application form training fees concession - Chinese Swimming Club

chineseswimmingclub.org.sg

application form training fees concession - Chinese Swimming Club

Chinese Swimming ClubAPPLICATION FORMTRAINING FEES CONCESSION(I)(II)ENROLLED WITH SINGAPORE SPORTS SCHOOLENROLLED WITH OTHER NATIONAL HIGH-PERFORMANCE SCHEMEPLEASE SPECIFY: _______________________________________Forms must be submitted with full particulars together with the required documents as specified in Section Dto facilitate processing. Failure to do so will render the application null and void. This application is notvalid for section fees.SECTION A : APPLICANT’S PARTICULARS* Delete where applicableName in Full : ________________________________________Name (Chinese) : _________________*NRIC/Passport No. : _______________________*FIN/Work Permit No. : _____________________Membership No. : ___________________ *Sex : Male / Female Age : _________________Date of Birth : ____________ Place of Birth : ___________________ Nationality : ___________________Residential Address : ___________________________________________________________________________________________________________________________________ Postal Code : ( )Contact Nos : ___________________ (H) ______________________ (O) ____________________ (HP/PG)Email : _______________________________________________Fax : ________________________Correspondence/ Mailing Address : (if different from above)____________________________________________________________________________________________________________________________________________________ Postal Code : ( )SECTION B : PARENT/GUARDIAN’S PARTICULARSApplicable only to applicant under 21 years of age.Name of Parent/ Guardian : ____________________________________MShip No : _______________Relation to Applicant : ____________________________________Contact Nos : __________________ (H) ______________________ (O) _____________________ (HP/PG)Email : _______________________________________________Fax : ________________________1


SECTION C : RECORD OF CLUB REPRESENTATIONPlease list your achievement(s) as a Club Representative and attach any supporting documents(eg. Certificate of Achievement)Year Meet/Competition Results/Medals Won RemarksSECTION D : SUPPORTING DOCUMENTSPlease submit the following documents with your application.a) Proof of enrollment with Singapore Sports School/High Performance Training Centreb) Singapore Sports School/High Performance Training Centre Training Time-Tablec) Certificate of Achievement / Any relevant supporting documentsSECTION E : DECLARATIONTo be filled in by Parent/Guardian if the applicant is under 21 years of age.I, _______________________________________________ (Name), __________________(NRIC) haveread and understood the terms and conditions governing this application which are subject to change withoutprior notice, and agree to abide and be bound by them. I also understand that the Management Committeereserves the right to approve or reject this application without assigning any reasons whatsoever.Signature of Applicant/Parent/Guardian : _____________________________Date : ________________SECTION F : FOR OFFICE USE ONLYDATE RECEIVED ____________________RECEIVED BY _____________________________RECOMMENDED BY :CONVENOR ( NAME ) _____________________SIGNATURE______________________________VERIFIED BY : APPROVED BY :_______________________________________SPORTS MANAGER_________________________________________CLUB CAPTAIN2

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