THE SINGAPORE POLICE FORCE BOOK PRIZE - Download as DOC

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							                                   APPLICATION FORM

                    THE SINGAPORE POLICE FORCE BOOK PRIZE

                          (Application Opening: 12th OCT 2009)

                              (Closing Date: 13th NOV 2009)

      (To be completed in BLOCK letters. Only successful candidates will be notified)


Put a tick (  ) in the appropriate box.

COURSE OF STUDY                          PLEASE INDICATE (  )
Science
Arts

(Applicants are required to attach copies of their NRIC / Birth Certificate, JC1
Promotional Exam and ‘O’ Level/IP results, Co-Curricular Activities Report and/or
documents of dedicated Community Service outside of school.)


PERSONAL PARTICULARS OF APPLICANT

Name ( Please underline Surname)               (Chinese Characters if applicable)



Address                                        Residential

                                               Number
                                               Hand-phone

                                               Number
                                               Email

                                               Address
NRIC / FIN No.          Date of Birth          Age               Gender (please circle)

                                                                 Male / Female

Country of Birth        Citizenship ( please NAFA score (please circle)
                        indicate if PR)
                                             Gold / Silver / Bronze / Fail

No. of ‘A’ Levels

subject units offered




                                                                                          1
                             APPLICATION FORM

CCA RECORDS (Secondary School & JC / Outside School Community Service where
applicable) – Please attach a copy of CCA Records.

Type of Activity           Level of Participation    Remarks
(e.g. sports , societies   (e.g. Member ,Organizer   (please give the period of
community service ,        ,Chairman)                activity & more details on the
competitions)                                        activity where necessary)




                                                                                 2
                            APPLICATION FORM

AWARDS, PRIZES, COMMENDATION (Secondary School & JC) – Please attach a copy
of supporting documents

Type of Award / Prize   Year Received Awards    Remarks
(e.g. DSTA, GIC Study                           (Any bond/commitment to
Award, MOE Scholarship)                         organization upon receipt of
                                                award. E.g. serve in the
                                                organization upon graduation)




                                                                                3
                                   APPLICATION FORM

Declaration by Applicant

A) I understand that late and incomplete applications will not be considered.



Date: __________________                                ___________________________
                                                             Signature of Applicant


Declaration by Principal / Teacher

To: Head, Home Team Career Center


A) I certify that the particulars given by the Applicant are to the best of my knowledge true
and correct.

B) Application *is / is not recommended.


*Delete where applicable



_________________________                                     ______________________
Signature of Principal / Teacher                                   School Stamp


Name of Principal/Teacher (I/C Scholarship)     : ____________________________

Contact Number                                  : ____________________________

Office Fax No.                                  : ____________________________


Please submit completed application form to:

Home Team Career Centre
New Phoenix Park
28 Irrawaddy Road,
Singapore 329560
Attn: Miss Dorothy Goh
       Tel: 64787140
       Fax: 63540903




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