50 Inspiring Years, 50 Exemplary Stories COLOURS OF TARCIAN (COT) Project Overview TARCian Alumni Association (TAA) has a vision of “Solidarity in the service of our community” i.e. creating and promoting a sense of belonging as well as unity, solidarity, integration, goodwill and mutual cooperation amongst TARCIANs. It is with this vision that we embark on this project aptly titled “Colours of TARCian”. “ Colours of TARCian” best describe the Variety of Colours of TARCIANs who have served and is serving the community. Even though we come from different ethnic groups, religious background and political stand, we are united in our stand to create a moderate, harmonious and friendly community. We hope that our unique ‘colours’ would bring much brightness to our relationship and add more meaning to the lives of all Malaysians, particularly the ideals, tradition and good name of our Alma Mater. “Colours of TARCian” is a project depicting a series of alumni success stories to showcase the contribution of TARCians to the society and to inspire the young from all walks of life. It will serve as a testimonial and portfolio for all TARCians, promoting a sense of pride in all TARCians. In conjunction with TAR UC celebrating its 50th Anniversary, 50 TARCian success stories from all walks of life will be featured in a coffee table book which will inspire students, parents and alumni. It will feature bilanguage write-ups (Chinese & English) and 3-5 minute video clip for each story. The stories will be uploaded on TAR UC and TAA website. TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories “Colours of TARCian ” Nominations are now open. Please complete the form below to nominate a TAR UC alumna or alumnus. The nomination deadline is 30 SEPTEMBER 2016. Only completed nominations received by the due date will be considered. Supporting documents should be submitted via emailing or post mailing. Please note that the strongest nominations include detailed responses and an additional letter of support as well as supporting material (eg. Awards Certificates, Newspaper Cutting etc), a resume or CV. Any enquiry please contact the following persons: Secretariat Office. Ms Yock Lian. 012-316 8306 ([email protected]) COT Nomination Chair - Mr KC Teo. COT Project Chair - Ms Jade Lim. 012-317 0886 ([email protected]) Colours of TARCian (COT) Nomination Form Nomination Guideline Be an alumni of TAR UC (TAR College); Be of excellent reputation and a source of inspiration and encouragement to others, especially the next generation of leaders; Have accomplishments and contributions that have a great impact in their organization, industry and the community at large; Have exemplary leadership with outstanding and enduring contributions to the improvement of products, processes, technology or human relations in business or in the community; Have made significant contributions to the community; Have not committed a crime and / or a bankrupt; The application must be typed; TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories If additional space is required for any section of this application, please submit on a separate, clearly labeled sheet along with this form; ONLY Selected nominees will be notified; Incomplete application or false information negates the application. SECTION 1 CATEGORY Please tick on the category which nominee belong to 1. Government / Politician 2. Educationist / Academician 3. Science / Technology & invention 4. Business / Entrepreneurship 5. Literature / Journalism 6. Entertainment / Journalism 7. Sports 8. NGO / Humanities / Community Services TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories SECTION 2 NOMINEE INFORMATION 1) Please describe your nominee’s exceptional professional achievements and contributions or Service, (required) 2) What other attributes has your nominee demonstrated that qualify her/him to be honored? (Required) 3) Please describe the impact of your nominee on a local, regional, national, and/or international level. (optional) 4) Is there anything else about your nominee that you would like the Selection Committee to consider? (optional) 5) Letters of support from individual who is able to validate the nominee’s achievements. (optional) Nominee Information Name of Nominee: _____________________________________________________ Year Graduated in TAR UC: ______________________________________________ Course: _______________________________________________________________ Faculty: ________________________________________________________________ Company Name: ________________________________________________________ Company Address: ________________________________________________________________________ TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories Telephone No: ______________________ Fax No: ____________________ Hand phone Number: __________________ Email Address: ___________________ Position: _______________________________________________________________ Nature of Business/ Profession: ________________________________________________________________________ ________________________________________________________________________ TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories 1) Please describe your nominee’s exceptional professional achievements and contributions or Service. (Required) Year Achievement/ Contribution (be specific) Personal Awards Received TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories 2) What other attributes has your nominee demonstrated that qualify her/him to be honored? (Required) TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories 3) Please describe the impact of your nominee on a local, regional, national, and/or international level. (optional) 4) Is there anything else about your nominee that you would like the committee to consider? (optional) TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories SECTION 3 NOMINEE DECLARATION I hereby declare that the information given in this form is to the best of my knowledge and in every respect true and correct. My personal data is given with consent. Nominee Signature: Nominee IC Number: ________________________ Date: ____________________ SECTION 4 NOMINATOR INFORMATION Name of Nominator: ____________________________________________________ Telephone No: ______________________ Fax No: ______________________ Hand phone Number: ________________Email Address: ______________________ Relationship with Nominee: ______________________________________________ How long have you known the nominee: ___________________________________ In what capacity: ________________________________________________________ TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories In 300 words or less, please tell us why you think your nominee deserves to be featured as an exemplary TARCian. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Nominator Signature: Date: _________________ SECTION 5 SECONDER INFORMATION Name of Seconder: ____________________________________________________ Telephone No: ______________________ Fax No: ______________________ Hand phone Number: ________________Email Address: ______________________ Relationship with Nominee: ______________________________________________ How long have you known the nominee: ___________________________________ In what capacity: ________________________________________________________ TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories The nominator and seconder may be contacted for further information or clarification. Please tick to ensure that the nomination package includes the following: Signed, completed nomination form including all contact information for the nominee, nominator, seconder. Signatures are required before a nomination form can be forwarded to the COT Committee. ALL Required field to support Nominee’s exceptional professional achievements and contributions or Service must be clearly written. Emailing or post-mailing to TARCian Alumni Association necessary supporting documents (eg. Copy of Awards Certificate, Newspaper cuttings, CV etc) (Optional) FORWARD NOMINATIONS TO: By Mail: By Email: Colours of TARCian (COT Project) DEADLINE FOR Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman NOMINATIONS [email protected] 30 SEPTEMBER 2016 University College. Jalan Genting Klang, 53300, Setapak,KL. If you choose to post mailing to us, please ensure to send an email to inform about your nomination. You will receive an email acknowledgment. If you don’t, please contact us. We are here to ensure your nomination is well received for process. THANK YOU FOR YOUR NOMINATION! TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my 50 Inspiring Years, 50 Exemplary Stories FOR OFFICIAL USE ONLY: Receipt Date: Checked By: Verified By: Remarks: TARCIAN ALUMNI ASSOCIATION 拉曼大学学院校友总会 (0351-12-WKL) Room A008, Ground Floor, Bangunan Tan Sri Khaw Kai Boh, Tunku Abdul Rahman University College, Jalan Genting Kelang, 53300 Setapak Kuala Lumpur, www.tarcalumni.my
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