WDA Application Form - Scholarship

Published on December 2016 | Categories: Documents | Downloads: 34 | Comments: 0 | Views: 287
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WDA Application Form - Scholarship

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APPLICATION FORM FOR WDA SCHOLARSHIP INSTRUCTIONS TO APPLICANTS: 1. When you have completed the application form, please email it to [email protected] or send it by post to: Director (Corporate Development Division) Singapore Workforce Development Agency 1 Marina Boulevard One Marina Boulevard Singapore 018989 2. 3. 4. 5. Applications that are not properly completed or illegible may be rejected. Any false particulars given or wilful suppression of material facts will disqualify you from the award of WDA’s scholarship, and if subsequently appointed, to immediate dismissal from service. You need not attach a separate resume to this application form. *Delete as appropriate.

(A)PERSONAL PARTICULARS 1.Name : 2. NRIC(PINK) PASSPORT No : 3.Singapore Permanent Resident : *Yes / No 4. Present Citizenship : 5. Date of Birth : 6. Sex : *M/F 7. Tel (Home) : 9. Email Address : 10. Are you currently on an Honours programme : *Yes / No 11. Race : 13. Postal Address : 8.(Mobile) :

12.Religion :

(B) RESULTS OF GCE 'O' LEVEL AND 'A' LEVEL/POLYTECHNIC DIPLOMA EXAMS OR EQUIVALENT *'O' Level/'O' Level Equivalent Subject Year : Grade *'A' Level/'A' Level Equivalent/Diploma(Final Year)/Diploma Equivalent (Final Year) Year : Subject Grade

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(C) *LATEST/FINAL YEAR BACHELOR DEGREE RESULTS OR EQUIVALENT University attended : Graduating Year : Course of Study : Subject Grade Class of Hons : Subject Grade

GPA for * latest/final year results (if available): (D) ACADEMIC SCHOLARSHIPS & AWARDS Sponsoring Organisation Duration of Bond From (year) To (year) Name of Scholarships/Awards (including PSC awards)

(E) PROFESSIONAL QUALIFICATIONS & MEMBERSHIPS/OTHER EDUCATIONAL CERTIFICATES OR TRAINING UNDERTAKEN OR CURRENTLY PURSUING, OTHER AWARDS, MEDALS & PRIZES Year Description

(F) NATIONAL SERVICE RECORDS (MALE APPLICANTS ONLY) Date of Enlistment Operationally-Ready Date Rank Organisation: SAF/SPF/SCDF PES Grading

If you have not served NS, please state reasons for exemption/deferment/not serving:

(G) ECA/SPORTS/HOBBIES From (date) To (date) ECA/SPORTS/HOBBIES

ECA: Please indicate if you held an elective office or responsible position. Sports: Please indicate level of participation. Hobbies: Where applicable, please state level of proficiency eg Piano Grade V.

(H) SCHOOL ATTACHMENT/INTERNSHIP Company Name & Address

Nature of Project

Duration

From (date)

To (date)

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I)

LANGUAGE PROFICIENCY Language

Speak Proficiency

Read Proficiency

Write Proficiency

(J) REFEREES Full Name

Occupation

Organization

Contact

Email

Period Known

OTHER INFORMATION Share with us about your personality

Please answer the following questions with a tick in the appropriate box. If your answer is “Yes”, please provide details. 1. Have you ever suffered, or are suffering from any medical condition, illness, disease, mental illness or physical impairment? 2. Do you have a criminal record in Singapore? 3. Have you ever been convicted in a court of law in any other country (excluding parking offences or criminal records disclosed above)? 4. Have you been charged with any offence in a court of law in Singapore or in any other country for which the outcome is pending (excluding parking offences)? 5. Have you been or are you under any financial embarrassment i.e. (a) an undischarged bankrupt, (b) a judgment debtor, (c) have unsecured debts and liabilities of more than 3 months of last drawn pay, (d) have signed a promissory note or an acknowledgement of indebtedness? (I) DECLARATION I declare that the information given above are true to the best of my knowledge and have not wilfully suppressed any material fact. I accept that if any if the information given by me in this application is false or incorrect, I may be disqualified from employment or dismissed from service. WDA may also recover liquidated damages (if any) if the bond period has not been fully discharged. Yes Yes Yes Yes Yes No No No No No

_______________________________ Signature of applicant

_____________________________ Date

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