APPLICATION FOR SIASU EDUCATIONAL AWARDS 2024

GCE 'O' LEVEL / INTEGRATED PROGRAMME 

Instructions:	

1.	This application is opened to children of members who have successfully completed their GCE "O" level examination or in Secondary 4 of the Integrated Programme in the year 2023. Other conditions apply. Please read circular inviting applications.
2.	Attach a photocopy of applicant's birth certificate and 2023 GCE "O" Level Examination Result Slip or Secondary 4 School Final Examination Result for those in the Integrated Programme.
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 12th July 2024. 
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: __________________

 Email: _________________________________  H/P : ______________________________

Company:  * SIA / SIAEC / SIA CARGO / ESA 

Department: ______________________________________ Office Tel: ________________ 

Number of family members in same household : ___________________________                                          

Gross household income (GHI)	: _______________ Per capita income (PCI) : ______________

PARTICULARS OF APPLICANT

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

Have you been awarded the PSLE Educational Award from SIASU before?         * YES / NO

* Please delete accordingly.								      P.T.O.

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

1.	Applicant's 2023 GCE 'O' Level or Sec 4 School Result.
      (Please list best 5 subjects)

    Subject                                    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: __________

COLLECTIONAL, USE AND DISCLOSURE OF PERSONAL DATA

I, the Member, declare that the particular stated in this application are true and correct, and that I have not wilfully withheld any material fact.

I have noted that I am required to furnish the supporting documents stated in this application for verification and audit purposes.

I consent to the collection, use, disclosure and retention of my personal data by SIASU for the purpose of:

•	Processing, administering and managing my application for the Education Awards; and
•	Carrying out verification of my membership status and/or information that I have provided in this application form.

I further declare that I have obtained the consent of my family members for the collection, use, disclosure and retention of their personal data, as provided in this application form, for the purposes of processing my Education Awards application.

I acknowledge that the collection, use, disclosure and retention of my NRIC/FIN number and/or my family member’ NRIC/FIN/BC numbers, as required in this application form, is necessary to accurately establish our identities to a high degree of fidelity in relation to my application.

I will inform SIASU immediately of any changes to my contact details and/or personal data in order that SIASU is able to contact me for all matters relating to the Education Awards.

I consent to the disclosure of my personal data and my family members’ personal data by SIASU to:
(a)	NTUC for the purposes of processing, administering and managing my Education Awards application and authorised third parties for audit purposes.

I consent to be contacted by SIASU and/or authorised third parties via email, text messages, calls and/or post for matters relating to the Education Awards application.

I Understand that the decision made by SIASU on the outcome of this applications shall be final.

________________________________		______________________	_______________
Full Name of Applicant (Union Member)	            NRIC / FIN No		  Signature / Date