PSB Academy Pte Ltd
355 Jalan Bukit Ho Swee
Singapore 169567
Tel (65) 6885 1000 Fax (65) 6276 3103
Email [email protected]
www.psb-academy.edu.sg
Co. / GST Reg. No. 200704825E
UPDATING OF PARTICULARS
INSTRUCTIONS:
1. This form is to be completed by student for updating of personal particulars.
2. Students who request for a change in name are to submit in an updated photocopy of their NRIC / Passport / deed poll as
supporting document.
3. Students who are company-sponsored and wish to have a re-direction of correspondence to their residential are to
submit a copy of written approval by their company.
SECTION A: REQUEST FOR CHANGE ON PARTICULARS (Please  where applicable)
Update of Mailing
Address
Update of Contacts
(HP, Email address)
Change of Name
Re-direction of Correspondence
SECTION B: UPDATES ON PARTICULARS (*Please  where applicable)
Name
Compulsory Field
NRIC No. / FIN / Passport
No.
Compulsory Field
Programme Title
Compulsory Field
Batch No.
Compulsory Field
Home Address
Default Mailing Address*
Mobile Phone No.
Office Tel / Ext No.
Home Tel No.
Email Address
Company Address
Default Mailing Address*
Designation
NEXT OF KIN DETAILS (COMPULSORY FOR STUDENT PASS HOLDER AND STUDENT BELOW 18 YEARS OLD)
Name
Relationship
Email
Contact Number
Address
Check here if address is the
same as above
Signature of Student
Date
FOR OFFICIAL USE ONLY
Executive’s ID & Signature
Date Updated
NB: All information provided are treated with strictest confidentiality and are meant for internal use only.
PAC-STS-F13 R4
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