EDUN N27-03-129 Annex A-1

AY2023 ASEAN SCHOLARSHIP FOR VIETNAM

PARTICULARS AND DECLARATION OF SURETY

Name of Surety : Gender :

*Identity Card No./
Passport No. : Nationality :
Date of Birth
(DD/MM/YYYY format) : Age :

Home Address : <To be completed by Surety who is above 21 years old and up to 55 years of age>

Email Address : Contact No. :

Name of Employer : <Please refer to note below on conditions to be a Surety>

Office Address : Office Tel No. :

Occupation :

Relationship to Scholar :

I hereby declare that the particulars given above are true and that I fully satisfy the conditions to be a surety set
out in the note below. I understand that as a surety, I am jointly and severally liable to pay damages in the
event that the Scholar breaches any of the conditions under the Scholarship Agreement.

<Surety’s Signature>
______________________________ _________________________
Signature of Surety Date

NOTE:
Surety shall satisfy the following conditions:
(a) A Singapore Citizen (preferably) or a Vietnamese national;
(b) Above 21 years old and up to 55 years of age (as of signing date for scholarship agreement) and gainfully
employed 1;
(c) Not a bankrupt; and
(d) Not a party to an existing scholarship/bursary/study loan or any other Deed/Agreement.

* Delete whichever is not applicable

<To be completed by Scholar>

Name of Scholar : _______________________________________________________

*Identity Card No./Passport No. <Scholar’s Identity Card/Passport Number>

: _____________________________________________________

1 Includes self-employment.