Patient Sustenance Grant - Application Form
Full Name (As in NRIC)
*
Email
*
example@example.com
Mobile Phone Number
*
Age Group
*
Above 65
55-64
41-54
31-40
21-30
Below 21
Have you tried applying for the SkillsFuture Jobseeker Support scheme (https://www.wsg.gov.sg/home/individuals/jobseeker-support), which offers $6,000 over 6 months to eligible individuals who have lost their jobs and are actively job searching?
*
Yes
No
What was the outcome of your application for the SkillsFuture Job Support scheme?
*
Any reasons you have not applied for the SkillsFuture Job Support Scheme?
*
Have you received or are currently receiving financial assistance from other support schemes?
*
Yes
No
What is the support scheme and how much have you received or are receiving?
*
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Number of Months you've been Unemployed
*
12+ Months
6-11 Months
4-5 Months
0-3 Months
Last Drawn Salary
*
$7000+
$5001-$7000
$3501-$5000
$3500 and below
Current Monthly Income (Average of Past 3 Months) from Part-Time Jobs if any
*
More than $1,500
$1,000 - $1,500
$501 - $1000
Less than $500
$0
Number of Employed Members in Household
*
More than 1
1
0
Number of Dependents (Children aged 21 years and below who are not gainfully employed)
*
More than 1
1
0
CHAS Card Type
*
Blue
Orange
Green
No CHAS Card
What is your Home Annual Value?
*
$31,000+
$15,001 - $31,000
$15,000 and below
Not sure
Did your doctor certify you fit for normal duties?
*
Yes
No
I have not seen a doctor for my condition.
How did you find out about this grant?
*
NAF Website
Medical Social Worker from Public Hospital
Friend
Other
To support your application, please upload the following documents:
Employer Termination Letter
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Medical Letter from Doctor if unemployment is due to illness
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CHAS Card
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Full NRIC (Front and Back)
*
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Drag and drop files here
Choose a file
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Past 15 months' CPF Transaction History
*
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Drag and drop files here
Choose a file
Log into cpf.gov.sg using SingPass > Navigate and click on My CPF at the top left corner of the screen > Click on Transaction History > Filter past 15 Months' History > Click on the PDF Button on the top right hand of the screen to download > Upload here
Cancel
of
Doctor's Memo/Diagnosis of Arthritic/Rheumatic Condition
*
Browse Files
Drag and drop files here
Choose a file
Cancel
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You have completed your application.
Please click submit below to confirm your application.
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Thank You for Your Submission.
Although your application does not qualify for this grant, we appreciate your interest and encourage you to explore our other available programmes. We are here to assist if needed.
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Points
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