Professional Documents
Culture Documents
PERSONAL PARTICULARS
Name: ____________________________________________________________________
(As per NRIC/ passport, underline your family name)
Email: __________________________
Copy of front & back of your NRIC/ Employment Pass/ Work Permit/ Passport
For company sponsored applicants, please provide letter of support on the company
letter head (Letter should be signed off with the contact details and designation of the
signatory)
APPLICANTS DECLARATION
I declare that the information in this checklist and any sheets attached hereto are true and I
have not wilfully suppressed any material fact. I accept that if any information given by me in
this document is any way false or incorrect, I may be removed from the course and have to
pay the full course fees to Ngee Ann Polytechnic.
Signature: _______________________ Date: _______________________
(Check as applicable)
Instruction: Please use codes found on Page 2 of this form to complete this question
Postal Code:
Phone No:
Fax:
Email:
Payment:
By Cheque:
(Cheque No.)
All information provided is true, complete and accurate and that we have not withheld or distorted
any information or particulars required under this Form. We understand that if any information or
particulars provided by us is false, inaccurate, distorted or misleading in any way, Ngee Ann
Polytechnic reserves the right to withdraw the sponsored employee from the course and recover
the subsidized portion of the course fees from the company.
We understand that the course fee grant is provided to eligible Singapore Citizens and Permanent
Residents subject to the governing terms and conditions of the prevailing funding framework.
Name / Designation of
Officer-in-charge
Officer-in-charge
Signature
Name (CEO / GM /
Director)
Signature (CEO / GM /
Director)
Company Stamp
(Name)
(Date)
Manufacturing
12
Construction
13
14
15
Technical Services
16
17
18
19
20
Education
21
10
Wholesale Trade
22
Healthcare
11
Retail Trade
23
Others