I Accessibility Centre : 6579 0710

E-mail : enquiry@entre.oASIA PACIFIC BREWERIES (APB) FOUNDATION SCHOLARSHIP

APPLICATION PACKAGE Closing Date: 23 May 2018

About the Scholarship

Administered by SPD, an organisation serving people with disabilities, the Asia Pacific Breweries (APB) Foundation Scholarship for Persons with Disabilities is awarded to students who has permanent physical, sensory or developmental disability. Every year, the Scholarship awards students with disabilities in recognition of their academic excellence, their achievements as well-rounded individuals and their contribution to society by way of volunteering for participation in philanthropic activities. Scholarship Details

- The Scholarship is available for local full-time at the following institutions: 1. Nanyang Technological University 2. National University of Singapore 3. Singapore University of Technology and Design 4. Singapore Institute of Technology 5. Singapore Management University 6. Singapore University of Social Sciences - The Scholarship funds course fees and all related examination fees of $12,000 per annum for degree courses.

- Scholars with per capita household income not exceeding $950 per month may apply for Special Assistance

of up to S$3,000 per annum, subject to means testing and the approval of the APB Foundation Scholarship Review Panel.

- There will be no bond attached to the Scholarship. Scholars are required to contribute in the form of community service with any organisation in the social service sector and serve as role models.

- The APB Foundation Scholarship Review Panel reserves the right to revoke any Scholarship awarded if the progress, performance and behaviour of the scholar are considered unsatisfactory.

Eligibility Criteria

Applicants must satisfy the following eligibility criteria and conditions:

- must be a Singapore Citizen or Singapore Permanent Resident - diagnosed with a permanent physical, sensory or developmental disability - good GCE "A" level and/or Polytechnic Diploma and/or university results- satisfy the admission criteria of the tertiary institutions - has apply or is currently pursuing a full-time first degree course in a local universities - demonstrate commitment to serve the disabled community - not in receipt of any other scholarship or bursary- Successful candidate cannot change his/her programme of study from that stated in his/her admission offer letter - SPD may, at its discretion, review and amend the terms and conditions herein from time to time- SPD reserves the right to review, withdraw or suspend at any time any scholarship in full or partially if any conditions are not met. - Awards must be used for the period for which they were awarded, and no amount of the award may be carried forward. - Any extension of award will be reviewed case-by-base.

FOR PERSONS WITH DISABILITIES

2 Peng Nguan Street, SPD Ability Centre, Singapore 168955 Tel: 6579 0700 Fax: 6323 7008 Website: www.spd.org.sg E-mail: information@spd.org.sg

Instructions for Completion of Application

- Complete all sections of the application form by writing or typing in BLOCK LETTERS.

- A copy of NRIC, university enrolment letter, educational certificates and transcripts, testimonials, medical report and other relevant documents must be submitted with the application.

- Any misrepresentation of information or willful suppression of material facts will lead to disqualification of the application or termination of the Scholarship if it has been awarded.

- All applications are subject to the evaluation and approval of the APB Foundation Scholarship Review Panel. Incomplete application information or lack of documentary proof will not be entertained.

- All documents submitted in support of your application will not be returned to you.

- APB Foundation and SPD shall not enter into correspondence with applicants regarding their non-selection. - Submit application form and all necessary required documents by email or post to:

APB Foundation Scholarship for Persons with Disabilities 2 Peng Nguan Street, SPD Ability Centre

Singapore 168955 Email: Jane_yeo@spd.org.sg For more For more information on the APB Foundation Scholarship, contact us at 6579 0745.

Attn Ms Jane YeoAPB Foundation Scholarship for Persons with Disabilities

APPLICATION FOR

ASIA PACIFIC BREWERIES FOUNDATION SCHOLARSHIP

FOR PERSONS WITH DISABILITIES

GradeSubject Grade Subject

SECTION 4: RESULTS

GCE ‘O' Levels (or equivalent) GCE ‘A' Levels (or equivalent)

If you have not completed NS, have you obtained deferment?

