PPSA1/04112013

/ MINISTRY OF EDUCATION
1, North Buona Vista Drive
MOE Building, Singapore 138675
Tel: 68722220

This form may take you 10 minutes to complete. Incomplete application will be rejected. You will need the following information to complete the form: (a) Applicant’s particulars (b) Child’s particulars and academic records

APPLICATION FORM FOR SCHOOL ADMISSION

1.  CHILD’S PERSONAL PARTICULARS

Name (as in official documents): / S’pore Birth Certificate No. / UIN : / Date of Birth
(DD/MM/YYYY):
Gender: Male / Female* / Race: / Mother Tongue (Chinese/Malay/Tamil/Others):
Others (Please Specify):
Citizenship: Singapore Citizen / Permanent Resident* / Nationality (if Citizenship is Permanent Resident):
Singapore Residential Address:

* Please delete where inapplicable

2.  CHILD’S ACADEMIC RECORDS

Name of School Attended/Attending
(in chronological order) / Type of School (Primary, Secondary etc) / Country / Date Joined
(DD/MM/YYYY) / Date Left
(DD/MM/YYYY) / Highest Level Passed
Are you currently on Leave of Absence from any Singapore mainstream school? Yes / No*
Level Seeking Admission to: / Academic Year Seeking Admission to:
Preferred Schools / Areas
(Applicable to Secondary School Admission only)#: / 1. / 2. / 3.
Expected date to join Singapore mainstream school (DD/MM/YYYY):

# For primary school admission, MOE would offer the child a place in a primary school with vacancies nearby to the child’s residential address as declared in Section 1 of the application form. Parents may approach school of choice directly to seek admission if they do not wish to seek admission to the nearby school with vacancy.

3 APPLICANT’S PARTICULARS

Name: / NRIC No.:
Mailing Address: / Contact No.:
(H) (H/P) ______
Relationship to child: / Email Address:
a)  In making this application, I declare that all information provided by me in the application form is complete and true.
b)  I understand that by submitting this application for the school admission of my child, the MOE will attempt to place my child to:
i) a primary school with vacancies nearby to my residential address declared in Section 1 of the application form and/or
ii) a secondary school subject to availability of vacancy in the school and my child meeting the school’s placement test requirements.