2000 Lem Si Ho Tong Scholarships and Awards
APPLICATION FORM
Application’s
English Name:
___________________________________________________________
Application's
Chinese Name: __________________________________________________________
Address:
___________________________________________________________________________
Home Tel:
_____________________ E-mail:
_____________________________________________
Parent /Guardian Name (both in English and Chinese):
_______________________________________
Applying for Category: ____________ Average mark for 1999/2000 year: _______________________
Year/Grade during 1999/2000: ______ Program/School attended: ______________________________
I will be attending the following school in 2000 / 2001:
_________________________________________
I am
attaching:
·
Original transcript of exam/marks _____
·
Graduation diploma / degree (copy) _____
·
School certified transcript _____
·
University/College acceptance letter (copy) _____
Please list
the events in which you participated:
Events participated: Date:
___________________________________________ _____________
___________________________________________ _____________
___________________________________________ _____________
___________________________________________ _____________
I
certify that the above information and accompanying documents are verifiable
and true, and I understand that any false statements made in this application
will result in automatic disqualification from the Lem Si Ho Tong Scholarships
and Awards.
Applicant's
Signature: __________________________ Date:
____________