SECTION 3: EDUCATION

Name of School/College/Polytechnic Graduated Country Duration of Course

(From MM/YYYY to MM/YYYY)Highest Academic

Qualification Attained

Country of Birth Nationality

Address

SECTION 2: NATIONAL SERVICE RECORD (if applicable)

Applicant’s Name(Please underline surname)

Recent Passport-Sized

Photograph

Mailing Address (if different from current address)

Have you completed National Service (NS)?Status Date of Enlistment Rank

Mobile Number

NRIC No. Gender Race

SECTION 1 : PERSONAL PARTICULARS

Email Address Home Contact Number

Date of Birth (DD/MM/YYYY)

Yes No

APB Foundation Scholarship for Persons with Disabilities Application Form Page 1

Please write or type in clear BLOCK LETTERS. Complete all sections and indicate 'NA' for items not applicable.Send the completed form together with your required documents to scholarship@spd.org.sg

Grade

1

2

3

1

2

3

Start Date

Completion Date

Year of Study (as at application date)

Cumulative GPA

SECTION 8: CO-CURRICULAR ACTIVITIES (CCA)

DescriptionInstitution Position Period(MM/YYYY to MM/YYYY)

Year applied Status of application

SECTION 7: APPLICATION FOR OTHER SCHOLARSHIPS / AWARDS / BURSARIES (if applicable)

SECTION 6: UNIVERSITY (To be completed by current undergraduates only. Please attach examination results/ transcripts.)

Institution

Course Duration

Country

Course of Study

Name of Scholarship/Award/Bursary

Status of application

Expected Entry Year:

Course of StudyChoice of university

SECTION 5: UNIVERSITY APPLICATION(If you are applying for University, please complete this section and submit a copy of your university acceptance letter upon request.)

Subject

DIPLOMA

Subject Grade

APB Foundation Scholarship for Persons with Disabilities Application Form Page 2

APPLICATION FOR

ASIA PACIFIC BREWERIES FOUNDATION SCHOLARSHIP

FOR PERSONS WITH DISABILITIES

Year

1

2

3

4

Contact Period Known

SECTION 11: REFEREES

Full Name Occupation Organisation Email

SECTION 12: PARTICULARS OF FAMILY MEMBERS

Relationship Nationality OccupationName

SECTION 10: WORKING EXPERIENCE

Period(MM/YYYY to MM/YYYY) Organisation Job Title/Responsibilities

SECTION 9: OTHER QUALIFICATIONS / AWARDSQualification/Award Institution

APB Foundation Scholarship for Persons with Disabilities Application Form Page 3

APPLICATION FOR

ASIA PACIFIC BREWERIES FOUNDATION SCHOLARSHIP

FOR PERSONS WITH DISABILITIES

5) If your answer to any of the questions above is "Yes", please provide details.

3)

4)

Have you ever been convicted in a court of law in any country?

Do you have any pending court case or police investigation?

Have you been or are you under any financial embarrassment i.e.(a) an undischarged bankrupt, (b) a judgement debtor,(c) have unsecured debts and liabilities of more than 3 months last-drawn pay, if applicable(d) have signed a promissory note or an acknowledgement of indebtedness

Have you previously applied for this scholarship?

1)

2)

Language Proficiency

About Yourself

Nature of Disability(Please provide details on the nature of your disability, diagnosis from doctor and attach relevant medical report):

SECTION 13: OTHER INFORMATION

Written:Spoken:

Yes No

Yes No

Yes No

Yes No

APB Foundation Scholarship for Persons with Disabilities Application Form Page 4

APPLICATION FOR

ASIA PACIFIC BREWERIES FOUNDATION SCHOLARSHIP

FOR PERSONS WITH DISABILITIES

How did you hear about the Scholarship?

BrightSparks

School

Friend / Volunteer

SPD website

Others (please specify):

SECTION 14:In 200 words, tell us why you are applying for the APB Foundation Scholarship for Persons with Disabilities and how it will help you achieve your aspirations.

APB Foundation Scholarship for Persons with Disabilities Application Form Page 5

APPLICATION FOR

ASIA PACIFIC BREWERIES FOUNDATION SCHOLARSHIP

FOR PERSONS WITH DISABILITIES

Applicant 's Name Applicant's Signature Date

DECLARATIONI declare that all information in this application (and attached documents, if any) are true to the best of my knowledge and belief, and I have not wilfully suppressed any material facts. I acknowledge that I will be disqualified, or if accepted, my scholarship will be terminated without any notice if any information is found to be untrue or material facts have been wilfully suppressed.