Company Name: Document Number: TCC Credit Co-Operative Ltd TCC-PF-026 Revision: 08 TCC Annual Scholarship & Bursary Form Effective Date: 01st Apr 2017
TCC ANNUAL SCHOLARSHIP AND BURSARY AWARDS 2020
(Student & One Parent Must Be A TCC Member)
SECTION I : Particulars of Applicant
Name as in NRIC : ______
NRIC No. / Passport : ______Nationality : ______
Home address : ______S ( ) PHOTO (Non-returnable) Contact no. (Home) : ______Race : ______
Date of Birth : ____ dd/ ____ mm/ ______yyyy Age : ______Gender : M / F
Name of School : ______
Present level of study in Year 2020 (please tick one only)
� Primary 3 � Primary 4 � Primary 5 � Primary 6 � Secondary 1 � Secondary 2 � Secondary 3 � Secondary 4 � Secondary 5 � JC 1 � JC 2 � Poly 1 � Poly 2 � Poly 3 � ITE 1 � ITE 2 � ITE 3 � ITE 4 � Uni 1 � Uni 2 � Uni 3 � Uni 4 � Uni 5
SECTION II : Particulars of Parents / Guardian
Guardian of Applicant Particulars of Father of Applicant Mother of Applicant (If applicable)
Name as in NRIC
NRIC No.
Name of Company
Designation
Basic Salary
Gross Salary
Contact No. (Office)
Contact No. (Mobile)
SECTION III : Declaration
I declare to the best of my knowledge that the particulars provided above are true and correct, failing which my application will not be considered. I also understand fully the terms and conditions listed overleaf. I agree that the decision of the Selection Committee is final.
______Signature of Applicant Signature of Parent/Guardian Date ======FOR OFFICIAL USE ONLY
Date received ______Recorded by ______Date ______Checked by ______Date ______
F/CN: ______S1: NA / REG / IRR S2: NA / REG / IRR DEF: NA / ADV / ARR RSG: N / Y
M/CN: ______S1: NA / REG / IRR S2: NA / REG / IRR DEF: NA / ADV / ARR RSG: N / Y
C/CN: ______/ NIL RSG: N / Y