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National University of Singapore Financial Aid &
Scholarships Application Form (Summary)
Your online application was received on
Name: Student No. / Application No.: Course & Year of Study:
Academic Year and Semester: Nationality: Contact No. & Email:
Scheme applied for:
1. Please save and PRINT this form and submit it with the
relevant supporting document(s) to the Office of Financial Aid
within two weeks from the online submission date as stated above to
avoid any delay in the processing of your application.
2. If you wish to make changes to any information in this form,
please make the changes in the printed form and sign beside the
changes.
Supporting Documents Checklist
(a) All Financial Aid applicants are to submit a photocopied
version of the following documents, where applicable. Only original
copies of Declaration Form A1, A2, B and F are acceptable. You can
login to the Undergraduate Financial Aid Portal again to print
these Declaration Forms.
Document: Compulsory in respect of :
1. Identification documents stating nationality and existing
home address. If any of the information is not indicated, certified
documents by the local authorities stating both the information are
required.
Applicant, all household members staying with applicants and
immediate family members who are not staying with applicant
2. Latest salary slip or recent letter from employer stating
current gross monthly salary or latest income tax assessment
stating income for the year or Declaration Form A1 (in the above
order of priority)
Salaried family member(s)
3a. Latest income tax assessment stating income for the year;
and 3b. Declaration Form A1
Self-employed family member(s)
4. Retrenchment letter Retrenched family member(s)
5a. **CPF / EPF latest 12-month statement; and 5b. Declaration
Form A2
** Applicable only to those who are aged 62 and below.
Housewife/Retired/unemployed family member(s) (not applicable to
students who are 21 years old and below)
6. Student Card / Admission offer letter Schooling family
members who are 22 years old and above
7a. Document stating medical condition(s) from a certified
general practitioner / doctor (if available); and 7b. Latest
3-months medical bills (if available); and 7c. Declaration Form
F
Applicant/family member(s) suffering from any of the following:
- Medical condition(s) - Physical or mental disability
8. Death certificate Deceased immediate family member(s)
9. Divorce or separation deed and alimony documents Applicants
parents who are divorced or separated
(b) In addition to the above, applicants who reported no (zero)
family income will need to submit Declaration Form B (Expense
Worksheet) together with a photocopied version of the following
documents, where applicable:
Document:
1. Latest utilities and phone bills
2. Vehicle loan agreement or payment advice (if applicable)
3. Latest credit card bill (if applicable)
(c) Applicants for Donated Scholarships are only required to
submit the Application Form (Summary) and supporting documents upon
request by the Office of Financial Aid.
(d) All applicants have to sign on the last page of this form.
For those who are under 18 years old at the point of application,
you and your parent/guardian are required to sign on the last page
of this form.
3. Please submit your documents by hand/post to the Office of
Financial Aid at:
Office of Financial Aid (within Office of Admissions), National
University of Singapore, University Town,
2 College Avenue West, #01-03 (Stephen Riady Centre), Singapore
138607 Tel: (65) 6516-2870 Email: [email protected]
Operational Hours: Monday - Thursday: 8.30 am - 6.00 pm; Friday:
8.30 am 5.30 pm; Weekends & Public Holidays: Closed
AO/Forms-01/2015
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NUS: Application for financial assistance- Family Members
2. FINANCIAL INFORMATION
2.1 Family members staying with applicant in home country.
(Include siblings who are studying abroad)
Family Member 1
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Gross Income: Currency:
Last Drawn Salary date:
Family Member 2
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Gross Income: Currency:
Last Drawn Salary date:
Family Member 3
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Gross Income: Currency:
Last Drawn Salary date:
Family Member 4
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Gross Income: Currency:
Last Drawn Salary date:
Family Member 5
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Gross Income: Currency:
Last Drawn Salary date:
Family Member 6
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
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NUS: Application for financial assistance- Family Members
Job Title Job Sector Name of Co./School
Monthly Gross Income: Currency:
Last Drawn Salary date:
Family Member 7
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Gross Income: Currency:
Last Drawn Salary date:
2.2 Family members not staying with applicant in home country
(include siblings who are married)
Family Member 1
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Contribution: Currency:
Last Drawn Salary date:
Family Member 2
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Contribution: Currency:
Last Drawn Salary date:
Family Member 3
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Contribution: Currency:
Last Drawn Salary date:
Family Member 4
Name: Age: Relationship:
Highest Educational Level:
Marital Status: Employment Status:
Job Title Job Sector Name of Co./School
Monthly Contribution: Currency:
Last Drawn Salary date:
Total:
2.3
a) Are you suffering from any physical or mental disability? (If
Yes, please provide relevant medical reports)
b) Are you suffering from any medical condition? (If Yes, please
provide relevant medical reports) Yes No
c) Are any of your family members suffering from any physical or
mental disability? (If Yes, please provide relevant medical
reports) Yes No
d) Are any of your family members suffering from any medical
condition? (If Yes, please provide relevant medical reports) Yes
No
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2.4. Summary of current family financial situation which
explains your need for financial aid.
