Billabong High EPS International School Application for Scholarship 2014 Name of the Applicant _______________________________________________________________________________________________ Permanent Address__________________________________________________________________________________________________ Phone: _____________________

mobile:_________________________ Email: _____________________________________________

Date of Birth:_____________________________________ Nationality:_______________________ National ID no. ___________________

Scholarship Category:

¯ Academic ¯ Sports

Grade Level applied for___________________

Schools attended, including one in which you are currently enrolled. Arrange in sequence, listing your current institution first. (Submit transcripts for each school attended.) Name of the School

Location

Last grade attended

Year

Percentage marks attained

Have you ever received academic honors or awards for scholastic achievement? Yes (If yes, list)_______ No_______

What co-curricular activities do you participate in? Any achievements (please provide details)

I certify that the information given in this application is true and accurate. I further certify that if, for any reason, subsequent to receiving a scholarship, the facts stated here come out to be false, and then the Billabong High EPS International School’s management has full right to withdraw my scholarship privilege.

Signature of Applicant

Date

Your complete application, transcripts of scholastic records, and reference forms or letters must be received by the Vice Principal (Secondary), th Billabong High EPS International School by Wednesday, 12 February, 2014.