Instructions to complete this form:
The form must be completed and submitted on line to the STEP Secretariat. A printed copy of your application form together with all supporting documents (in English) must also be submitted. These include certified true copies of your detailed educational results and other certificates/ testimonials, and two reference letters.

* Required Info
1. Personal Particulars
Salutation:
Name:*
Sex:
Date of Birth:
Nationality:
Age:*
Passport Number:*
Marital Status:
Address:*
Contact Details:
- Email Address:*
- Hand-phone
-Office/residential phone

2. Family Details
Father's Name:
Mother's Name:
Number of brothers/sisters:
Occupation of father/mother:

3. Education History

S/NoYearSchools/Colleges AttendedHighest Qualification Received
( detailed results to be submitted with printed application form )
1
2
3
4
5

4. School Activities

S/NoYearDescription of ActivityPosition Held/Level of Participation
1
2
3
4
5

5. Academic Awards

S/NoYearName of Award
1
2
3
4
5

6. Scholarships/ Other Financial Assistance Received

S/NoYearDescription of AwardValue ($)
1
2
3
4
5

7. Non-academic Activities

( to include arts and culture, leadership, sports, social, voluntary

S/NoYearDescription of ActivityPosition Held/Level of Participation
1
2
3
4
5

8. Application For Scholarship To Study At :
Institution of study:*
Field of study:*


9. Essay

Please write a short essay (about 300 words) on how you plan to use your skills as a scholar and leader to serve your nation.*



Please submit with your printed application form certified documents in English to support the information given in section 3 -7 above.

10. Declaration

I declare that the information submitted in this form, and those in the supporting documents accompanying the printed application are true and correct. I understand that any false information, or information that is with-held will lead to this application being disqualified.




Name

Passport Number

Signature (to sign on printed hard copy)


Date: