10
•• Alittle from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555 FAX: 68414881

-A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

  • Upload
    others

  • View
    4

  • Download
    0

Embed Size (px)

Citation preview

Page 1: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

-A-A~"jE•• Alittle from all, together it's more

STUDENT EDUCATION &DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555 FAX: 68414881

Page 2: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

---

--

-- --------

~ I± @U!l Jl.~

•C1!1NF<j1

1l1'YI'IOI'MFNI$WJ~*~3=Ji.tlIJ (/J\~) 2013 AC>..'-,ISIANCI

COUNCil .' . """i""""'''',,, <0'''0202''

CDAC Tuition Programme (Primary) 2013

:mW$i! How to Apply

~$••m~ffi.~~~#~.~$M~M~~ Mail theapplication form and required photocopied documents to CDAC Secretariat

9X~~~:J.l'Et-J$lln~~/L': Orsubmit at the following CDAC Centres:

$11J~ ~ IL'*1Jill1f8J Operating Hours ofCDAC Centres Monday to Friday: 1.00 pm to 10.00 pm~M-~~ME: 1'~1~~~.~10~ Saturday &Sunday: 10.00 amto 5.00 pm

~M*&~MB: ~~10~~m.5~ Closed onPublic Holidays

0:!H~JtJl1*,~,

CDAC Centre :l:t!!.!lt Address:l:t!!.1& Area $M~~/L'

CDAC@ Bukit Panjang Blk 270 Bangkit Road #01-221Et~i'JHl Bukit Panjang $M~@ IEt~IjHl --~--

Blk 627 Choa Chu Kang Street 62#01-160CDAC@ Yew Tee~~;i Choa Chu Kang $Iln~@ 5f!l5i!! -- - -------- ----_.._-- - ---- -- ­

CDAC@ Tanjong Katong 65Tanjong Katong Road, Blk BLevell 5HVnQ;~ Geylang/Kaliang $Iln~@ f:l-tJtnQ* f--------- ­

CDAC@ Punggol Blk 512 Hougang Avenue 10 #01-67J§;l Hougang $1l1J~@mft~ f-------

Blk 421 Jurang West Street 42 #01-1045CDAC@ Jurong*tW Jurong $1l1J~@*tW

CDAC@ Redhill Blk 83 Redhill Lane #01-85tlw Redhill $Iln~@tlw

Blk 321 BAnchorvale Drive #01-196CDAC@ Sengkanglm;i Sengkang $M~@lm;l

CDAC@ Tampines Blk 158 Tampines Street 12 #01-775~5~JE Tampines $Iln~@ ;~*JE

CDAC@ Toa Payoh No. 381 Lorang 1Toa Payoh Level 2,OnePeople.sg Building

*~g Toa Payoh $M~@*~g

- -- ..-.------------ - - --- --­

CDAC@ Woodlands Blk 317 Woodlands Street 31 #01-194JI~ Woodlands $Iln~@ JI~ _._­ ----------_.-- --

Blk 145 Yishun Street 11 #01-41CDAC@ Yishun>0191 Yishun $M~@ >0191

JEtfl!:l.it'" Other Information

$11J~~~tUf ~~JiUgt.Mi~~: CDAC Student Education &Development Dept Hotline: 660355556603 5555

~11J~~-1H!t:l:t!!.!lt : CDAC Mailing Address: CDAC Building, 65Tanjong Katong Road, Singapore 436957 CDAC Building, 65Tanjong Katong Road, Singapore 436957

~11J~IXi!IM: www.cdac.org.sg CDAC Website: www.cdac.org.sg

$ij!j.m~ »-$lln~jXjJM Application form can bedownloaded from the CDAC website at http://www.cdac.org.sg/eng/form/form.htm l'W: http://www.cdac.org.sg/eng/form/form.htm

~11J~~-1H!tiJJ.0111f8J : CDAC Secretariat Office Hours: ~AA-~~M~:~~8~E~~m.6~ Monday to Thursday: 8.30 am to 6.00 pm

~ME: ~~8~E~~m.5~30~ Friday: 8.30 am to 5.30 pm Saturday: 8.30 am to 1.00 pm~MA: ~~8~E~~1'~1~

• 2012 if- 11 FJ 30 B Z.M1jllj~IJ Et-Jtl' 5J $ ij!j, ~~:ft:f!,\l,tJ 2013 if- Applications received by 30 November 2012 will be processed for· admission in end January 2013. Successful applicants will be notifiedI FJIJtEEt-JA$:$ij!j*~H~_o px!fJ$ij!j~~~ft 2013 if- 1 FJtJJtli bypost in early January 2013.f~~[ljj~~rlo Applications received after 30 November 2012 will be processed for• 2012 if- 11 FJ 30 Bz.J§1j1l:iIJa~tl'5J$ij!j~~Ht:f!,\l,tJ 2013 if- 3 · admission in subsequent months. Cut-off date is either the 5th or 6th of

FJ9XZ.J§~A$:$.*~~o.FJEt-JA$:$ ••~BM.z. the previous month, e.g. cut-off date for admission in March is

M-1'FJ Et-J 59X 6 B, 19iHLQ: $ij!jft 3 FJi£Atl'5JljIEt-J.~B 5 February 2013.

