Sivadas-Heb Preschool Bursary Application Form (Page 3 of 4) in pdf

Sivadas-Heb Preschool Bursary Application Form Page 3

(IV) PARTICULARS OF FAMILY MEMBERS (WITHIN HOUSEHOLD)

• Details of all family members living in the same household must be included

• Please provide a copy of the latest payslip, income declaration or letter from employer for all

employed members of the family who are living in the same household

Date

Gross

Relationship to

Education

Monthly

Name

NRIC

Occupation

Applicant

Level

Income

Birth

Total ($)

(V) PARTICULARS OF CHILDREN (6 YEARS AND BELOW) ATTENDING CHILDCARE

Relationship to

Name of School

Name

BC NO

Date of Birth

Applicant

(VI) DECLARATION (TO BE COMPLETED BY PARENT OR GUARDIAN)

1. I hereby declare that the particulars contained in this application are true and correct.

2. I understand that the committee reserves the right to verify the above information in whatever means deemed

fit and necessary. I understand that any misreporting of the above information can lead to my application

being rejected.

3. I understand that the acceptance of this application form by the Hindu Endowments Board does not bind the

Hindu Endowments Board to approve the application and that the Hindu Endowments Board is at liberty to

reject the application without giving any reason(s).

___________________________________

________________________

____________

Name of Parent / Guardian

Signature of Parent / Guardian

Date

Sivadas-Heb Preschool Bursary Application Form Page 3