REGISTRATION GUIDE 2000 - Ngee Ann Polytechnic

INFORMATION ONMOE BURSARY SCHEME (Part-Time Diploma)Eligibility1. The bursary is tenable on a modular certificate basis. There is no cap on the numberof bursaries given out each year. Students who are taking their first part-time diplomaand meet the following criteria may apply for the bursary:a) Singapore Citizen;b) Gross monthly household per capita income* (PCI) of $1,700 and below;c) Not in receipt of other scholarship/ bursary or study grant in the currentacademic year.*Gross Monthly HouseholdPer Capital Income (PCI) =Total Gross Monthly Household Income ofImmediate & Non-Immediate Family MembersTotal No. of Immediate & Non-Immediate Family MembersValue of Award2. The table below shows the criteria and bursary quantum:Gross Monthly Per Capita IncomeUp to $1,200Between$1,201 and $1,700Quantum $400 per modular certificate $120 per modular certificateApplication Procedure3. Checklist of documents to be submitted:MOE Bursary Application FormPhotocopies of NRICs/Birth Certificates of the family members declared in theapplication, including applicant’sPhotocopies of latest salary slip, letter from employer, income tax returns orstatement of monthly CPF contributions, downloadable from my CPF(www.cpf.gov.sg) of the applicant and the family members declared in theapplicationPhotocopies of past 3 months’ salary slips if gross monthly income variesFor applicants/ family members with no household income, please completeand submit Income Declaration Form to declare household income as nil andincome tax returns or statement of monthly CPF contributions (for the last 12months) downloadable from my CPFPhotocopies of student cards of family members who are not workingAny other relevant documents to support your applicationPlease ensure all the above documents are submitted before the claims can beofficially processed. Please send to:CET AcademyBlock 56, #01-04, 535 Clementi RoadSingapore 599489PTD_BURSARY_OCT 2013

APPLICATION FORM forMOE Bursary (Part-Time Diploma)This financial assistance scheme is available to subsidize part-time Singapore Citizen studentspursuing their first diploma course in the polytechnics. This form may take you 10 minutes tocomplete.PART I - PERSONAL PARTICULARS1. Name of Student: ___________________________________________________2. Student Number: S3. NRIC Number:4. Mobile/ Telephone No.: ____________________________________________________5. Academic Program:Diploma inPART II – INFORMATION ON FAMILY MEMBERS LIVING IN THE SAME HOUSE6. Please state the particulars for the following members:(i) Immediate family members include spouse, parents and all children who may or may not beliving together with the applicant; (ii) Non-immediate family members include grandparents,siblings, spouse of siblings or any other relatives who are living together with the applicant.No. Name Age Relationshipto applicantOccupationMaritalStatusGrossMonthlyIncome(S$)* Do provide attachment if insufficient space.Total Gross MonthlyHousehold Income: S$____________PART III – SCHOLARSHIPS/ BURSARIES7. Are you currently holding on to any scholarships/ bursaries? (please )□ No □ Yes, I received the scholarship/ award on _____________________(Year)PART III – DECLARATION8. I, __________________________ (Name of Applicant), hereby declare the informationprovided in this form is true to the best of my knowledge and I have not willfully suppressedor misrepresented any material fact pertaining to this declaration. I understand that anywillful suppression of information will render the claw-back of the award. I will also have torefund the full award if I am dismissed or withdrawn from Ngee Ann Polytechnic.Signature: ______________________________Date: ___________________PTD_BURSARY_OCT 2013

To be filled by:Applicants/Family Members withNo Household IncomeINCOME DECLARATION FORMIN SUPPORT FOR MOE BURSARY APPLICATIONI, _______________________ (Name), NRIC No. ___________________, herebydeclare that my total gross monthly income is S$_______________.I attached herewith:Document on income tax returns;orStatement of monthly CPF contributions (for the last 12 months).I declare that all information provided is true and accurate. I have not deliberately omittedany relevant facts.Signature: ______________________________Date: ___________________Notes:1 Gross income includes gross (i.e. including employee’s CPF contributions) income contributionsfrom self-employment, business or salaried employment (which includes basic salary, allowances,overtime pay, etc.) as well as other sources of income (e.g. rent). If bonuses are declared it shouldbe computed as one twelfth of the annual wage supplements and bonuses received in the lasttwelve months. The monthly financial support from divorced/ separated parent or spouse such asalimony and contributions to support children/ household should also be included. Payment inkind, reimbursement for transport and other expenses and National Service (NS) allowance earnedby NS men are excluded.PTD_BURSARY_OCT 2013

For Official Use OnlyS/n Documents Received Date Received Received by1 MOE Bursary Application Form2 Family’s Particulars Photocopies of NRICs/Birth Certificates of thefamily members declared in the application,including applicant’s3 Proof of Family Income (for each adult) Photocopies of latest salary slip, letter fromemployer, income tax returns or statement ofmonthly CPF contributions, downloadable frommy CPF (www.cpf.gov.sg) of the family membersdeclared in the applicationPhotocopies of past 3 months’ salary slips ifgross monthly income varies4 For those with no household income, pleasecomplete and submit Income Declaration Form todeclare household income as nil and income taxreturns or statement of monthly CPF contributions(for the last 12 months)5 Non-Working Family Members (If applicable) Photocopies of student cards of family memberswho are not working6 Other Documents (If applicable) Relevant documents to support your applicationGross Total Monthly Household Per Capita Income: __________________________________Documents Received& Checked by:Name & Signature _______________________ Date: ____________Verified by:Name & Signature _______________________ Date: ____________PTD_BURSARY_OCT 2013