2.5 Explanation on how your family supports itself (applicable
only to those with $0 income). [100 to 200 words].
6. DECLARATION
I hereby declare that all information provided by me in
connection with this application is true, accurate and complete. I
understand that any inaccurate, incomplete or false information
given or any omission of information required shall render this
application invalid and NUS may at its discretion withdraw any
offer of acceptance made to me on the basis of such information or,
if already admitted, I may be liable to disciplinary action, which
may result in my expulsion from NUS. And I hereby authorise NUS to
obtain and verify any part of the information given by me from or
with any source (such as Ministry of Education), as it deems
appropriate.
I declare and warrant that for any personal data of other
individuals disclosed by me in connection with this application, I
have, prior to disclosing such personal data to NUS, obtained the
appropriate consent from the individuals whose personal data are
being disclosed, to permit NUS to collect, use and disclose such
personal data for purposes related to this application, as set out
fully in the Personal Data Notice & Consent.
I agree that all such information provided by me in connection
with this application may be disclosed to authorised NUS personnel
or third parties on a need-to-know basis for purposes related to
this application, as set out fully in the Personal Data Notice
& Consent. Third parties include (i) the Ministry of Education,
other government agencies or statutory bodies or non-government
agencies authorised to carry out specific Government services or
duties and (ii) persons or organisations providing students with
scholarships and/or financial aid.
I have read and agree to the terms and conditions contained in
the Personal Data Notice and Consent.
Yes No I agree to receive marketing, advertising and promotional
information from NUS via postal mail, electronic mail, SMS or MMS
and/or fax.
Yes No I agree to receive marketing, advertising and promotional
information from NUS at my telephone number provided above via
FDOO/ phone call.
Date:
Note: Only sections 2 and 6 of the application form will appear
in the ASD. Once an application is submitted, you will not be able
to amend the submitted information in the application system.
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ccev821Typewritten TextSignature of applicant(Parent/Guardian
has to sign if student is under 18 year old)
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Local DiskNUS: Application for financial assistance- Family
Income DetailsNUS: Application for financial assistance- Personal
particularsNUS: Application for financial assistance- Family Income
DetailsNUS: Application for financial assistance- Awards &
Loans
NUS_ Application for financial assistance- Awards &
Loans.pdfLocal DiskNUS: Application for financial assistance-
Awards & Loans
awdLoan_FA.pdfLocal DiskNUS: Application for financial
assistance- Awards & Loans
NUS_ Application for financial assistance- ECA.pdfLocal DiskNUS:
Application for financial assistance- ECA
NUS_ Application for financial assistance- Family
Members.pdfLocal DiskNUS: Application for financial assistance-
Family Members
Awards and Loans.pdfLocal DiskNUS: Application for financial
assistance- Family Members
NUS_ Application for financial assistance- Family
Members.pdfLocal DiskNUS: Application for financial assistance-
Family Members
NUS_ Application for financial assistance- Family
Members.pdfLocal DiskNUS: Application for financial assistance-
Family Members
NUS_ Application for financial assistance- ECA.pdfLocal DiskNUS:
Application for financial assistance- ECA
index.pdfLocal DiskNUS: Application for financial assistance-
Family Members
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FinAid_FamInc_fa_std_disb_med_t: FinAid_FamInc_fam_curfin_t: My
family consist of three people, including myself. My mother is the
sole breadwinner in the family and has to support both my brother
and I. My brother is only 12 years old and hence has no income. My
sister has her own family and commitments and thus can only
contribute a limited amount to the
family.FinAid_FamInc_ap_woincrsn_t:
LLFMFMIEIFEGDOAMDFKKNLABDEPLCBPCGB: form1: x: f69: ONf70: ON
FinAid_ECA_ap_appl_dtm: 02-Feb-2015 12:38:03
AMFinAid_Ack_ay_sem: 1510FinAid_Ack_uas_prior:
CFinAid_Ack_ap_submit_date: 02-Feb-2015 12:38:03
AMFinAid_Ack_std_nm: MR LIM ZIJIE JOSHUAFinAid_Ack_std_matric_n:
A0124015YFinAid_Ack_crse_yr: ARTS AND SOCIAL SCIENCES, YEAR
1FinAid_Ack_acad_sem: 2015/2016, 1FinAid_Ack_nationality:
SINGAPOREFinAid_Ack_contact_email: 96899189(HP),
[email protected]_Ack_schemes_applied: Financial Aid &
ScholarshipFinAid_Ack_uas_age: FinAid_pdnc_mail: 0
FinAid_pdnc_phone: 0
