SCHOOL OF DESIGN AND ENVIRONMENT Building and Estate Management Alumni (BEMA) Bursary Fund APPLICATION FORM APPLICANT’S PARTICULARS Name Mailing Address Contact Details (Mobile) (Home) (e-mail) Matric No IC/ Passport No Date of Birth Gender Female Male Nationality Singaporean Others, pls specify …………………………………. Course of Study BSc (Project & Facilities Mgmt) BSc (Real Estate) Level Year 1 Year 3 Year 2 Year 4 TYPE OF HOUSING HDB 3-room HDB 4-room HDB 5-room Others (please specify) Ownership of Property Purchased Rental HDB Executive SCHOOL OF DESIGN AND ENVIRONMENT FAMILY INFORMATION Relationship Full Name NRIC No Occupation Name of Company Income per month 1 Father $ 2 Mother $ 3 Sibling $ 4 Sibling $ 5 Sibling $ 6 Sibling $ Total Family Monthly Income $ SIBLING(S) WHO ARE STILL SCHOOLING Full Name Age NRIC / Birth Cert No 1 2 3 4 Page 2 of 5 Gender Name of School Standard SCHOOL OF DESIGN AND ENVIRONMENT OTHER SCHOLARSHIPS / BURSARIES Have you or your siblings applied for any other scholarship / bursary schemes other than this? Yes/ No If ‘Yes”, please furnish the information below: Full Name Amount 1 2 3 BRIEF ACCOUNT OF HARDSHIPS Page 3 of 5 Name of Scholarship / Bursary SCHOOL OF DESIGN AND ENVIRONMENT DECLARATION I declare that the particulars given above are true. I understand that my application will be revoked if the information provided is found to be false. y Information _____________________ Applicant’s Signature For Office Use Received by/date: Academic Year: Recommendation: ______________________ Date No. of awards available for AY: Date Outcome communicated: Page 4 of 5 0/ 1 / 2 SCHOOL OF DESIGN AND ENVIRONMENT Application Checklist Application form duly completed and signed Applicant’s identity card (photocopy) Parent’s and siblings identity card / birth cert (photocopy) Parents’ and working siblings latest payslip or income certification by employer or CPF statement showing contribution history for the last 12 months. (originals required) Student status letter for schooling siblings (originals required) Please include any others proofs to substantiate the hardship you are experiencing. Page 5 of 5