Remember to upload this Document 1 of 2 (Single) …

1 Remember to upload this Document 1 of 2 (Single). Checklist together with the required Income and ID documents. SCHOLARSHIP (NEED BASED). (NTU Scholarships Section) APPLICATION FORM. CUM Document CHECKLIST. Applicant's Name: _____ Admission application no.: _____. Marital status: Single Mobile No.: _____. Please complete & place a tick in the appropriate boxes. Father Name: _____ Age: _____. Employment status: Retired / Unemployed / Employed / Self-employed Gross monthly income: _____ (Gross income refers to amount before deduction of CPF. It includes allowances, OT etc. Please indicate $0 if no income). Please provide a copy of: Divorced/Separated/Deceased Divorce/Separation Document OR Death certificate #. Employment status *1 *1. o Employed Income Slip dated not more than 3 months back or Employer Letter or Income Tax Notice of Assessment for year of assessment 2017. o Self-Employed Income Tax Notice of Assessment for year of assessment 2017. or Self-declaration Form^ + CPF Transaction History showing *2.

2 Past 6 months transactions o Unemployed / Retired Retirement letter from company or Self-declaration Form^ + CPF. *2. Transaction History showing past 6 months transactions Mother Name: _____ Age: _____. Employment status: Housewife / Retired / Unemployed / Employed / Self-employed Gross monthly income: _____ (Gross income refers to amount before deduction of CPF. It includes allowances, OT etc. Please indicate $0 if no income). Please provide a copy of: Divorced/Separated/Deceased Divorce/Separation Document OR Death certificate #. Employment status *1 *1. o Employed Income Slip dated not more than 3 months back or Employer Letter or Income Tax Notice of Assessment for year of assessment 2017. o Self-Employed Income Tax Notice of Assessment for year of assessment 2017. or Self-declaration Form^ + CPF Transaction History showing *2. past 6 months transactions o Unemployed / Retired Retirement letter from company or Self-declaration Form^ + CPF. *2. Transaction History showing past 6 months transactions ^ Please use the Self Declaration Form enclosed here.

3 # Copy of income Document is required if parent is staying in the same household as applicant. No income Document is required only if the parent is divorced/separated and he/she is not staying with applicant. Oct2017. 2 of 2 (Single). *1 Income slip or Employer letter must NOT be dated more than 3 months back. if submitting documents in Feb 2018, Document to be dated either Nov 2017 OR Dec 2017 OR Jan 2018. (If income fluctuates month to month, it would be advisable to provide payslips for a few months - recent past 3. consecutive months). *2 CPF Transaction History is only applicable to Singaporeans and Singapore Permanent Residents. The latest transaction must NOT be more than 2 months old ( if submitting application in Feb 2018, statement to capture transactions from EITHER Jul 2017 to Dec 2017 OR Sep 2017 to Feb 2018). Siblings / Other relatives staying in same household as applicant ^ Use the Self-declaration Form enclosed at the back of this Checklist. Name: _____ Age: _____.

4 Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF. Gross monthly income: _____. Name: _____ Age: _____. Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF. Gross monthly income: _____. Name: _____ Age: _____. Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF. Gross monthly income: _____. Name: _____ Age: _____. Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF. Gross monthly income: _____. For each sibling or relative staying in the same household: Please provide a copy of: ID doc Regardless of employment status NRIC or Passport or ID doc or Student card or Birth certificate and Employment status *1 *1. o Employed Income Slip dated not more than 3 months back or Employer Letter (incl Uniformed Services Regulars) or Income Tax Notice of Assessment for year of assessment 2017. o Self-Employed Income Tax Notice of Assessment for year of assessment 2017.

5 Or Self-declaration Form^ + CPF Transaction History showing *2. past 6 months transactions o Unemployed /Housewife / Retired / Retirement letter from company unemployed part-time student or Self-declaration Form^ + CPF Transaction History showing *2. past 6 months transactions o Full Time Tertiary Student aged Document showing full-time status 25 & above ( Admission Offer Letter or Certification Letter). o Full Time Tertiary Student aged Student Card or Admission Offer Letter 24 & below o Pending enlistment / enrolling into Self-declaration Form or Enlistment Letter or Admission Offer Letter tertiary institution (aged 21 & below). o Student aged 18 & below No doc required, other than ID doc o NS (Full Time) 11B or Enlistment Letter Oct2017. SELF DECLARATION FORM. I, _____ (family member's/relative's name), Identity Card/Passport No. _____ declare that I am: Self-employed as a _____(occupation). Unemployed Housewife Retiree (Average income may be provided if I am: drawing a gross monthly income of S$ _____ income fluctuates month to month).

6 Not drawing any income I am the father/mother/spouse/sibling/relative* of student _____ (NTU student's name). _____ _____. Signature of family member/relative Date *delete accordingly This form is for use by family members/relatives who are either self-employed, unemployed, housewife or retirees. (This form is not applicable for employed family members/relatives). o For a family member/relative who is a Singaporean or SPR, in addition to this Self Declaration Form, please also provide the latest copy of CPF Transaction History^ showing past 6 months transactions. ^ CPF Transaction History: o The latest transaction must not be more than 2 months old ( if submitting application in FEB. 2018, statement to capture transactions from EITHER Jul 2017 to Dec 2017 OR Sep 2017 to Feb 2018). o One self-declaration form per family member/relative. Please make more copies if needed. Oct2017.