Bursary Application Form - ITC - School of Laws

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Please complete this form and attach it with: 1. Your latest income supporting document (if any) 2. CPF Contribution His
ITC School of Laws Pte Ltd Bursary Application Form

Please complete this form and attach it with: 1. Your latest income supporting document (if any) 2. CPF Contribution History of 15 months (if any). 3. CPF Yearly Statement of Account (Ordinary Account, Special Account, Medisave Account). 4 Payslips. 5. Latest results transcripts, GCE ‘N’, ‘O’ & ‘A’ levels certificates/ Diploma /Degree/ Masters certificates and transcripts. Applicants who do not satisfy the stipulated academic minimum entry requirements will have to submit their accompanying Curriculum vitae (CV) for a case-by-case evaluation based on the matured candidate route. 6. Copy of NRIC (Front & Back).

PERSONAL PARTICULARS:Name (as in NRIC)

: ___________________________________________________________________

NRIC

:_________________________ Date of Birth:_______________________________

Gender (please circle)

: Female / Male

Home Address

: ___________________________________________________________________

Postal Code

: ____________________________

Personal Contact

: Home ______________________________ Mobile:_________________________

Nationality

:_________________________ Residential Status:_________________________

Occupation

:____________________________

Email:__________________________________________

Highest Academic Qualifications: _________________________________________________________________ Emergency contact

: Name______________________________Relationship_____________________ Mobile________________________________

PROGRAMME TO BE ENROLLED:□ Certificate of Higher Education in Common Law (CertHE) – PT/FT (please circle) □ Bachelor of Laws (LL.B) - PT/FT (please circle) □ International Foundation Programme (IFP)

FRM 010B

45 New Bridge Road, 2nd to 5th Floor, Singapore 059398 Tel : (+65)62380377 / fax : (+65)62380577 / website : www.itc2u.com UEN: 199302723G / Validity : 30 April 2016 – 29 April 2020

PRIVATE & CONFIDENTIAL

INFORMATION ON FAMILY MEMBERS:No

Name

Relationship & Marital Status

Age

Occupation

Gross Monthly Income*

DECLARATION BY APPLICANT :I, _____________________________________, NRIC No_________________, hereby declare that the information provided above is true to the best of my knowledge. I undertake to refund the value of benefits received by me if any of the information is found to be false later on. I accept that ITC can request for additional information to assess the financial needs of my household and to reassess the financial assistance provided at any time during the course of the year. I understand that the information given by me in this form or any part thereof may be shared within the organisation, and I consent to this being done. I understand and accept that ITC reserves its right to cancel and withdraw any part or whole of the Bursary Award if it is found that there has been a false and/or inaccurate information given in the application of the Bursary Award. I am also aware that this application is subject to the prevailing terms and conditions which has been brought to my attention.

__________________________________ Signature of Applicant

______________________________ Date

____________________________________________________________________________________________________________________ FOR OFFICE USE ONLY DATE RECEIVED: ______________

FRM 010B

NAME DESIGNATION SIGNATURE & DATE

: : :

45 New Bridge Road, 2nd to 5th Floor, Singapore 059398 Tel : (+65)62380377 / fax : (+65)62380577 / website : www.itc2u.com UEN: 199302723G / Validity : 30 April 2016 – 29 April 2020

PRIVATE & CONFIDENTIAL