to do so.
Please check the rating boxes and include your letter or statement with this form and return both to Scholarship Office, Universiti
Brunei Darussalam. We appreciate the effort you expend on behalf of your student applying for this scholarship.
Name of person completing this report _____________________________________________________________________________
Position ___________________________________ University / Institution _______________________________________________
Contact No ___________________

Fax _____________________

Signature _________________________________

Email ________________________________________

Date _______________________________________________

University Code (if any) __________________________________


This report is based on (check all that apply):
Records

Personal contact with student Lecturers Observation

Others ____________________________________________________________________________________

How long have you known this applicant? ________________________________________________________________________


In what capacity? ___________________________________________________________________________________________
How often do you meet with this applicant? ______________________________________________________________________
How well do you know this applicant? ___________________________________________________________________________

UBD Chancellors Scholarship

12

TRANSCRIPT Please include an official copy of the applicants transcript of work completed from their Undergraduate (or the
equivalent). A brief explanation of titles or unusual grading systems would greatly assist us in assuring an accurate assessment of the
applicants level of achievement.

1.

ACADEMIC / INTELLECTUAL
In what way might you distinguish this applicants academic performance from that of other university-bound students?
Either through personal experience or in talking with lecturers, how would you characterise this applicants level of
intellectual curiosity and approach to learning?

2.

PERSONAL / INTERPERSONAL
a. What do you like best about this applicant? In what ways has this applicant made an impact either in your University/
Institution or in the community?

b.

3.

Are there any factors that might interefere with teh applicants academic performance and/or personal relationship
during his/her couorse of study

ADDITIONAL INFORMATION
a. Is there anything else we should know about this applicant (e.g. personal circumstances, character, values, a point of
interest or concern, particular interests, unusual accomplishments / special talents, obstacles overcame?)
Yes (Please explain fully on a separate sheet)

No

b.

What adjectives immediate come to mind in describing this applicant? ______________________________________

c.

Has the applicant ever violated an Honour Code or been placed on provation, suspended or expelled from your
institution?

UBD Chancellors Scholarship

13

4.

CHECKLIST
Rate the applciant in the checklist below. We are interested in your comparison of the applicant to other university-bound
students at the same level in your university / institution.
No Basis for
Judgement

Marginal
(Lower 50%)

Average
(Top 50%)

Good
(Top 25%)

Excellent
(Top 10%)

Superior
(Top 3%)

Intellectual ability
Analytic frame of mind
Problem-solving orientation
Quality of oral expression
Sense of humour
Initiative
Intellectual Curiosity
Creativity
Motivation and Energy
Self-Confidence
Leadership / Influence
Integrity
Concern for others
Respect for differences
Warmth of personality
Ability to meet deadline
Emotion maturity
Reaction to setbacks
Respect accorded by faculty
Respect accorded by peers
If you wish to give reasons for any of your ratings, please attach additional sheets as required.
5.

SUMMARY
Based on your experience as Faculty Dean (for _________ years), how would you summarise the applicants promise as
compared to that of other university / institution bound students in your university?
Marginal
(Lower 50%)

Average
(Top 50%)

Good
(Top 25%)

Excellent
(Top 10%)

Superior
(Top 3%)

Academic
Personal
Overall
Taking into account that the minimum eligibility requirement is 3 Grade A in GCE A Levels / 5 Mumtaz in STPUB, I
recommend this student for Univeriti Brunei Darussalam Chancellors Schoalrship.
Not at all

UBD Chancellors Scholarship

With Reservation

Fairly Strongly

Strongly

Enthusiastically

14

CONFIDENTIAL
ATTACHMENT 3 LECTURER / SUPERVISOR REFERENCE FORM
TO THE APPLICANT
Please fill in the personal information below and forward this form to your current or previous Lecturer / Supervisor who knows you
well and has taught or sueprvised you in an academic subject eitehr this year or the year before and is able to comment about y ou.
Each reference must be put in a sealed envelope, signed across the seal by the referee and returned to you by submission with your
scholarship application package.
PERSONAL INFORMATION
Name Mr / Miss _________________________________________________________________
(As in Identity Card)

Contact No(s) ________________ Home

_________________ Mobile

____________________ Office

Other Contact No (s) ______________________________________ Email ______________________________________________

University / Institution now /previously attended ____________________________________________________________________

TO THE LECTURER / SUPERVISOR


The applicant has applied for the Universiti Brunei Darussalam Chancellors Scholarship. Please complete and return this form in a
sealed envelope to the applicant, who will forward it, unopened to the Scholarship Office, Universiti Brunei Darussalam. When you
seal the envelope, please sign across the seal.
Please write as fully as you can about the applicant from your perspective in providing us with but not limited to:
i.
ii.
iii.

