SCHOLARSHIP

APPLICATION FORM
(For Malaysian Students Only)

Please complete this form and submit with

Student Application Form
Passport Size
Photo

1 Passport Size Photograph

SCHOLARSHIP
APPLICATION FORM
(For Malaysian Students Only)

2 Certified Copies of Academic Results /

Transcripts & Certificates
Extra-curricular Certificates

A. Students Details
Name as in
I.C or Passport:

(please underline surname)

I.C No:

Gender:

Male

Female

Age:

Address:

State:

Postcode:

Tel:

Mobile:

E-Mail:
Name of Last Secondary
School Attended:
Programme Applied:

Intake:
(E.g - May 12)

B. Criteria For Scholarship

High Achiever Scholarship (HAS)*
Awarded to students with outstanding academic achievements.

Eligibility

Tick()

SPM/ O-Level
STPM
UEC
A-Level
SAM/ HSC/ AUSMAT
ICPU

9As
3As
6As
3As
TER/ UAI 90
90

Tuition Fee Waiver

100% tuition fee AND accommodation waiver

Only applicable for the FIRST programme registered

(with the exception of the Foundation programme where the scholarship will carry over to the degree based on maintenance of the CGPA requirements of 3.5 every semester)
Note: Waiver is o the tuition fee only
Interview required

Extra-curriculum Excellence Award (ECEA)*

Awarded to students with outstanding extra-curricular achievements
Eligibility
Extra-curricular

Tick()

Exemplary achievement at State /

National/ Regional Level events

Tuition Fee Waiver

100% tuition fee AND accommodation waiver

Only applicable for the FIRST programme registered

(with the exception of the Foundation programme where the scholarship will carry over to the degree based on maintenance of the CGPA requirements of 2.5 every semester)
Note: Waiver is o the tuition fee only
Interview required

Enrichment for Life Award (EFL)

Awarded to students who have held active roles in leadership and extra-curricular activities

Eligibility
SPM / O-Level

STPM / UEC / A-Level /

SAM / HSC /
AUSMAT / ICPU

Applicable for clubs / societies / uniform

bodies and the positions below only:- President/ Chairman
- Vice-President/ Deputy-Chairman
- Secretary/ Assistant Secretary
- Treasurer/ Assistant Treasurer
- Prefect
- Represented School to District Level
in Sports/ Other Activities.

Only applicable for the FIRST programme registered

Require maintenance of a minimum CGPA of 2.5 every semester to continue to be eligible for the next semester
Note: Waiver is o the tuition fee only

Tick()

Tuition Fee Waiver

30% tuition fee waiver for Foundation

20% tuition fee waiver for Diploma

10% tuition fee waiver for Degree

Tick()

Merit Scholarship (MERIT) - Foundation Programmes

Awarded to deserving students who have done reasonably well in their examinations

Eligibility
SPM

O-Level

UEC (6 best subjects)

SAM / HSC / AUSMAT

ICPU (6 best subjects)

Tuition Fee Waiver

8As
7As
6As
5As
6As
5As
4As
3As
14pts
20pts
24pts
28pts
TER/UAI 85.0
TER/UAI 80.0
TER/UAI 75.0
TER/UAI 70.0
85
80
75
70

Tick()

50%
40%
30%
20%
50%
40%
30%
20%
50%
40%
30%
20%
50%
40%
30%
20%
50%
40%
30%
20%

Only applicable for the FIRST programme registered

Require maintenance of a minimum CGPA of 3.0 every semester to continue to be eligible for the next semester
Note: Waiver is o the tuition fee only

Merit Scholarship (MERIT) - Diploma Programmes

Awarded to deserving students who have done reasonably well in their examinations

Eligibility
SPM

O-Level

UEC (6 best subjects)

SAM / HSC / AUSMAT

ICPU (6 best subjects)

Tuition Fee Waiver

8As
7As
6As
5As
4As
3As
6As
5As
4As
3As
14pts
20pts
24pts
28pts
TER/UAI 85.0
TER/UAI 80.0
TER/UAI 75.0
TER/UAI 70.0
85
80
75
70

Tick()

20%
17%
15%
13%
10%
5%
20%
17%
15%
13%
20%
17%
15%
13%
20%
17%
15%
13%
20%
17%
15%
13%

Only applicable for the FIRST programme registered

Require maintenance of a minimum CGPA of 3.0 every semester to continue to be eligible for the next semester
Note: Waiver is o the tuition fee only

Merit Scholarship (MERIT) - Degree Programmes

Awarded to deserving students who have done reasonably well in their examinations

Eligibility
STPM

A-Level

UEC (6 best subjects)

SAM / HSC / AUSMAT

ICPU (6 best subjects)

Tuition Fee Waiver

AAB
ABB
BBB
AAB
ABB
BBB
14pts
20pts
24pts
TER/UAI 85.0
TER/UAI 80.0
TER/UAI 75.0
85
80
75

Only applicable for the FIRST programme registered

Require maintenance of a minimum CGPA of 3.0 every semester to continue to be eligible for the next semester
Note: Waiver is o the tuition fee only