JtJl. 2013 if- 2 FJ 5 B 0 $:~Yf~IDi2~~~lU},Stl'5Jm.~~~ffikji'ij Admission is subject to availability of tuition places.........)Eo (Note: Tuition place will only be offered if there are sufficient students to

(~: R~~~~.~~*m~m~~, 1&::;f~~f-lHI-:S:.IIff~1l9L ) form aclass.)

tt••Jlli: Important Notes: • IJ\lL'JAEj$ij!j.m~Et-J.-t~ Dulycomplete theapplication form· • ~1~w.~~~~1!j: · Attach the photocopied documents ·JA~~~~9X~~~~ffi.~#Et-J$ ••m~~~~ · Incomplete application form or application form without required

documents will NOT be processed ,

.

Page 3: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

Applicant to take note •••~

1&~.1f:

Eligibility Criteria

i1: ~':t~'~.ili:ff~ JiJT*J1&':t ~ftt­Note: Student must meet all eligibility criteria.

*~:s:.J~t& I ~13

Levels & Subjects

$iftH~*~:s:.J.

Application for

Waiver of Tuition Fees

*~:s:.J~~&~M

Tuition Terms & Holidays i1: JiJTiH'l~Srol*JiiJfjg3l:M

Note: The dates indicated are SUbject to changes.

JiJi.~SP)C1f:

Photocopied Documents Required

1. fIIllJl/~.

~1jUfi1Jo~0~9tjJ<~.@~

*i1 ~'CTP' ~t+:s:.J q:./L'~~!iL& ~:fi!l~~':t 0

2. ~a4ijF.l/~JItA

~~~n!,~,L&A: 3, 000 ~9tJ,~1'; ~

~~A±1:.IL&A: 800 ~9t~1'

3. Jilt. /j\-.3:H\-=:': 1'itBi175% /H!I.3:H\7\: 1'itBi169% (Band 3) /j\.liJ.iH\7\¥*~X~rl¥*~~: 1'§t~RiM

IJ\-.~.IJ\=: ~X&~~

IJ\-=:': ~X, ~~&f.f~

~~~~7\: ~X, ~x,~~,M~,

¥*~x&¥*~~

1.Race 1Nationality Chinese Singapore Citizen ORSingapore Permanent

Resident • Tuition centres indicated as 'CTP'will accept

students of all races.

2.Monthly Family Gross Income Monthly grossincome: $3,000 and below; OR Monthly grossaverage income: $800and below

3. Results P1 - P3:75%and below

P4- P6:69 % (Band 3) and below

P5 and P6 Foundation English and Foundation Mathematics: No Restriction

P1 - P2: English and Mathematics

P3: English, Mathematics and Science

P4- P6: Chinese, English, Mathematics, Science, Foundation English and Foundation Mathematics

$8 per subject per month, payment is through~M~~ 8 ~, t+:s:.J~~'}~i!i1dl~~finHR

rT/~$tHr9!~~~fi *~:s:.J. Tuition Fee

POSB/DBS GIRO

* ~n!~~i1f~xt~~':tiiJ$i~rM~.*I':s:.J~

* :t:Em-g~jt~IYiElIII tT1:;J1{]

* $i~~##tl";1t

$i~rtf~*~:s:.J~~1!{:~rll' : ~ ~ ~fi!,~,L&A: 1, 500 n:9t J,~ 1'; ~

~~A±1:.IL&A: 450 ~9tJ,~1'

• Students whose families are in financial difficulties mayapplyfor waiver of tuition fee.

• Tick I{] in Section III of Part I

• Application is subjectto approval.

Criterion for Waiver of tuition fee: Monthly gross income: $1,500 and below; OR Monthly grossaverage income: $450and below

.-~~ 21/1/13 - 12/5/13 Semester 1 21/1/13 - 12/5/13

~~fli~ 13/5/13 - 30/6/13 TermBreak 13/5/13 - 30/6/13

.=~~ 1/7/13 - 22/9/13 <'7H[~.'b'\) Semester 2 117/13 - 2219/13 (P6 only) _c-'---_~ _

1/7/13 - 13/10/13 1/7113 - 13110/13

fli~ :c<:JMIi~~9, ~~ijil'i& Holidays Chinese New Year's Eve, Teachers' Day

tliiJE03tiflWl and scheduled Public Holidays

1 $ itt~ IY-J ttJ ':t liElF.H~ liE/*1i1Jo t&' 0 ~ liE~ /~1i

1JO~7k~'@ ~;tliE

2 ~Ji'liifii.l11*Jl!~ln~ ttJ':t liE/.@ ~liEI*fT1Jot&'0 ~liE~/~fi1Jot&'7k~.@~;tliE

