Bursary Application Form

PERSEKUTUAN KEBAJIKAN ISLAM TELOK KURAU, SINGAPURA

Bursary Application Form
FOR OFFICAL USE ONLY
1. Application Received Date:____________________
2. Documents: Complete/ Incomplete
3. Shortlisted/Rejected/Awarded
4. Reviewed by:________________ Date:___________
Eligibility Criteria
- Students taking 'O' and 'N' level this year
- Tertiary students who is currently in their 2nd Year
- Undergrads currently in their 2nd Year
- Has to be a member of this organisation for atleast 3 years
Section A: Personal Particulars
Membership No. *
Name of Member as per NRIC*
Name of Applicant as per NRIC*
NRIC*
Date of Birth*

DayMonthYear
Date
Address*

Street Address & Unit

Street Address Line 2

CityState / Province

Postal Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (00000000).
Section B: Academic Information
Current School/ Institution *
Course of Study (if applicable)
Highest Academic Qualification Obtained: *
Year Obtained:*
Academic Results (attach certified copies of transcripts):*

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Section C: Family/Financial Background
Total Household Monthly Income: *

Dependents In The Household (including applicant)*

YesNo
If yes, please provide details
Section D: Personal Statement
Please attach a typed essay (200-400 words) addressing the following:

Why are you applying for this scholarship?
What are your academic/ career goals?
How will this scholarship help you achieve them?
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Volunteer Opportunity
I am interested in volunteering and supporting PKITKS.
Section E: Declaration
I declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in disqualification

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PERSEKUTUAN KEBAJIKAN ISLAM TELOK KURAU, SINGAPURA