APPLICATION FORM FOR SIASU EDUCATIONAL AWARDS 2019

PSLE AWARD

Instructions:

1.	This application is opened to children of members who have successfully completed their PSLE in the year 2018. Other conditions apply. Please read circular inviting applications.
2.	Attach a photocopy of applicant's birth certificate and 2018 PSLE Result Slip.
3.	Submit the completed form, duly signed, to SIASU office at Core 5A, Airline House not later than 30th April 2019. 
4.	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/HMSS

Department: ______________________________________ Office Tel: ______________________ 

PARTICULARS OF APPLICANT

Name of Applicant:  * Mr / Miss______________________________________________________   				                                         (as in Birth Certificate)

I declare that the above information is true and correct.

Signature of Member: __________________________________ Date: ______________________ 

FOR OFFICIAL USE ONLY	

PSLE RESULT:        PASSED  /  FAILED *

UNION MEMBERSHIP 1 YR QUALIFYING PERIOD:     QUALIFIED  /  NOT QUALIFIED*

COMMITTEE’S DECISION:     APPROVED  /   NOT APPROVED *

SIGNATURE  / DATE:   _____________________________________

* Delete if not applicable