3 m~ii&finHlHT/~JiHlHTf.HJi'IY-J~-:rn (~n*J

p~ffl*JA

IY-J~~, ~WiiJ~mPDiiJ~~~~*m)

4~~:ilfut~~

5 **/~1?AJ.iU:t:1t!!fii.l11*Jl!~ln~1&AiiE aJj :

• ~IlRIfUf: i1~ 6 -tF.lIY-J0lR~~~;c:5R &~~(~1'~i1$~Srol3-tF.l~;t)~

*.d~~~.£~1&AliE~~(*~.0 m*, 'P!ffi)t~Mrl1Jo!'JIJi~1&A)

• ~a~~\ ~.A±\*IlRI\ftI\lii~ IlRI~m~&~.\m~~~~.: i1~6

-tF.lIY-J0~*~~~:5R&1&A.WM-.~ Im*mi*J~J.iIi§ Page 4 of 4 $~o ~.A±

~~lIft.l:..iirro~Ji't8m. • ?Et::iiE~, r~MltFlj;~~ ('P!ffi1tT1MH.R&~

"Ji~~~,~.~~~, ~~liE#d.ln IM~~W~ (~O*J)

(;~: $1I/;~1iI.JZ/lii!l'/$lIffxfiiJ1i 3kiiEf!!:J;<iff iiEfJjtf£.tt/lI~Jjff~Mo )

1 Birth Certificate(BC)/NRIC/Certificate of Singapore Citizenship/Re-Entry Permit ofthe student

2 Birth Certificate(BC)/NRIC/Certificate of Singapore Citizenship/Re-Entry Permit of ALL family members who are staying atthe same address) 3 lsi page of POSBIDBS passbook (contains personal particulars of Depositor, refer to GIRO Application Form for acceptable accounts)

4 Year-end examination result slip

5 Income Documents ofParents'l Guardian &family members living atthe same address:

• Forworking family members: CPF Contribution History forthe past 6 months; and latest payslip (within 3 months from the date ofapplication) oremployment letter (before CPF contribution, including allowances, maintenance fee and overtime pay)

• Forhousewife, self-employed person, part-time worker, odd-job worker, onewhois employed but withoutpayslip, retiree or unemployed person: CPF Contribution History forthe past 6 months and complete the Declaration of Income Status - Refer toPage 4 of 4 ofthe application form

• Death Certificate, Decree Nisi (with details on custody and maintenance), Copy ofPrison visit card orNotice of Admission from Singapore Prison Service, Medical Documents and Letter of RetrenchmenUTermination, where applicable,

(Note: CDAC reserves the right to request for any necessary documents for verification of the information aiven asandwhen reauired.)

Page 4: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

APPLICATION FORM I$IlR~*, (PRIMARY IJ\~)

Birth Cert I NRIC No. tf:j~1iE/,*~1iE.!i5-W Country of Birth tf:j ~ ±tl!

Citizenship oom o Singapore Citizen *JT1Jot&:0~

o Singapore Permanent Resident *JT1JOt&:7k?-.,*~

Gender tHlIJ o Male ~

o Female "!7:.

Race M!~ Date of Birth t±J ~ BWI

Date B Month Fl Year ~

Name of Current School El 'jjtj~~:¥:~

Residential Address 1±'~±tU.Jt

Name of School in 2013 ff..t~:¥:~ (2013~) :

Mobile No.-¥*Jl.!i5-~!?l (Self ~~) Email Address ~l!l~

Postal Code l!l~ ~

Level in2013 ~w. (2013~) I~: o P1 DP2 o P3 DP4 o P5 DP6

Section II: Tuition Centre &Subject(s) applying for

Name (as in NRIC I FIN):!z:1~ ('* ~1iE..tIY-J~:It:!z:1~ ) Date of Birth I Age tf:j~BWI/~~

NRIC I FIN No. '* ~1iE.!i5-~ Nationality oom Country ofBirth tf:j~±tl!

