/ Hong Kong Unison Limited
香 港 融 樂 會 有 限公司 / SCHOLARSHIP
APPLICATION FORM
For Chinese Performance Scholarship

CONFIDENTIAL

  1. This scholarship is only applicable to Hong Kong ethnic minority students who graduated from Form Six in 2017 or 2018 and attained at least Level 2 in DSE Chinese or at least B in GCE (AL) Chinese. Students who already applied for Unison Chinese Performance Scholarship 2017/18 are not eligible to re-apply.
  2. All sections of the application should be completed andpostmarked or submitted in person to Unison on or before 5PM, Monday, 13 August 2018
  3. Chinese and oversea students are not eligible to apply.
  4. Address to send your applications: Flat 1303, Wang Yip Building, 1 Elm Street, Tai Kok Tsui, Kowloon.
  5. For enquiries call us at 2789-3246 or email us at

SECTION 1 – PERSONAL INFORMATION

Mr/Miss (please circle) Surnamename: ______First Name: ______Chinese name(if any): ______Sex: Male/Female(please circle) Race/Ethnic Origin: ______

Place of Birth: ______Date of Birth (dd/mm/yyyy): ____/____/_____ No. of years resided in HK: ______HKID Card No: ______

Address: ______

Contact Tel: ______Home Tel: ______Email address:______

SECTION 2 – EDUCATION(in chronological order)

Dates (mm/yy) / School(s)/Institution(s) attended (Primary, Secondary and Post-secondary (if applicable)) / Education level
(e.g. F1 to F6; P1 to P6;
Higher Diploma/Associate Degree/Degree Programme)
From / To
/ / /
/ / /
/ / /
/ / /

SECTION 3 – EXAMINATION RESULT

DSE Chinese Exam / Grade Attained: ______/ Year of Exam: ______
GCE (AL) Chinese Exam / Grade Attained: ______/ Year of Exam: ______

Note: Please attach copies of HKDSE / GCE (AL) Results

SECTION 4 – PERSONAL STATEMENT (Compulsory)

Please submit a 500 to 800 word personal statement in Chinese; include your background, education plans, life goals and how you learned Chinese to let us know about you.

SECTION 5 – REFERENCE

Name of Referee*: ______Contact Tel: ______Email: ______Address: ______

* We may contact your referee for further information on your application.

*Anycurrent/previous Unison staff, board members or panel judges are not eligible to be a referee.

SECTION 6– DOCUMENTS CHECKLIST

 HKID card  Public Exam Cert GCE (AL) Cert  Photo Personal Statement

SECTION 7 – DECLARATION

ALL APPLICANTS SHOULD SIGN AND RETURN THIS DECLARATION WITH THEIR APPLICATION.

I, ______do hereby certify that all statements made in this application are true and complete to the best of my knowledge and have not withheld any information which might influence the consideration of this application. I understand that any misrepresentation, false declaration or omission will be sufficient cause for cancellation of consideration for scholarship.

If I, ______am a recipient of any Scholarships administrated by Hong Kong Unison Ltd, I authorize Unison to release my information regarding this award through words, photos, interviews etc to donor and the local and overseas mass media.

______

Applicant’s SignatureDate

FOR OFFICE USE

Eligible Not Eligible

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