HYC PSA Scholarships

HYC PSA Scholarship Online Application Form 2020

Step 1 of 3

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1. This form must be completed in full and submitted online to the HYC PSA Scholarships Secretariat.
2. The application e-form with all supporting documents must be submitted and received by the Secretariat before the respective closing date. A list of the required supporting documents are enclosed in this form.
3. Please ensure all information are accurate before submission, no changes are permitted after submission.
4. If you have any difficulties in submitting the online form, please contact secretariat@hycpsascholarship.com
Please note that only shortlisted applications will be notified by email, within two months of the respective closing date,
- For ITE application: 31 January 2020, 5pm
- For Polytechnic and University application: 15 March 2020

*Compulsory Field
1) Application for Scholarship at *
Institution of Study*
Field of Study*
2) Personal particulars *
Reference
Salutation*
Name*
Given Name Surname
Gender*
Date of birth*
Age (as of 2020)*
NRIC No*
Marital Status*
Address*
Street Address Address Line 2 City Postal Code Country
Type of Property*
Number of room*
Property Ownership*
Email Address*
Home Contact Number*
Mobile Number*
3) Family details*
a) Father
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Gross Monthly Income*
Is father living in the same household as applicant?*
- Yes
- No
b) Mother
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Gross Monthly Income*
Is mother living in the same household as applicant?*
- Yes
- No
Household per Capital Income (CPI)
Number of household members living in the same household excluding parents and applicant*
c) Additional Family Details
c1) Family Member 1
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c2) Family Member 2
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c3) Family Member 3
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c4) Family Member 4
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c5) Family Member 5
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c6) Family Member 6
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c7) Family Member 7
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c8) Family Member 8
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*
c9) Family Member 9
Relationship*
Name*
Given Name Surname
Age (as of 2020)*
Nationality*
Occupation*
Basic Monthly Income*

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4) Education History *
(Submit detailed results by attaching the school results in the e-form)
*
Year (From) Year (To) Schools/Colleges Attended Highest Qualification Attained
5) School Activities *
(Please submit detailed CCA records including testimonials (if any) with printed application form)
*
Year (From) Year (To) Description of Activity Position Held/Level of Participation
6) Awards
(Please indicate awards attained during school or work / activities outside school)
Year Name of Award Description of Award
7) Scholarships Awarded / Other Financial Assistance Received
Year (From) Year (To) Name and Description of Scholarship / Financial Assistance Value (SGD)
8) Other Activities
(Please provide details of activities which you have participated outside school e.g. voluntary, community, leadership, arts and culture, science and technology etc.)
Year (From) Year (To) Description of Activity Position Held / Level of Participation
9) Essay *
Please submit a short essay of between 300 to 600 words on any of the following topics:
Choose one*
- My ideal society
- My challenges in life and how I overcame them
Submitted Essay*

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Confirmation
Please review before submiting
{all_fields:nohidden}
10. Declaration *
*
- I declare that I am a Singapore Citizen. I declare that I am studying full-time in one of the institutions listed in your website. I declare that the information submitted in this form, and those in the supporting documents accompanying the application are true and correct. I understand that any false information, or information that is withheld will lead to this application being disqualified.
Name:
{Name (Last):103.6} {Name (First):103.3}

NRIC No:
{NRIC No:66}

Signature:

Date:
25/02/2020
11. Supporting Documents *
Please upload the relevant supporting documents below to support your application. Any incomplete submission will be disqualified.
1. A recent passport size photo
2. Copy of NRIC/ Passport (for applicant and the family members)
3. Copy of national service records (if applicable)
4. All academic certificates, including detailed results
5. Copy of detailed CCA records
6. Copy of all relevant academic and non-academic testimonials
7. Copy of awards attained
8. Copy of scholarship letter / letter of approval for financial assistance received
9. Copy of detailed financial information of parents and all household members living with applicant e.g. Letters of Appointment, CPF statements, Income Tax Returns / IR8A form, salary slips etc.
Upload Files*
Drop files here or

Accepted file types: pdf, jpg, png, doc, docx.
Maximum 20 files. Each file limited to 5MB.
Accepted file formats: PDF, jpg, png, doc, docx
All documents are to be received by the Secretariat before:
- For ITE application: 31 January 2020, 5pm
- For Polytechnic and University application: 15 March 2020, 5pm

Only shortlisted applicant will be INFORMED of the outcome.
12. Personal Data Protection
1. By submitting this application form, you agree that your personal data may be collected, used and disclosed by HYC PSA Scholarships Secretariat and its service providers and agents, for the purpose of processing your application, including evaluation of your suitability for sponsorship, conducting checks, and contacting you or the individuals named in your application, regarding your application; as well as to provide you with assistance should your application be successful and for the purpose of administrative and operational matters associated with the foregoing.
2. You warrant that where you have disclosed personal data of individuals (e.g. family members, relatives, friends or referees) to HYC PSA Scholarships Secretariat and its service providers and agents, in connection with this application, you have obtained the prior consent of such individuals for the collection, use and disclosure described in paragraph (1) above.
3. The above applies to personal data that is collected through this application submission and personal data that may be collected on separate occasions through various means for the above mentioned purposes. Your personal data will be used and retained in accordance with the HYC PSA Scholarships Secretariat Personal Data Policy.
Email
This field is for validation purposes and should be left unchanged.

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Year (From)	Year (To)	Schools/Colleges Attended	Highest Qualification Attained

Year (From)	Year (To)	Description of Activity	Position Held/Level of Participation

Year (From)	Year (To)	Name and Description of Scholarship / Financial Assistance	Value (SGD)

HYC PSA Scholarship Online Application Form 2020

Step 1 of 3

1) Application for Scholarship at *

2) Personal particulars *

3) Family details*

a) Father

b) Mother

c) Additional Family Details

c1) Family Member 1

c2) Family Member 2

c3) Family Member 3

c4) Family Member 4

c5) Family Member 5

c6) Family Member 6

c7) Family Member 7

c8) Family Member 8

c9) Family Member 9

4) Education History *

5) School Activities *

6) Awards

7) Scholarships Awarded / Other Financial Assistance Received

8) Other Activities

9) Essay *

Confirmation

10. Declaration *

11. Supporting Documents *

12. Personal Data Protection