(#Pink *ftU / Blue JIli) ~Citizen 0~PR ~~Others :.It1&)

Contact No. ~~~~iiS

Home i1* Mobile -¥fIl Email Address (ifany) It!dl~ (yMO

Occupation & Position Held IIR~II!.:l'Qjgi£lY-JllRi1L Salary iT~(Before CPF *:j:J:l0;m~) Other Income ~ft!:'.1&A

$ $

• Name of Employerl Company Ji±'/0Rl~~ (including self-employed person §'fiS~ Ji~)

• Company Address 0~±t!!±ll:: Telephone No. It!ii!i:

1. _ 2. _

Tick 0 the subject(s) apply forand indicate the year-end examination result. frJiJr~:j:~~lY-Jf3j. El:J:T~ 0, j:f:iJ{..t~~~mAlt~~ 0

o English o Mathematics o P4-P6 Chinese

(__ %I Band or Grade __ ) (__ %I Band orGrade __ ) (__ %I Band orGrade __ )

o Foundation English o Foundation Mathematics o P3-P6 Science

(__ %I Band orGrade __ ) (__ % I Band orGrade __ ) (__ % I Band orGrade __ )

8ecttond': AppItea1fon

o I would like toapply fortuition fee waiver. ft~$iUi£~fl\ 5] M 0

Page 1 of 4

Page 5: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

--

Name(as in NRIC/ FIN) ~.1~ (JU~ljLta'-J~3t~~ ) Dateof Birth / Age tW:t E3 Wl/.if.~

3C 0';J -C\) NRIC / FIN No. .@ ~l.iE-%~~ Nationality OOii Country of Birth te':ttl!! ... 111­

H} (#Pink *'ttl! Blue ]i) I~Citizen 0WPR 7k~WOthers:J;!;ft!!,)

G) * ContactNo. ~H~ Et! iiIiI:: III a. Home 11*iii" ~ 111­

.lKi t? A

• Company Address 0i"iJ!iUll::

Section II:

I Name (as inNRIC / FIN) tl:~

r;­2.

01 Room

o Condominium

o Fully Paid e1ijl

Rental permonth &,EJ ffi.~:

DYes 1'l o No;9:1'l

DYes~ o No ;9:~

itft!!a<.J~)1B~1Ji

If yourfamilyhasothersources of income(s), please tick the appropriate box(es) and indicate the amount thatis received everymonth. ~~~~ ••,EJ~it~a<.J~~*1Ji,~a~~a<.Jn~~rr~#~T-.,EJ~ma<.J~~o

Maintenance fee ~~~~: $

Rental income m~~1l:A $

Monthly Payout from CPF Retirement Account 0;fR~&,EJ i!1*~: $

Insurance compensation (e.g. Dependants' Protection Scheme) 1*~~~j'H~ (i,IJ:9Q:*Jj,1*~~it:lW) : $

Others:ltft!!, (Please specify income source and amount received. i&?IfF~A*iLj\&' &1'.FJ Ir-J~Ijij 0 $___):

Mobile -¥~Il Email Address (ifapplicable) ~iIl~ (:li.u1V

Occupation & Position Held IIH~*llmi3:a'-JlIRili: SalaryliTii(Before CPF *:jM~fHii) Other Income :.!'t>ftM1l:A

$ $

• Nameof Employer/ Company .liE/iHi] ~:tfF (including self-employed person §Jj§ § .Ii~)

Telephone No. ~i!

Information onotllerfamily members (to exclude applicant and parents) slaying in tile same household. ;Jltftl1l1Jf1••d~ (1tWtI:Ii•••~~$) trtJ.~.

NRIC / FIN No. Relationship Occupation & Company / School Monthly Income ~~:liE-%li!3 ~¥:':ta<.J*~ 1IR~~0i"iJ~-%/jj'!~¥:~ it,EJwr~

3.

4.

5.

6.

Section III: Other Information ;Jltftl1~~~ •••~ (Tick if applicable ~~FfmHT~~)

(A) Housing Type f11i~HjU

HOB Flat ~IlJ¥.: o 2 Room 03 Room o 4 Room 05 Room DE-Flat

Non HOB Flat ~F~IlJ¥.: :fLJ...0~ o Landed Property 1'l!ih11~ o Others :J;!; ft!!, (Please state ij!b1aJj: )

(8) House Ownership tt}£i!I§*'&

OwnedootJ~: o Monthly Loan &,EJ 1;'ii¥J:: Cash l.!l!~ $ ICPF 0;fR~ $

Rented fJ3.~: $ o Others :J;!;ft!!,(Please state ilj1aJj: )

(C) Car5"\$: (Carowner please provide details ~m$~ij!jmi~~M)

Car Model $i¥J: Year ofPurchase ootJ~fF.Ht: Monthly Loan &,EJ 1;'ii¥J: :$

Vehicle No.$~-%li!3: Reason #!l$J* [!I:

(0) Maid 3!::1JD: Reason 1* E§:

(E) OtherSources of Income

0 0 0 0 0

Page 2 of 4

Page 6: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

Is your family receiving any financial assistancefrom other organisations or persons? (F) If 'yes', pleaseprovide the following details and attachthe relevantdocuments.

DYes~ o No )5!~~~~a~~~e~~~ffWm~~A±~~m.~?

