The VM GSAT “HEAD-START” Bursary is a one-time bursary offered to students who have completed GSAT in the year of application and will be starting secondary education. SPECIAL INSTRUCTIONS: BEFORE COMPLETING THIS FORM, PLEASE READ THE REGULATIONS. Each candidate should complete one copy of this form. This form does not require any supporting documents. The application form should be returned to the nearest Branch of The Victoria Mutual Building Society (VMBS). Applications for the 2018 VM “Head- Start” Scholarship Programme open on Monday, March 19, 2018 and close Friday, July 13, 2018. Student’s Name .......................................... / ....................................................... / .............................................. First Middle Initial Surname Parent’s Name: .......................................... / ....................................................... / .............................................. First Middle Initial Surname Date of Birth ......................................................... Sex: Male Female Nationality .............................................................. Home Address: ........................................................................................................................................................ ..................................................................................................................................................................................... Mailing Address (if different from home address)................................................................................................ ..................................................................................................................................................................................... Email Address:........................................................................................................................................................... Parent’s Telephone Number: (h).................................. (w)....................................... ( C)....................................... Name of past school:................................................................................................................................................ Name of new school:................................................................................................................................................. VMBS Account Number:........................................................................................................................................... All applicants should be the holder of an active VMBS Savings Account (the account must not be dormant). Signature: ............................................................. Date: .......................................................... . VMGB18