APPLICATION FOR

FAMILY ALLOWANCE
NAME :
PASSPORT NO :
ADDRESS :

PHONE NO. :

EMAIL ADDRESS :

UNIVERSITY :

COURSE :

LEVEL OF STUDY : PhD Master

The following is a member of the family that stay with me during the course :

A. Spouse (Husband / Wife) :

B. Children :

Name D.O.B / Age

(i)
(ii)
(iii)
(iv)
(v)

I confirm that the particulars stated above is true. I also confirm that my spouse and children living with me
during my course.

Signature : Date :

Note : * Please attach the following documents :

(i) A copy of bank account
(ii) Marriage Certificate
(iii) Passport and visa copy of spouse
(iv) Passport and visa copy of children

SCHOLARSHIP USE ONLY

GRANTED FROM :

NOT GRANTED : Reason :

Signature : Date :
(Officer)