Erican for Malaysia

Scholarship School Nomination Form

One English scholarship for every school in Malaysia.
Satu biasiswa Bahasa Inggeris untuk setiap sekolah di Malaysia.

RM1,000Value per scholarship

1 yearEFL English Main Class

1 per schoolNominated by the school

31 Oct 2026Submission deadline

Who should complete this form? The Headmaster / Principal, or the teacher in charge of student affairs. Students and parents do not apply directly. Each school may nominate one student only.
Borang ini perlu diisi oleh Guru Besar / Pengetua atau guru yang bertanggungjawab ke atas hal ehwal murid. Setiap sekolah hanya boleh mencalonkan seorang murid.

A. School Information / Maklumat Sekolah

Details of the nominating school.

School name *Nama sekolah

Please enter the school name.

School type *Jenis sekolah

Please select the school type.

School code (if any)Kod sekolah (jika ada)

School address *Alamat sekolah

Please enter the school address.

Postcode *Poskod

Please enter a 5-digit postcode.

State *Negeri

Please select the state.

School email *E-mel sekolah

Please enter a valid email address.

School phone *No. telefon sekolah

Please enter the school phone number.

B. Nominating Officer / Pegawai Pencalon

The person submitting this nomination on behalf of the school. We will contact this person about the result.

Full name *Nama penuh

Please enter your name.

Position *Jawatan

Please select your position.

Email *E-mel

Please enter a valid email address.

Mobile / WhatsApp *No. telefon bimbit

Please enter a mobile number.

C. Nominated Student / Murid yang Dicalonkan

Please nominate one student who excels academically, would benefit from stronger English, and aspires to lead.

Student's full name *Nama penuh murid (seperti dalam MyKad / sijil kelahiran)

Please enter the student's full name.

Gender *Jantina

Male / Lelaki Female / Perempuan

Please select the gender.

Date of birth *Tarikh lahir

Please enter the date of birth.

Current year / form *Tahun / tingkatan semasa

Please select the student's year or form.

Student's English level (teacher's estimate)Tahap Bahasa Inggeris murid

We will place the student in the right EFL level (Pre-A1 to C1) after an assessment.

Academic achievements *Pencapaian akademik

Up to 150 words.

Please describe the student's academic achievements (150 words or fewer).

Leadership and co-curricular involvementKepimpinan dan kokurikulum

Up to 150 words.

Please keep this to 150 words or fewer.

Why does this student deserve the scholarship? *Mengapa murid ini layak menerima biasiswa ini?

Up to 250 words.

Please tell us why this student deserves the scholarship (250 words or fewer).

D. Parent / Guardian / Ibu Bapa / Penjaga

We will contact the parent or guardian to arrange class placement if the student is selected.

Parent / guardian name *Nama ibu bapa / penjaga

Please enter the parent or guardian's name.

Relationship *Hubungan

Please select the relationship.

Mobile / WhatsApp *No. telefon bimbit

Please enter a mobile number.

EmailE-mel

Please enter a valid email address.

E. Declaration / Perakuan

Please confirm the following before submitting.

I confirm that this is the school's only nomination for the Erican for Malaysia scholarship. Saya mengesahkan bahawa ini adalah satu-satunya pencalonan sekolah.

The student's parent or guardian has been informed and agrees to this nomination. Ibu bapa / penjaga murid telah dimaklumkan dan bersetuju dengan pencalonan ini.

I consent to Erican Education Group collecting and using the information in this form to process the scholarship, in accordance with the Personal Data Protection Act 2010. Saya bersetuju maklumat ini digunakan bagi tujuan pemprosesan biasiswa, selaras dengan Akta Perlindungan Data Peribadi 2010.

The information given is true and accurate to the best of my knowledge. Maklumat yang diberikan adalah benar dan tepat.

Please tick all four declarations to continue.

Thank you! Your nomination has been received.

Terima kasih! Pencalonan anda telah diterima.

We will contact the nominating officer by email or WhatsApp. Results will be announced in November 2026.