Name
Mailing Address
Postal Code
Country
City
Title ---DrMrMrsMdmMs
First Name of Person-In-Charge
Last Name of Person-In-Charge
Phone Number
Fax Number
Email
Website, if any
Project Title
Organization Status For-ProfitNon-Profit
Estimated Funding Required (in SGD)
Co-Funding Budget from Other Sources, if any (in SGD)
Co-Funders (Organizations' Names)
Project Duration (in months)
Proposed Starting Date (Select using the dropdown arrow at the right end of the box)
Type of Assistance ---BursariesEquipment AssistanceMedical AssistanceOthers
Other Assistance (Input only if you've selected "Others" above)
Executive Summary (min. 1000 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.