F4 TANJONG KATONG GIRLS’ SCHOOL- MUSIC ELECTIVE PROGRAMME (Y2015) APPLICATION FORM ONLY SHORTLISTED APPLICANTS WILL BE CALLED FOR AN AUDITION & INTERVIEW. APPLICANTS ARE REQUIRED TO SUBMIT CERTIFIED TRUE COPIES OF THEIR MUSIC CERTIFICATES AND MARK FORMS. A. Personal Particulars Name of Applicant (as shown in Birth Certificate) NRIC/FIN Date of birth Nationality Year of PSLE Contact Address Postal Code Email Address Name of Parent / Guardian (Mr/Mrs/Ms/Mdm*) Relationship to Pupil Contact Numbers (Home) (Mobile) (Office) B. Music Exam Results (ABRSM / Guildhall School / London College / Trinity College of Music / AMEB) Practical Study Grade Year Instrument Grade Year Instrument Full Name of Tutor + Contact No. Highest level attained Theory Full Name of Tutor + Contact No. Highest Level attained C. To be completed by Parent / Guardian* of Applicant I agree to the application made by my child / ward*. I understand that any incomplete or false information will void my application. I also agree that if my child / ward* is selected for the MEP, she is obliged to pursue the course up to Secondary Four level and to offer it as a subject in the GCE ‘O’ Level examination. Name of Applicant Signature Date Name of Parent/Guardian* Signature Date * delete where inapplicable