~. "~' , ilm~~l'jlM#llft.l:m~~x# Name oforganisation I Person Telephone No. Type of assistance and Amount Period

~~.Il1J*II~&I!l. M~1lm~~~iitA±tl1~ ~~~~

1.

2.

3.

4.

5.

Doesyour family haveany outstanding bills? If yes, please fill in the table below. (G) ~~~a~~~e~:K!~ffW.m? ~~, mtA~~l'~~:

TOTAL AMOUNT ($)Outstandingbills (pleaseattach a copy of all the arrearsindicated below) ~iji,~1r ($)~~(iI~~~l'~~~~.m~.~*)

Rental/Housing Loan Instalment l!J.~ / mJ.¥~~S: Utilities

*It!~ Service & Conservancy charges

*titTelephone charges It!i!~ Medical fees ~P0~ Loans ~~S: Other outstanding bills(please specify): ;ltftP,~~~ (i~;HJj) :

Total($) ,~Ir:

PART 11\ m- ftB7t PARENT'S DECLARATION AND AUTHORISATION ~*~Il~~t~*Jl

1. The information given inthis application form istrue and correct. Iwill provide CDAC with the necessary documents forverification ofthe information given asand

when required. If the information is found tobeuntrue and incorrect, my child's tuition will beterminated.

2. I authorise the Ministry ofEducation and other related organizations to release information ofmy child toCDAC when necessary.

3. I authorise CDAC todeduct my child's monthly tuition fees from myBank Account. I undertake tomaintain sufficient funds inmy Account forthe monthly tuition

fees deduction onthe 2nd ofevery month. I understand thatmychild's tuition could besuspended if the GIRO deduction failed fortwo consecutive months.

4. If myapplication is successful, I will accept the tuition place(s) offered bytheCDAC which is/are based onmyapplication. I will ensure that my child observes

CDAC's rules and regulations closely. I agree that CDAC reserves the rights to suspend my child based ondisciplinary ground.

5. I understand thatthe CDAC Tuition Programme adopts an auto-promotion scheme. Unless I withdraw my child from the Tuition Programme bywriting, he/she will

beautomatically promoted to the next tuition level each year.

1. *MkM.~~.M~$~~; #~••~U*M~.~M.m~*~.M.~~.*,$M~~~~~ft~~~~~~~~.

2. ft~~~*M~~~~~~~~••$.U~~~.M, ~~*.~W~ftP,~~~*~.

3. ftt;;tt.ll.*M~~fitl'FJ~2I3Mft~lIHTP~~5!:U~~~~I'~~, #~1*P~~~~~~ffi¥J.:;Rit~I'~~. ft7M:!lQ~lIHT$~

H~.~l'FJ~~~,*M~~~.~ft~~~#~~~.

4. $~~R~I, ft~m~*M~••$~*MM~~~~~.ft~~W~~*~k.#.~~•. *M~~~~~.~~~,

.f¥ft~~~~I'~. 5. ftaJl S*M~~I' ~ it:1W~~HfI !3i4.JfH6l.i1iIJ. ~~~Fft~:.t .:p;iID~!J;IH1~~~tfHI' ~ it:1W, ft~~~~!3i4.J7t-!i&.~~-iF!i&..

Name of ParenUGuardian ~*1~ff' Att~ NRIC No. m~iiE~~!?I Signature ~~ Date B!tJl

Page 3 of 4

Page 7: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

Name of Declarer (asin NRIC I FIN) :i:••~~ (}i!H~iiE1:BtJ~Jt~~)

NRIC I FIN No. I JiS ~iiE~~:

(before CPF contribution, includingallowances andovertime pay)andmaintenance lee I declare my monthlyincome is ft~FlA:I: $ (;MIlIlt~m:a:, f3Ui!ililtM;Jn1JlJifJ!) ;In.~J!

I declare myemployment statusareasfollows ftjl1illJ.lft~Ii1=~JR:

My occupation and position is (please stale)o :fjH(']Im~:fQ1'§'1HJH3L:l'! mnlafj) :

I am a self-employed person. (Please state nature ofjob) o tIl:l'! I1'HiiA ± mr;lafjI11=t'f~) :0

I am not required to file Income Tax Return. My latest Tax Return does notreflect my current income status forthe reason(s) provided asstated o tIl~~mmoffi~1:~ffi.m.~.&.tIl.a~~A. ~~:l'!:

I declare that I have been without a jobsince (please state year and rnonth)o tIl;9: *J I 11=:l'!M.. (i1!f JJi ~ .1f:fQ ,Ej) (Year.1f) (Month Fl) _

My reason(s) fornotworking tIl;9:*JI11=~~~:

o I declare that I have notreceived the maintenance fee forrnyself and child(ren) from myex-spouse since tIl;9:*J~iIJiVH!ic1~~~j~Hllo (Year.1f) __(Month Fl)__

Signature I Date [ ]

~~/BWl: . .

fetby

Name of Declarer (asin NRIC I FIN) 'if••~~(JiS~iiE1:BtJ~Jt~~)

NRIC I FIN No. I JiS ~iiE~~:

(beloreCPF contribution, includingallowances andovertime pay)andmaintenance lee I declare my monthly income is ft~FlA:I: $ (;Mnllt~m:a:. 8tUIM;Jn1JnJifJ!) ;In.~J!

