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OILFIELDS WORKERS’ TRADE UNION
SCHOLARSHIP APPLICATION FORM 2004
This form should be completed in the candidate’s own handwriting and sent to the Secretary, OWTU Butler-Rienzi Scholarship Trust, Paramount Building, 99a, Circular Road, San Fernando. Trinidad West Indies. Applications close Friday July 30th 2004.
The following documents must accompany this application (copies will suffice)
Certificates, Degrees or Diplomas obtained; (b) A photograph; (c) Birth Certificate
NAME IN FULL:
(Surname first, in block letters)
ADDRESS:
TELEPHONE CONTACT: E-MAIL:
NATIONALITY: MALE FEMALE
PLACE & DATE OF BIRTH: AGE LAST BIRTHDAY:
WHETHER MARRIED/SINGLE: NUMBER OF CHILDREN:
Please state information as to the relevant Union Member
(i.e. if applicant/parent is Union Member)NAME OF UNION MEMBER:
ADDRESS:
RELATIONSHIP TO APPLICANT:
NAME OF EMPLOYER:
Workplace Section Badge No.
Are you currently pursuing a Degree Programme?
Yes No
If YES please state:
Name of University and Faculty
Year of Entry
Course/Degree Programme