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Daily Star Award Application Form

This document is a questionnaire for award recipients of The Daily Star 19th ‘O’ & ‘A’ Level Award Presentation Ceremony from 2016-2017. It requests information such as the recipient's name, address, contact details, exam results, highest marks achieved, a 15-word statement of ambition, a 25-word favorite quotation, and a signature. Notes at the bottom instruct recipients to write their name on attached photographs and ensure word counts are within the limits for the ambition and quotation sections.

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Jason Grace
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0% found this document useful (0 votes)
30 views2 pages

Daily Star Award Application Form

This document is a questionnaire for award recipients of The Daily Star 19th ‘O’ & ‘A’ Level Award Presentation Ceremony from 2016-2017. It requests information such as the recipient's name, address, contact details, exam results, highest marks achieved, a 15-word statement of ambition, a 25-word favorite quotation, and a signature. Notes at the bottom instruct recipients to write their name on attached photographs and ensure word counts are within the limits for the ambition and quotation sections.

Uploaded by

Jason Grace
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Questionnaire for Awardees

The Daily Star 19th ‘O’ & ‘A’ Level Award Presentation Ceremony, 2016-
2017

(PLEASE FILL THIS FORM IN BLOCK LETTERS)


1) Name:
………………………………………………………………………………………………………………………….
2) Address & Phone Number: …………………………………………………………………….
…………………
………………………………………………………………………………………………………………….………
3) Contact Number:
…………………………………………………………………………………………………….
4) E-mail ID:
……………………………………………………………………………………………………………….
5) Results:

O / A Level Session Number of ‘A’s Candidate ID

May / June 2016

November 2016
January 2017
May / June 2017
November 2017

6) Highest Marks (if any):

……………………………………………………………………………………………..

7) Ambition: ( Words Limit 15)


…………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………….………………
8) Favourite Quotation:( Words Limit 25)
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………..
…………………………
Please copy this page as per requirement
9) Signature & Date: ………………………………………………………………………

Note to Students:

* Please write down your name clearly behind the color photograph.
* Please attach 2-color passport-size photograph at the top-right corner of this questionnaire.
* Please ensure that the total number of the words in the ‘Ambition’ do not exceed 15 & ‘Favorite
Quotation’
sections do not exceed 25.

Please copy this page as per requirement

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