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 2021
(Student & One Parent Must Be A TCC Member)
SECTION I : Particulars of Applicant
Name as in NRIC : ______PHOTO NRIC No. / Member Number : ______Nationality : ______(Non-returnable)
Home address : ______S ( )
Contact no. (Home) : ______Race : ______
Date of Birth : ____ dd/ ____ mm/ ______yyyy Age : ______Gender : M / F
Name of School : ______
Present level of study in Year 2021 (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./ Member Number
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