Astro :: Making Your Life Richer

*Applicant's Name :
*Astro Subscriber's Account No :	08 -
*Applicant's Relationship to the above Astro Subscriber :
Note: This Scholarship is only open to Astro Subscriber and his or her immediate family members (Children and Spouse)

*Residential Address
*Post Code
*Home Tel
*Mobile Phone No
*Email Address
*Date of Birth
*Marital Status	Single Married
*NRIC (new)	- -
*Race
*Gender	Male Female

University:
Status:	Currently Applying Gained Admission
Areas of study:
Specialisation:
Location of University:	(Please indicate the location of the university (state and country) where you will be pursuing your studies)

University:
Status:	Currently Applying Gained Admission
Areas of study:
Specialisation:
Location of University:	(Please indicate the location of the university (state and country) where you will be pursuing your studies)

University:
Status:	Currently Applying Gained Admission
Areas of study:
Specialisation:
Location of University:	(Please indicate the location of the university (state and country) where you will be pursuing your studies)

Date	Name of Examination/Award	Grade/Award






Example: 16-Jan-2008	Certificate in Business Accounting	Distinction, Pass...etc

Name of extra-curricular activity	From	Until






Example: President of Kelab Kreatif, Sekolah Menengah Taman Seri Kembangan	2004	2005