APPLICATION FOR SIASU EDUCATIONAL AWARDS 2018

GCE 'A' LEVEL / INTERNATIONAL BACCALAUREATE

Instructions:	

1.	This application is opened to children of members who have successfully completed their GCE "A" level or the International Baccalaureate examination in the year 2017. Other conditions apply. Please read circular inviting applications.
2.	Attach a photocopy of applicant's birth certificate and 2017 GCE "A" Level or International Baccalaureate Examination Result Slip.
3.	Attach a photocopy of member's latest pay-slip.
4.	Submit the completed form, duly signed, to SIASU office at Core 5A, Airline House, not later than 11th May 2018. 
5.	Please complete this form in BLOCK LETTERS.

PARTICULARS OF SIASU MEMBER

Name: * Mr / Mdm___________________________________________________________

Staff No: ______________ NRIC No: _________________ Date joined Union: __________

Home Address: ______________________________________________________________

______________________________________________ Postal Code: __________________

 Home Tel: _________________________H/P: ______________________________

Company:  * SIA / SIAEC / SIA CARGO / SILKAIR / TRADEWINDS / ESA

Department: ______________________________________ Office Tel: ________________ 

PARTICULARS OF APPLICANT

Name of Applicant:  * Mr / Miss ________________________________________________ 
							(as in NRIC)

Have you been awarded any SIASU Educational Award before? 	* YES / NO 

If yes, please state type of award and year:  	* PSLE in 20 _____  	/ GCE 'O' in 20 ________ 

* Please delete accordingly.								      P.T.O.

To be completed by applicant and member
		
For Use by Educational Award Committee

1.	Applicant's 2017 GCE 'A' Level or IB Results. (please list best 5 subjects)

    Subject                             Level     Grade

a. _________________       _____      _____

b. _________________       _____      _____

c. _________________       _____      _____

d. _________________       _____      _____

e. _________________       _____      _____

  Total aggregate                   Points awarded      

  ______________                  _____________

                                                 ____________

No. of years:_______              ____________

                                                 ____________

Total points awarded:           ____________	

2.	Member  

Basic salary (Basic + MVC):
 
$_________________________ per month

Year joined SIASU: __________________

Have you ever participated in any activity organised/sponsored by SIASU, or serve   as a committee member during the last three years?

YES / NO *  (delete accordingly)

If yes, please state: ___________________

___________________________________

 			

I declare that the information provided by my child and me is true and correct.

___________________________________

(Signature of Member / Date)
		
Scoring done by: _________Date:__________

Committee's decision: 

         Successful       /       Unsuccessful 

Checked by: ____________ Date: __________