Yangzheng Primary School

15 Serangoon Avenue 3 Singapore 556108

Tel: 62846298 Fax: 62879778

REQUEST TO BE PUT ON WAITING LIST

19/02/2024
Date of Submission: ____________________

Reynold Richie
Name of Child/Ward: ____________________________________________________

2017/09/121/000338/0
Birth Certificate No: ____________________ 05/04/2017
Date of Birth: ____________________

Citizenship: * Singapore Citizen/ Singapore Permanent Resident

Gender: * Male / Female

Ang Mo Kio Primary School

Current School: ________________________________________

P1/2024
Current Level / Year (e.g. P1/2018): ____________________

11-208 315
Address: ____________________________________________________________

Serangoon Avenue 2,SG 550315

____________________________________________________________

Father/Legal Guardian# Mother/Legal Guardian#

Name Richie Ravikumar Ravikumar Jefila Crystalin Ponraj Kumar

NRIC/UIN No.
S8668093I S9155712F
Contact No. 94689411
84982140
Email Address jefilacrystalin@gmail.com
richie.ravikumar@gmail.com
Signature &
Date

Reason for transfer: Shifted House/Foreign Pupil/Family Issues/Others

Recently got our PR approved and Yang Zheng school is very close to our house.
_____________________________________________________________________

_____________________________________________________________________

#
Please submit necessary documents if a legal guardian has been appointed.
* Delete where not appliupdcable

Page 1 of 2 Updated as of 14092020

 Yangzheng Primary School
15 Serangoon Avenue 3 Singapore 556108
Tel: 62846298 Fax: 62879778

Please provide the following information of your child (if any) below so as to assist the
school in providing the necessary support for your child.
PLEASE
SPECIAL NEEDS
TICK
Austistic Spectrum Disorders (ASD)
Attention Deficit Hyperactivity Disorder (ADHD)
Learning Difficulties (LD)
Dyslexic
Hearing Impairment
Visual Impairment
Speech Impairment
Others (Please specify) :
_________________________________________________
None of the Above

I declare that all information provided by me in this form is correct and true.
I understand that if my child/ward is successful in securing a place in the school,
the movement may affect eligibility for MOE Awards in his/her current school at
the end of the year e.g. Edusave Awards

Signature of Father/ Legal Guardian# & Signature of Mother/Legal Guardian# &

Date 19/02/2024 Date 19/02/2024

Instructions to Applicants
1. Please submit the following documents together with the School Waiting List Application Form:
 Photocopies of NRIC of both parents/ Entry/ Re-entry permits of parents
 Photocopies of child’s Birth Certificate / Entry/Re-entry permit of child
 Photocopies of latest school results
2. Please note that the documents submitted are non-returnable.
3. Incomplete application form will not be considered.
4. This form is valid for six months. Please renew your request after six months with the latest
results slips.
5. Applicants may submit the completed School Waiting List Application Form via fax, email @
yzps@moe.edu.sg or mail hardcopy to the school mailing address.
…………….………………FOR OFFICIAL USE ONLY …………………………………..

Date admitted: -- Class allocated: Primary 

#
Please submit necessary documents if a legal guardian has been appointed.
* Delete where not appliupdcable

Page 2 of 2 Updated as of 14092020