I declare myemployment statusareasfollows ftj&aJ.lft~If1:~JR:

My occupation and position is (please state)o tIl~Im~:fQ1!H£Im1$L:l'! (i1!f;lafj) :

I am a self-employed person. (Please state nature of job)o tIl:l'!~JiiA±o (i1!f;lafjI11='t1~):

I am notrequired to file Income Tax Return. My latest Tax Return does notreflect my current income status forthereason(s) provided asstated o tIl~~mmoffi~1:~ffi.m.~.&.tIl.a~~A, ~~:l'!:

I declare that I have been without a jobsince (please state year and month)o til ;9:*J I 11=:l'!M.. (i1!f JJi ~ .1f:fQFl) (Year.1f) (Month Fl), _

My reason(s) fornotworking tIl;9:*JI11=~~~:

I declare that I have notreceived the maintenance feefor myself and child(ren) from myex-spouse since o tIl;9:*J~iIJMIDic1~~OOfHHllo (Year.1f) __(Month Fl)__ Signature I Date

~~/BWl:

~M~JItiltl'.itJfl. iRl1ilfT~~P Please make additional copies 01 this page il requlred-e Page 4 of 4

Page 8: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

'i' jHI IlIJ I!I! . ~

CIIlNFSF DFVI;IDI)MEN'r ASSISTANCE CClUNCIIMI&~*3 GIRO APPLICATION

' R"r,j~II,lli"ll Np 14~tl26~5KDDBS + Part 1: For Account Depositor's Completion (There should be no amendments, cancellations oruse ofcorrection pen

on this a e EB P ~dli¥ ~ A.«:Ii (ItJUIU&l'• ~ f.E fliJ jjt ilt) BC I NRIC No. ofStudent Name ofStudent ~ ~ ~ ~ : ~~ ili ~liE/ liS ~liE~~:

(e g . 1§IJ~~: 8000000A)

(w n 1;) Please tick below 0) Account tobe debited P ~~~ : Name of Bank tlHr~ *: ( 9 digits forPOSB Account I!l~ i&1*Ii f&~T: 9 -t- -5~!?l)

o POSB l!i~i&Mlif&rT ( 10digits forDBS Account ~$ f~ ~T : 10 l' -5~!?l )

o DBS ~$f&~T

o Types ofAccount P~~~IJ: Name(s) ofDepositor(s) P ~~~ A.~~:

o Personal 1')",

o Joint-Alternate ij*.g.1£­ 1. _

o Joint ij*~

o Current ;lIHt 2. _

(Unacceptable Accounts: Trust AlC, First AlC, Save-As-You-Earn AlC and AlC holder below 18 years old) ~~m~~p~:~~~~ .•-~~,~~~M.~~~.~)...~M~18~~~~~~)

Declaration 1fi ail :

l!We hereby instruct the POSB or DBS bank to process CDAC's instruction to debit my/our account for the tuition fees. l!We will ensure that sufficient funds will be maintained for the monthly debit on the 2nd of each month. If my/our account has insufficient funds, POSB or DBS Bank will at its discretion impose charges accordingly. The authorisation will remain in force until it is revoked by me/us in writing.

ft/ft1f1 t~ 7F l!i~i&Ml~f& ~T / ~ ~ f&~TU ~

!IJJ ~ M. ft / ft 1f1 ~ ~ ~ ~1l: ~ tl' ;:j ~; 1=1' Ml %.~~2B~~~~~~.~~=.~

.ft/ftm~~~~=~~, Mi&M•• ~T / ~ $ f~ ~T ~~ ~ ~T IcJ ft / ft 1f1 ~1l: ~ ~T i& ~. Lt~ "!i!.t ~ " HH.R ~ ~~ - jUl. ~IJ ft / ft 1f1 ~:.t ~ jljj ~ ~~ 7'J .lt 0

NRIC No(s). ofDepositor(s) P ~~~ A. ~ liS ~ liE ~~:

:1 1 1 lin-I i Signature(s) I Thumb Impression(s) as in bank's record ~~ aHIHl (~~llRtRfT¥.li.-~) Thumb impression must be done at the Bank t~f~~'~9I~IJf~~T~PliE1J:t~~j[

• Signature / Thumb impression for Personal/ Current Account OR l'A/*tfP'*1if1'lA~1?/1Iiff~~

• 151 signatory /thumb impression of Joint­Alternate/ Joint Account WHtf£-/ij*1? p,*m-ffl1'lA ft1?/1Iiff~

2nd signatory / thumb Impression forJoht­Alternate/Joint Account WHtf£-/Wt1?p,*m=1HlA~1?

