Proxy Form - Moe (Singapore) printable pdf download

To be completed by Parent/ Guardian

Name of Candidate : _________________________________________

BC No./FIN

: _________________________________________

PSLE Index No.

: _________________________________________

P6 Class No.

: _________________________________________

PROXY FORM

Please use this Proxy Form if you nominate another adult to:

collect the PSLE results slip/S1 Option Form

•

submit the completed S1 Option Form

•

This form may take you 5 minutes to fill in. Please take note of the following points when you fill in the form.

Important Notes:

The appointed proxy must be aged 21 and above.

The appointed proxy should bring the completed Proxy Form and supporting documents to the child’s

school. The supporting documents are:

• Original NRIC of Parents

• Original Birth Certificate of the student

• Original NRIC of the appointed proxy

To:

Principal of ______________________________________________ (Name of School)

I, parent/guardian* of ______________________________________________ (Name of Child),

________________________________ (BC No./FIN), would like to appoint Mr/Mrs/Mdm/Miss

_________________________________________ (Name), ___________________ (NRIC No.) to:

Please circle

Collect my child’s / ward’s PSLE results slip, S1 Option Form and

Yes

Proxy Form - Moe (Singapore)