APPLICATION FORM for SP Donors-Sponsored Scholarships or Bursaries / MOE Bursary /CDC-CCC Bursary* For Academic Year 20___ /___
This form may take you 5 mins to complete. After filling up Section 1 and putting your signature on Section 2, please use the checklist in Section 3 to prepare the documents that you need to submit. Name of Applicant : _____________________________________________ Handphone No. : ________________________________________________ Admin No: ______________ Course: ________________
1. Particulars of Family Members Living In the Same House Relationship No. Name Age Occupation to applicant
Marital Status
(Single/Married)
Gross monthly Salary (S$)
2a) I hereby declare that all information provided is true and I am not in receipt of any bursaries/scholarships. If I were to receive more than one bursary/scholarship this academic year, I agree to refund one of them. 2b) I understand that my particulars will be disclosed to the donor of the bursary that I am awarded. They may also be disclosed to other Government agencies for the purpose of studying the trends of financial assistance application.
Signature of applicant: _________________________________ For Official Use Only: Date: ___________________________________
Per Capita Income: _____________________________________________________________________________ Received & Checked by
(If necessary)
: Initials & Signature _____________________________ Date : ________________
Received & Checked again by : Initials & Signature ____________________________ Date : ________________ Data Entry by : Initials & Signature _____________________________ Date : ________________
Approved by :_______________________________________________ Date: ______________________________
SASC-FRM-126 FA1 FINANCIAL ASSISTANCE APPLICATION
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Release 1.2
3. Checklist of documents to prepare Please bring along