/1Iiff~

Note: Deduction on 2nd ofevery month will bereflected as 'SHG' inyour passbook/statements. &F1 2 Sa"J1~';fi1ifi':Ei'HJT/t;!i.~,*,ill',,;r-tJ ·SHG'.

.

To: Billing Organisation This application is hereby REJECTED forthe following reason(s): o Signaturel Thumb impression # differs from Financial Institution's records o Wrong account number o Signaturel Thumb impression # incompletel unclear # o Amendments not countersigned bycustomer

o Account operated bysignaturel Thumb impression # o Others: _

Name ofApproving Officer Authorised Signature Date

Page 9: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

201 3 ~ 1lt ~. ~ *~ 3=] ~ IL.' AVAILABLE TUITION CENTRES IN 2013

*!b 'J' - ~ 'J' t\ ~ *~ 3=] M tAt Offer Primary 1 to 6 Tuition

*~ ?J P1 @ Tuition Days & Time

Monday to Friday: 7.30pm - 9.00pm Saturday (am): 9.00am - 10.30am & 10.45am -12.15pm Saturday (pm): 2.00pm - 3.30pm & 3.45pm - 5.15pm III 2013 1f-J1iJi7f1J.ag;j.I' >.J <p/L' New tuition centre in2013

±t!?12S: *~?J ~/L' ±t!?±.iJ: *I'?J a1fBJ Area Tuition Centre Address Tuition Day I Time

(subject to changes)

~1tm Ang Mo Kio *1jH'~ Da Qiao Pri II 8 Ang Mo Kio Street 54 Thursday, Saturday (am)

f~)U~~HHF-:g~ Teck GheeCommunity Club II 861 Ang Mo Kio Avenue 10 ---~~-

Tuesday, VVednesday, Thu~day

0/1~ Bedok *.i$'Jj,~ EastCoastPri II 8 Chai Chee Lane Saturday (am)

}j\,LlJ/J'~ Fengshan Pri II 307 Bedok North Road Monday, Thursday, Saturday (am)

its~. Bukit Batok RaJH~ Keming Pri II 90Bukit Batok East Avenue 6 Saturday (am & 12.45pm -2.15pm)

1¥1'l1'l;~s0,±,/J'~ Princess Elizabeth Pri II 30Bukit Batok VVest Avenue 3 Saturday (am)

iILlJ Bukit Merah t\'Z.T~±Jj,~ Radin Mas Pri II 1 Bukit Purmei Avenue --

VVednesday, Saturday (am & 1.00pm ­ 2.30pm)

its~n..t ~iUfiJj\~ West View Pri II 31 Sepja Road Monday, VVednesday, Friday

Bukit Panjang iEft,Jj,~ Zhenghua Pri II 9 Fajar Road Monday (7.00pm - 8.30pm),

(P3 ­ P6 only) VVednesday (7.00pm - 8.30pm), Saturday (am)

.JI~ ~M~/J'~ Chua Chu Kang Pri II 20Choa Chua Kang Avenue 2 Tuesday (6.30pm - 8.00pm),

Choa Chu Kang Friday (6.30pm ­ 8.00pm), Saturday (am)

~)(./~"J$ t~Hi~JJ'~ Pei Tong Pri II 15Clementi Avenue 5 Saturday (am)

ClementilWest Coast €£/J'~ Qifa Primary II 50VVest Coast Avenue Saturday (am)

~9l/1JIP~ ft,WJ~~fiJT CDAC Building II 65Tanjong Katong Road Monday, Tuesday, Thursday,

Geylang/Kallang tBlilH'~ MacPherson Pri II 2 Mattar Road

Friday, Saturday (am)

Saturday (am)

~~/.~ ~~Jj,~ Hougang Pri II 1Hougang Street 93 Tuesday, Thursday, Saturday (am) Hougang/Sengkang .1IJIi Jj,:¥: Rivervale Pri II 80 Rivervale Drive Saturday (am), Sunday (9.00am ­

~~lf:I~ Yuying Sec II 47Hougang Avenue 1

10.30am & 10.45am -12.15pm) -~--_.. _--­

Saturday (pm)

(P4 ­ P6 only) -

:HtIJB Jurong xIZ9/J'~ Boon Lay Garden Pri 20Boon Lay Drive Saturday (am)

Jt~~/J'~ Pioneer Pri II 23Jurong VVest Street 81 Saturday (am) -

~~.iL Pasir Ris ;~~Slf:l~ Loyang Sec(P4 ­ P6 only) 12 Pasir Ris Street 11 Tuesday, Saturday (am)

