Remember to upload this
Document Checklist together
with the required Income and
ID documents.
1 of 2 (Single)
SCHOLARSHIP (NEED BASED)
APPLICATION FORM
CUM DOCUMENT CHECKLIST
(NTU Scholarships Section)
Applicant’s Name: ______________________________________ Admission application no.: _______________
Marital status:
 Single
Mobile No.: _______________
Please complete & place a tick in the appropriate boxes.
•
Father
Name: _______________________________________________
Age: ________
Employment status: Retired / Unemployed / Employed / Self-employed
Gross monthly income: _______________ (Gross income refers to amount before deduction of CPF. It includes
allowances, OT etc. Please indicate $0 if no income).
Please provide a copy of:
Divorced/Separated/Deceased
Employment status
•
 Divorce/Separation Document OR Death certificate
#
*1
o
Employed
 Income Slip dated not more than 3 months back or  Employer Letter
or  Income Tax Notice of Assessment for year of assessment 2016
o
Self-Employed
o
Unemployed / Retired
 Income Tax Notice of Assessment for year of assessment 2016
or  Self-declaration Form^ + CPF Transaction History showing
*2
past 6 months transactions
 Retirement letter from company or  Self-declaration Form^ + CPF
*2
Transaction History showing past 6 months transactions
*1
Mother
Name: _______________________________________________
Age: ________
Employment status: Housewife / Retired / Unemployed / Employed / Self-employed
Gross monthly income: _______________ (Gross income refers to amount before deduction of CPF. It includes
allowances, OT etc. Please indicate $0 if no income).
Please provide a copy of:
Divorced/Separated/Deceased
Employment status
 Divorce/Separation Document OR Death certificate
#
*1
o
Employed
 Income Slip dated not more than 3 months back or  Employer Letter
or  Income Tax Notice of Assessment for year of assessment 2016
o
Self-Employed
o
Unemployed / Retired
 Income Tax Notice of Assessment for year of assessment 2016
or  Self-declaration Form^ + CPF Transaction History showing
*2
past 6 months transactions
 Retirement letter from company or  Self-declaration Form^ + CPF
*2
Transaction History showing past 6 months transactions
*1
^ Please use the Self Declaration Form enclosed here.
# Copy of income document is required if parent is staying in the same household as applicant. No income document is required only if
the parent is divorced/separated and he/she is not staying with applicant.
Oct2016
2 of 2 (Single)
*1 Income slip or Employer letter must NOT be dated more than 3 months back.
E.g. if submitting documents in Feb 2017, document to be dated either Nov 2016 OR Dec 2016 OR Jan 2017.
(If income fluctuates month to month, it would be advisable to provide payslips for a few months - recent past 3
consecutive months).
*2 CPF Transaction History is only applicable to Singaporeans and Singapore Permanent Residents.
The latest transaction must NOT be more than 2 months old (e.g. if submitting application in Feb 2017, statement to
capture transactions from EITHER Jul 2016 to Dec 2016 OR Sep 2016 to Feb 2017).
•
Siblings / Other relatives staying in same household as applicant
Name: ________________________________________ Age: ________
Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF
Gross monthly income: _______________
Name: ________________________________________ Age: ________
Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF
Gross monthly income: _______________
Name: ________________________________________ Age: ________
Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF
Gross monthly income: _______________
Name: ________________________________________ Age: ________
Employment status: Student /Housewife /Retired /Unemployed /Employed /Self-employed/NSF
Gross monthly income: _______________
For each sibling or relative staying in the same household:
Please provide a copy of:
ID doc
Regardless of employment status
NRIC or Passport or ID doc or Student card or Birth certificate
and
Employment status
*1
o
Employed
(incl Uniformed Services Regulars)
Income Slip dated not more than 3 months back or Employer Letter
or Income Tax Notice of Assessment for year of assessment 2016
o
Self-Employed
Income Tax Notice of Assessment for year of assessment 2016
or Self-declaration Form^ + CPF Transaction History showing
*2
past 6 months transactions
o Unemployed /Housewife / Retired /
unemployed part-time student
o Full Time Tertiary Student aged
25 & above
*1
Retirement letter from company
or Self-declaration Form^ + CPF Transaction History showing
*2
past 6 months transactions
Document showing full-time status
(e.g. Admission Offer Letter or Certification Letter)
o Full Time Tertiary Student aged
24 & below
Student Card or Admission Offer Letter
o Pending enlistment / enrolling into
tertiary institution (aged 21 & below)
Self-declaration Form or Enlistment Letter or Admission Offer Letter
o Student aged 18 & below
No doc required, other than ID doc
o NS (Full Time)
11B or Enlistment Letter
Oct2016
SELF DECLARATION FORM
I, ___________________________________________________ (family member’s/relative’s name),
Identity Card/Passport No. __________________________ declare that I am:

Self-employed as a _______________________________________(occupation)

Unemployed

Housewife

Retiree
I am:
 drawing a gross monthly income of S$ ____________
(Average income may be provided if
income fluctuates month to month)
 not drawing any income
I am the father/mother/spouse/sibling/relative* of student _____________________________ (NTU student’s name).
_____________________________
_____________
Signature of family member/relative
Date
*delete accordingly
This form is for use by family members/relatives who are either self-employed, unemployed, housewife or
retirees. (This form is not applicable for employed family members/relatives)
o For a family member/relative who is a Singaporean or SPR, in addition to this Self Declaration Form,
please also provide the latest copy of CPF Transaction History^ showing past 6 months transactions.
^ CPF Transaction History:
o
The latest transaction must not be more than 2 months old (e.g. if submitting application in FEB
2017, statement to capture transactions from EITHER Jul 2016 to Dec 2016 OR Sep 2016 to Feb
2017).
o
One self-declaration form per family member/relative. Please make more copies if needed.
Oct2016