Description of the students intellectual and personal traits;


Abilities and achievemnts; and
Possible information about personal circumstances that might have disadvantaged the applicant.

If you prefer to send a letter or statement (on the Universitys / Institutions letterhead and/or stamped), please feel free to do so.
Please check the rating boxes and include your letter or statement with this form and return both to Scholarship Office, Universiti
Brunei Darussalam. We appreciate the effort you expend on behalf of your student applying for this scholarship.
Name of person completing this report _____________________________________________________________________________
Position ___________________________________ University / Institution _______________________________________________
Contact No ___________________

Fax _____________________

Signature _________________________________
This report is based on (check all that apply):
Records

Email ________________________________________

Date _______________________________________________
Personal contact with student Lecturers Observation

Others ____________________________________________________________________________________

How long have you known this applicant? ________________________________________________________________________


In what capacity? ___________________________________________________________________________________________
How often do you meet with this applicant? ______________________________________________________________________
How well do you know this applicant? ___________________________________________________________________________
In what subject(s) have you taught this applicant? _________________________________________________________________
UBD Chancellors Scholarship

15

TRANSCRIPT Please include an official copy of the applicants transcript of work completed from their Undergraduate (or the
equivalent). A brief explanation of titles or unusual grading systems would greatly assist us in assuring an accurate assessment of the
applicants level of achievement.

1.

ACADEMIC / INTELLECTUAL
In what way might you distinguish this applicants academic performance from that of other qualified students? Please
comment on the students intellectual attitude, curiosity and enthusiasm for learning.

2.

Through which of the following does this applicant achieve academic success? (Check all that apply)
Hard work / diligence

Brilliance of mind

Love of learning

Other (Describe)

3.

PERSONAL / INTERPERSONAL
What do you like best about this student? In what ways has this student made an impact in your class, the school and/or in
the community? Are there any factors that might interfere with the students academic performance and/or personal
relationship during his/her couorse of study?

4.

ADDITIONAL INFORMATION
d. Is there anything else we should know about this applicant (e.g. personal circumstances, character, values, a point of
interest or concern, particular interests, unusual accomplishments / special talents, obstacles overcame?)

UBD Chancellors Scholarship

16

5.

CHECKLIST
Rate the applciant in the checklist below. We are interested in your comparison of the applicant to other university-bound
students at the same level in your university / institution.
No Basis for
Judgement

Marginal
(Lower 50%)

Average
(Top 50%)

Good
(Top 25%)

Excellent
(Top 10%)

Superior
(Top 3%)

Intellectual ability
Analytic frame of mind
Problem-solving orientation
Quality of oral expression
Sense of humour
Initiative
Intellectual Curiosity
Creativity
Motivation and Energy
Self-Confidence
Leadership / Influence
Integrity
Concern for others
Respect for differences
Warmth of personality
Ability to meet deadline
Emotion maturity
Reaction to setbacks
Respect accorded by faculty
Respect accorded by peers
If you wish to give reasons for any of your ratings, please attach additional sheets as required.
6.

SUMMARY
Based on your experience as Lecturer / Supervisor (for _________ years), how would you summarise the applicants promise
as compared to that of other university / institution bound students in your university?
Marginal
(Lower 50%)

Average
(Top 50%)

Good
(Top 25%)

Excellent
(Top 10%)

Superior
(Top 3%)

Academic
Personal
Overall
Taking into account that the minimum eligibility requirement is 3 Grade A in GCE A Levels / 5 Mumtaz in STPUB, I
recommend this student for Univeriti Brunei Darussalam Chancellors Schoalrship.
Not at all

UBD Chancellors Scholarship

With Reservation

Fairly Strongly

Strongly

Enthusiastically

17

CONFIDENTIAL
ATTACHMENT 4 CLUB / ORGANISATION LEADER REFERENCE FORM
TO THE APPLICANT
Please fill in the personal information below and forward this form to a club / organisation leader who knows you well and is able to
comment about y ou. Each reference must be put in a sealed envelope, signed across the seal by the referee and returned to you by
submission with your scholarship application package.
PERSONAL INFORMATION
Name Mr / Miss _________________________________________________________________
(As in Identity Card)

Contact No(s) ________________ Home

_________________ Mobile

____________________ Office

Other Contact No (s) ______________________________________ Email ______________________________________________

University / Institution now /previously attended ____________________________________________________________________

TO THE CLUB / ORGANISATION LEADER


The applicant has applied for the Universiti Brunei Darussalam Chancellors Scholarship. Please complete and return this form in a
sealed envelope to the applicant, who will forward it, unopened to the Scholarship Office, Universiti Brunei Darussalam. When you
seal the envelope, please sign across the seal.
Please write as fully as you can about the applicant from your perspective in providing us with but not limited to:
i.
ii.
iii.