,~,JJillJj,~ Pasir Ris Pri II 5 Pasir Ris Street 21 Monday, Tuesday, Thursday

Continue on the next page

Page 10: -A-A~jE - MOE...-A-A~"jE •• A little from all, together it's more STUDENT EDUCATION & DEVELOPMENT DEPARTMENT, CDAC BUILDING 65 TANJONG KATONG ROAD, SINGAPORE 436957 TEL:6603 5555

---

------

----

-------

--

--------

I

2013 ~fit~ff~*~3=J J:P IL~ AVAILABLE TUITION CENTRES IN 2013 7f 91' IJ\ - £ IJ\ ~ ~ *~ 3=J J:II ~ Offer Primary 1 to 6 Tuition

+~ ?;) 1M fEi] Tuition Days & Time

Monday to Friday: 7.30pm - 9.00pm Saturday (am): 9.00am - 10.30am & 10.45am - 12.15pm Saturday (pm): 2.00pm - 3.30pm & 3.45pm - 5.15pm

ttl!12S: Area

5IlfF-E.li Potong Pasir

3t~tl Queenstown ---~--

'='f:l,BI Sembawang

~~JE Tampines

I *BlW To. P.yoh

:n:~ Woodlands

I ~. YiSh~n~--

+1<)] 9J IL' Tuition Centre

~&: * f:l, [!i ~~ HHf- g:~

-_.._---­

j\';@:,j,"F

JI1:3iBI,j'''F

*~,j,"F

Ij~jIJ'''F

f3iim!,j,"F

it~~"F ._-----._._~-

*f:l,g*~~fjHH~

~~1td'''F

~~,j,"F

jgfVj,"F

!iillf=,j,"F

$~,j,"F

)(Jllw,j,"F

Potong Pasir CC II

New Town Pri II Sembawang Pri II East View Pri II (P3 - P6 only)

Gongshang Pri II Junyu~~ Pri IIII Ngee Ann Sec (P4 - P6 only)

--_.. .._.,­~

Toa Payoh East CC II ---_._~

Admiralty Pri II

Fuchun Pri II Qihua Pri II Woodlands Pri II

Huamin Pri

Yishun Pri II

ttl!ilJ: Address

6 Potong Pasir Avenue 2

300 Tanglin Halt Road

61 Sembawang Drive

+I'?;) wtfEiJ Tuition Day I Time (subject to changes)

Monday to Friday (7.30pm ­9.00pm), Saturday and Sunday (9.00am - 10.30am, 10.45am ­12.15pm, 12.30pm - 2.00pm & 2.15pm - 3.45pm)

Saturday (am) -

Tuesday, Thursday, Saturday (am)

4 Tampines Street 91 .---.­ --------' ­ ---­ -- ­

Monday, VVednesday, Friday (6.30pm ­ 8.00pm)

1 Tampines Street 42 Tuesday, Thursday, Saturday (am)

2 Tampines Street 91 -_..~--

1Tampines Street 32

160 Lorong 6Toa Payoh

11 VVoodlands Circle

23VVoodlands Avenue 1

Tuesday, Saturday (am) -- -._--------- ­

Monday, Tuesday, VVednesday -- "------­

Monday, VVednesday, Friday, Saturday (pm)

----,.,------------ --­

Monday, Tuesday, VVednesday, Thursday

Saturday (am)

5 VVoodlands Street 81 VVednesday, Saturday (am) -- - -----_ .. _---­

10VVoodlands Drive 50 Monday, Tuesday, VVednesday, Thursday

21 Yishun Avenue 11 Saturday (am) -_.-,_.,',------ ­

500 Yishun Ring Road Saturday (am) __.J

!IHd~:s:.JlttlJ Collaborative Tuition Programme &iii

ij;l:fttl' :s:.Jit:ltIJ~EEf¥:t±fi::lIltJ!I$~, ~3E~A±t1J.~, *fi1J~t&:fnJ!tA£Jj;t1J.~&@]$9:*±~£'~JI$~ij;l:ft ::t;J]., ]g*1-fItI~i¥.J'¥:'£mHH'- .~>h'\i¥.Jt~ :s:.J iKIyjit :ltlJ.R 1:H:J. ..b1aJj 'ii' i¥.Jtl':s:.J <pIL,mi~o tl':s:.J%1i~~t{tlmJifi~ fi::lIltJ~i*;*i'-i¥.Ji$OOMI(1i9iii'iJ.iEo

The Collaborative Tuition Programme (CTP) is jointly organized byChinese Development Assistance Council (CDAC), The Eurasian Association, Singapore (EA), Singapore Indian Development Association (SINDA) and Yayasan MENDAKI. The centres with 'D' offer tuition to students ofall races from Primary 1 to 6. The tuition fee payable byeach student is subject to the amount of subsidy granted bythe respective Self-Help Groups.

0