Individual Application Form

If you prefer to manually fill in the form, you may download and print a hard copy of the form here (Individual Application Form) and mail/fax it to our address once it is completed.

 

Bursary Application Period:
Primary to ‘A’ Level: 1 to 30 November
Tertiary: March to April

Name

Mailing Address

Postal Code

Country

City

Phone Number

Fax Number

Email

Website, if any

Type of Assistance

Other Assistance (Input only if you've selected "Others" above)

Executive Summary (min. 500 words)
The information provided below is necessary for the consideration of this application.

I fully understand and agree that the personal information which I have provided may be used and processed by the Khoo Chwee Neo Foundation Ltd ("Foundation") and disclosed to the Foundation's partners, agents, volunteers, third party service providers and governmental / regulatory authorities for the purposes of processing and reviewing any application for assistance, rendering assistance including co-ordination with other entities or individuals, fund-raising efforts, administrative and audit purposes, making of recommendations to governmental / regulatory authorities and for carrying out research, analysis and surveys.