20%
15%
10%
20%
15%
10%
20%
15%
10%
20%
15%
10%
20%
15%
10%

Tick()

C. Agreement & Declaration

I, _______________________________________________________________________________________________________________, hereby declare, acknowledge,
agree and confirm by accepting this scholarship/award, means that I agree to the following terms & conditions :
1. Open to only new Malaysian students/ applicants that have never studied in Nilai University.
2. All applications are subjected to the terms and conditions herewith.
3. Applicants must meet the performance criteria as stated in each category of scholarship before an offer of award can be made. Applicants who do not qualify will be
automatically disqualified without prior verbal or written notice.
4. Applicants must attach ALL required documents before the application can be considered for the award. Failure to submit all documents as requested may render
the application null and void. Receipt of the application and documents do not automatically warrant that the scholarship has been awarded to the applicant.
The applicant will receive written notification of the scholarship offer.
5. Once an applicant has indicated acceptance of the scholarship, he or she must be enrolled as a full-time student for the entire length of the programme(s) as stated
in the letter of offer.
6. The current years trial/ forecast results are accepted if the official results have not been released at the point of intake. However, the Scholarship will be conditionally
awarded with the forecast results until the official/ actual results are produced.
7. The official/ actual results must meet the original results submitted for the initial scholarship consideration; otherwise, the scholarship will be downgraded to the next
level or forfeited. If the official/ actual results exceed the original results submitted for the initial scholarship consideration, the applicant is given an opportunity to apply
for a scholarship/ award of a higher value (if not already at the maximum value) which if approved, will take effect from the next semester onwards. In all situations,
there will be neither a refund nor top-up (whichever applies) required on the tuition fees paid.
8. For official/ actual results, applicants may only use the current years results.
9. The scholarship is neither transferable nor exchangeable for cash or other alternatives. In the event a student decides to discontinue his or her studies, the scholarship
will be forfeited.
10. Students must take a full-load of subjects every semester. The scholarship will be terminated upon completion of the normal prescribed study period specified by
Nilai University.
11. The Scholarship is offered for first take of tuition fees only. Students are NOT allowed to defer semesters unless in extenuating circumstances approved by the Office of
Admission & Records (OAR). Any costs for re-sits and re-takes (if any) must be borne by the student.
12. To maintain the award, students must maintain the following:High Achiever Scholarship
CGPA 3.5
Merit Scholarship
CGPA 3.0
Extra-Curriculum Excellence Award
CGPA 2.5
Enrichment for Life (EFL) Award
CGPA 2.5
13. If a student fails to maintain the required score of CGPA, the award will be suspended in the following semester (with immediate effect, with or without notification to the
student). The student must settle all fees in the semester where the award is suspended (Suspended Semester). Should the student meet the academic
requirements for the Suspended Semester, the scholarship will be reinstated for the subsequent semester (provided the Scholarship Scheme is still valid), failing which
the scholarship will be terminated. There will be no refund of fees for the Suspended Semester. The student must settle all fees in the remaining duration of study if he/ she
choose to remain a Nilai University student.
14. The scholarship cannot be offered in conjunction with any other discounts and offers at the university. At all times, applicants/ students are entitled to accept ONE (1)
discount (or scholarship) scheme at the university.
15. All scholarship recipients are required to:attend the scholarship ceremony when requested.
contribute up to a maximum of 40 hours per semester of their time to assist the University in marketing and promotional activities, peer counseling,
extra-curricular activities and other administrative work as notified by Nilai University. Failure to comply with such requests without reason/s acceptable to the
university may result in suspension or termination of the scholarship.
refrain from posting damaging remarks (through any medium). Please refer to the student handbook for the procedure on grievances.
be model citizens at all times whether on or off campus.
16. Nilai University reserves the right to involve Nilai University Scholarship recipients in interviews, advertisement, photography or other publicity activities for the purpose
of promoting the university as a leading educational institution. All product/s of these activities are the copyright of Nilai University and can be used without prior
written or verbal permission.
17. The university reserves the rights to vary or reverse any decisions and/ or terms and conditions relating to the scholarship scheme/s and award/s without prior written or
verbal notice. All decisions made by the management of Nilai University on matters not covered above are final and binding.
18. The university reserves the right to decide on the number/ amount of scholarships to be awarded.
19. The university reserves the right to terminate the scholarship if the student does not abide to the terms and conditions attached herewith.

I declare that all the information submitted on this application is correct and complete. I authorized the university obtain official records from any educational
institution that I have previously attended. I understand that the university reserves the right to vary or reserve any decision made on the basis of misleading,
incorrect or incomplete information.
By signing this contract, I agree that it is a fair and binding agreement. I have read understood and agree to the terms and conditions of this agreement and will
adamantly work to adhere to them. Signing this agreement does not mean that I will be offered a scholarship/award as it is subjected to approval.

Signature of Applicant
Name:

Signature of Parent / Guardian

Name:

I/C No:

I/C No:

Date

D. For Office Use Only

Scholarship/Award Approved:

(E.g - HAS / MERIT / ECEA / EFL)

Verified By Marketing Department

Name:

Date

KPT/JPT/DFT/US/N02 307215-P

V2-11-2012