Application Form

Please indicate the award(s) that you wish to be considered for:	Award Quantum (one academic year)
	The Ngee Ann Kongsi Scholarship	Up to S$4,500.00
	The Ngee Ann Kongsi Study Award	Up to S$3,000.00

Step 1/6

NRIC Prefix First Alphabet

Last 3 digit of NRIC No: E.g. SXXXX123

NRIC Suffix Last Alphabet

Salutation

Last Name

Name as in NRIC

Chinese Name (In chinese characters)

Address

Postal Code

E-mail Address

Please only use personal email address for ease of contact upon graduation

E-mail Address (Confirmation)

Please re-enter email address for confirmation

Contact Number (Home)

Contact Number (Mobile Phone)

Date of Birth

(DD/MM/YYYY)

Nationality

Ancestral Home

Religion

Other Religion

Step 2/6

Current Institute of Study/Enrollment

Course of Study

Academic Year (2025/26)

Previous Course of Study

Step 2/6

Detailed Academic Results - GCE 'O' Levels
Please include English & Best 4 subjects in all sittings
If you sat for more than 1 sitting, please indicate your best result for English Language.

Name of Educational Institution/s Attended

Year of Educational Institution/s Attended E.g 2009-2012

Detailed Results

Subject	Grade

Step 2/6

Detailed Academic Results - GCE 'O' Levels

Name of Educational Institution/s Attended

Year of Educational Institution/s Attended E.g 2009-2012

Higher Nitec CGPA

Please indicate highest certification attained at institution as above

Step 2/6

Detailed Academic Results - GCE 'A' Levels
Please include GP, project work, your best H1 subjects (or 4th Best H2) & your best three H2 subjects.

Name of Educational Institution/s Attended

Year of Educational Institution/s Attended E.g 2013-2014

Detailed Results

Subject	Type	Grade

Step 2/6

Detailed Polytechnic Results

Name of Educational Institution/s Attending

Year of Educational Institution/s Attending E.g 2012-2014

Year 1 CGPA

Note: CGPA – Cumulative Grade Point Average
(all modules examined up to and including current semester)

Year 2 CGPA

Note: CGPA – Cumulative Grade Point Average
(all modules examined up to and including current semester)

Year 3 CGPA

Note: CGPA – Cumulative Grade Point Average
(all modules examined up to and including current semester)

Please indicate highest certification attained at institution as above (if completed)

Step 3/6

Detailed Co-Curricular Activities
Uniformed Groups / Societies / Clubs (list 2 most significant ones) Sports (list 2 most significant ones)
Please state executive positions (office-bearer) only i.e Chairperson, General Secretary, Treasurer, etc
If you are holding more than one appointment in the same organization, state only the most important appointment.

Uniform Groups/Societies/Clubs

Uniform Groups/Societies/Clubs	Position Held	Period

Sports

Sports	Level of Participation (Sch/Nat'i)	Year

Step 4/6

The Ngee Ann Kongsi Tertiary Scholarship/Bursary/Study Award
Are you a past recipient of The Ngee Ann Kongsi Tertiary Scholarship or Bursary/Study Award?
leave blank if not applicable

Scholarship/Bursary	Year Awarded

Other Awards
Have you received any other awards?
leave blank if not applicable

Other Awards	Year	Type of Award

Step 5/6

Detailed Family Background
Particulars of family members in your household

Name	Relation	Age	Occupation	Gross Monthly Income (S$)	Name of Employer/Business/ School/Institute

Total monthly household income

Per Capita Income

Total household income / Total number of
family members in the same household

Step 6/6

Are you on the Dean’s List / Director’s List?

Polytechnic (If yes, state year)

University (If yes, state year)

Do you have other sibling(s) also applying for NAK Tertiary Award(s) AY 2025/26?
(If yes, please state name; institution; course & year of study)

Are you in receipt of or have you applied for
scholarships from other organisations for AY 2025/26?

If yes, please provide details

Date of Application	Name of Scholarship/Bursary	Value (S$)	Outcome of Application

Any other information that can support
your application for the scholarship/bursary

Have you participated in any NAKSB Alumni activities for the past year? If yes, please state:

State the amount of your annual tuition fee payable

Declaration

(Please tick BOTH Checkboxes for your application to be valid. Incomplete Declaration will render the application null and void.)

I declare that all information given above and the attachments are true & correct By submitting this application, it is deemed that I have consented to the collection, use and disclosure of my personal data by The Ngee Ann Kongsi for the purpose of The Ngee Ann Kongsi Tertiary Awards for AY 2025/26, including but not limited to contacting me to attend the award ceremony and future award ceremonies as well as The Ngee Ann Kongsi Scholarship & Bursary Alumni for the purpose of networking.