Description of the students/members intellectual and personal traits;


Abilities and achievemnts; and
Possible information about personal circumstances that might have disadvantaged the applicant.

If you prefer to send a letter or statement (on the organisation/universitys letterhead and/or stamped), please feel free to do so.
Please check the rating boxes and include your letter or statement with this form and return both to Scholarship Office, Universiti
Brunei Darussalam. We appreciate the effort you expend on behalf of your student applying for this scholarship.
Name of person completing this report _____________________________________________________________________________
Position ___________________________________ Organisation _______________________________________________
Contact No ___________________

Fax _____________________

Signature _________________________________
This report is based on (check all that apply):

Email ________________________________________

Date _______________________________________________
Personal contact with student Records

Others _________________________________________________________________________________________________
How long have you known this applicant? ________________________________________________________________________
In what capacity? ___________________________________________________________________________________________
How often do you meet with this applicant? ______________________________________________________________________
How well do you know this applicant? ___________________________________________________________________________

UBD Chancellors Scholarship

18

TRANSCRIPT Please include an official copy of the applicants transcript of work completed from their Undergraduate (or the
equivalent). A brief explanation of titles or unusual grading systems would greatly assist us in assuring an accurate assessment of the
applicants level of achievement.

1.

ACADEMIC / INTELLECTUAL
In what way might you distinguish this applicants academic performance from that of other qualified students/members?
Please comment on the students intellectual attitude, curiosity and enthusiasm for learning.

2.

Through which of the following does this applicant achieve academic success? (Check all that apply)
Hard work / diligence

Brilliance of mind

Love of learning

Other (Describe)

3.

PERSONAL / INTERPERSONAL
What do you like best about this student/member? In what ways has this student/member made an impact in your club,
organisation and/or in the community? Are there any factors that might interfere with the students/members performance
and/or personal relationship during his/her couorse of study?

4.

ADDITIONAL INFORMATION
e. Is there anything else we should know about this applicant (e.g. personal circumstances, character, values, a point of
interest or concern, particular interests, unusual accomplishments / special talents, obstacles overcame?)

UBD Chancellors Scholarship

19

5.

CHECKLIST
Rate the applciant in the checklist below. We are interested in your comparison of the applicant to other university-bound
students at the same level in your university / institution.
No Basis for
Judgement

Marginal
(Lower 50%)

Average
(Top 50%)

Good
(Top 25%)

Excellent
(Top 10%)

Superior
(Top 3%)

Intellectual ability
Analytic frame of mind
Problem-solving orientation
Quality of oral expression
Sense of humour
Initiative
Intellectual Curiosity
Creativity
Motivation and Energy
Self-Confidence
Leadership / Influence
Integrity
Concern for others
Respect for differences
Warmth of personality
Ability to meet deadline
Emotion maturity
Reaction to setbacks
Respect accorded by faculty
Respect accorded by peers
If you wish to give reasons for any of your ratings, please attach additional sheets as required.
6.

SUMMARY
Based on your experience as Lecturer / Supervisor (for _________ years), how would you summarise the applicants promise
as compared to that of other university / institution bound students in your university?
Marginal
(Lower 50%)

Average
(Top 50%)

Good
(Top 25%)

Excellent
(Top 10%)

Superior
(Top 3%)

Academic
Personal
Overall
Taking into account that the minimum eligibility requirement is 3 Grade A in GCE A Levels / 5 Mumtaz in STPUB, I
recommend this student for Univeriti Brunei Darussalam Chancellors Schoalrship.
Not at all

UBD Chancellors Scholarship

With Reservation

Fairly Strongly

Strongly

Enthusiastically

20

CHECKLIST
Please check that you have enclosed the following application in your scholarship application package.
Completed application form (incomplete applications will not be processed).
2 recent passport size photographs of yourself.
Copy of IC.
Copy of Passport
Certified true copies of Transcripts / Certificiates (e.g. GCE A Level Examination result slips)
TOEFL / IELTS, SAT I and SAT II Scores (If not yet sat for, please provide date of candidature).
Co-curricular Activities (CCA) reports / certificates
Attachment 1 Application Essay.
Attachment 2 Faculty Dean Reference Report.
Attachment 3 Lecturer / Supervisor Reference
Attachment 4 Club / Organisation Leader Reference Report.
Copies of any other supporting documents (certified true copies, where relevant)

REMINDER
It is your responsibility to ensure that all application material is sent in time
to the Scholarship Office, Universiti Brunei Darussalam by the application
deadline. Early application is encouraged.

UBD Chancellors Scholarship

21