National University of Singapore Financial Aid & Scholarships Application Form (Summary) Your online application was received on Name: Student No. / Application No.: Course & Year of Study: Academic Year and Semester: Nationality: Contact No. & Email: Scheme applied for: 1. Please save and PRINT this form and submit it with the relevant supporting document(s) to the Office of Financial Aid within two weeks from the online submission date as stated above to avoid any delay in the processing of your application. 2. If you wish to make changes to any information in this form, please make the changes in the printed form and sign beside the changes. Supporting Documents Checklist (a) All Financial Aid applicants are to submit a photocopied version of the following documents, where applicable. Only original copies of Declaration Form A1, A2, B and F are acceptable. You can login to the Undergraduate Financial Aid Portal again to print these Declaration Forms. Document: 1. Identification documents stating nationality and existing home address. If any of the information is not indicated, certified documents by the local authorities stating both the information are required. 2. Latest salary slip or recent letter from employer stating current gross monthly salary or latest income tax assessment stating income for the year or Declaration Form A1 (in the above order of priority) 3a. Latest income tax assessment stating income for the year; and 3b. Declaration Form A1 4. Retrenchment letter 5a. **CPF / EPF latest 12-month contribution statement; and 5b. Declaration Form A2 Compulsory in respect of : Applicant, all household members staying with applicants and immediate family members who are not staying with applicant Salaried family member(s) Self-employed family member(s) Retrenched family member(s) Housewife/Retired/unemployed family member(s) (not applicable to students who are 21 years old and below) ** Applicable only to those who are aged 65 and below. 6. Student Card / Admission offer letter 7a. Document stating medical condition(s) from a certified general practitioner / doctor (if available); and 7b. Latest 3-months medical bills (if available); and 7c. Declaration Form F 8. Death certificate 9. Divorce or separation deed and alimony documents Schooling family members who are 22 years old and above Applicant/family member(s) suffering from any of the following: - Medical condition(s) - Physical or mental disability Deceased immediate family member(s) Applicant’s parents who are divorced or separated (b) In addition to the above, applicants who reported no (zero) family income will need to submit Declaration Form B (Expense Worksheet) together with a photocopied version of the following documents, where applicable: Document: 1. Latest utilities and phone bills 2. Vehicle loan agreement or payment advice (if applicable) 3. Latest credit card bill (if applicable) (c) Applicants for Donated Scholarships are only required to submit the Application Form (Summary) and supporting documents upon request by the Office of Financial Aid. (d) All applicants have to sign on the last page of this form. For those who are under 18 years old at the point of application, you and your parent/guardian are required to sign on the last page of this form. 3. Please submit your documents by hand/post to the Office of Financial Aid at: Office of Financial Aid (within Office of Admissions), National University of Singapore, University Town, 2 College Avenue West, #01-03 (Stephen Riady Centre), Singapore 138607 Tel: (65) 6516-2870 Email: http://www.askadmissions.nus.edu.sg/app/utils/login_form/redirect/ask Operational Hours: Monday - Thursday: 8.30 am - 6.00 pm; Friday: 8.30 am – 5.30 pm; Weekends & Public Holidays: Closed AO/Forms-01/2016