Page 207 - 循人中学行政手册Tsun Jin High School Administative Manual

e. 交通工具

 摩哆车_______辆（车款:_________车牌:_________）

 汽车 _______辆（车款:_________车牌:_________）

4. 去年是否获得其他奖助学金，若有，请注明：
颁发奖助学金机构 （1） ________________ 数额:RM_________________

（2） ________________ 数额:RM_________________

5. 请具体说出你迫切需要这份助学金的原因：
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

6. 班导师意见：

a. 学习状况：______________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

b. 人际关系：______________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

c. 服务表现：______________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

d. 家庭状况：______________________________________________________________

__________________________________________________________________________
__________________________________________________________________________

班导师姓名：___________________ 签名：_______________________

7. 你曾为学校/班上/学会服务的记录：

序 日期 事项 备注
辅-15
23-9xzE.doc