2020 MTFA BURSARY APPLICATION

2020 MTFA BURSARY APPLICATION
Please read the following:
1. The form is available from April 27 to May 23 2020.
2. Please prepare scanned copies of the required documents before clicking 'Next'. Please save the documents as instructed. Each file should be less than 5 MB.
3. If you do not have a scanner, please refer to the Submission Guideline.
4. Please note that you can only submit this form ONCE.

Family Particulars
Include details of all family members staying in the same household as the applicant.
Number of Family Members Living in the Same Household*
Do not include applicant.
(1) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(2) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(3) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(4) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(5) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(6) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(7) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(8) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(9) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
(10) Relationship to Applicant*
Full Name*
NRIC No. *
Marital Status*
Age in 2020*
Contact Number*
Occupation*
Gross Monthly Income $*
Are you currently employed?:*
YesNo
Occupation and Employer*
Gross Monthly Income: $ *
Before CPF deduction, including allowance
Total Household Income: $*
Per Capital Income (PCI): $*

Other Information
Are you receiving other sources of income/financial aid? (e.g. SSO, MUIS, Rental)*
YesNo
Other Sources of Income/Financial Aid
From (mm/yy) To (mm/yy) Amount per Month
SSO
MUIS
Other Organisations
Other Sources (e.g rental, maintenance, CPF retirement)
Have you received MTFA Bursary Award previously? If yes, please indicate the year(s) received.*
YesNo
Year(s) received:*
e.g 2018, 2019
Have you received any Scholarships, Bursaries, Loans or other forms of monetary assistance in 2019 or are receiving in 2020 (excluding MTFA Bursary)?*
YesNo
Details of scholarships/bursaries/loans received.
Name of Award Period of Grant Amount of Assistance Status (Pending/Approved)
1
2
3
4
Please state Name and NRIC of siblings who are applying for MTFA Bursary this year:*
e.g. Nadiah (S1234567X)
Please state Name and NRIC of family member (including applicant) if they have previously received MTFA Financial Assistance or Bursary:*
e.g. Nadiah (S1234567X)

Document Submission
1. Please note that only the following formats are accepted: DOCX, DOC or PDF format.
2. Ensure that you have scanned copies of the required documents as per the Submission Checklist. If you do not have a scanner, please refer to Submission Guideline.
3. Please scan all the relevant documents in each category as 1 file and name the file as the following:
"(Documents Type)_(Your name)".
For example, for Identification Documents, please scan all the NRICs, marriage certificate and bank statement as a single pdf and save the file as "Identification Documents_Siti".
4. Each file should be less than 5 MB.
NOTE: Incomplete submissions with incomplete/missing documentation will NOT be processed. We do NOT accept hardcopy submissions.
Identification and Bank Documents *
Please scan all NRICs/SAF11B (or birth certificates for those with no NRIC) of your family, Marriage Certificate/Death Certificate and Applicant's bank details in 1 single file and name it; Identification Documents_(Your Name) before uploading.
Educational Certificates*
Please scan all your educational certificates and latest results or admission letter (for first year students only) in 1 single file and name it: Education Certs_(Your Name) before uploading.
Income Documents*
Please scan the following documents a) income documents (payslips, employer’s letter, CPF statement, tax notice of assessment) of family members; b) student card of siblings who are full-time students in 1 single file and name it: Income documents_(Your Name) before uploading.
Other Documents

Declaration
Data Protection Notice

1. The Muslimin Trust Fund Association (“MTFA”) supports deserving Muslim students in their tertiary education by awarding bursaries or scholarships (“Financial Assistance”). In order to process the application and administering the Financial Assistance, MTFA has requested for your Personal Data* (and your family members’ personal data where applicable) in this application form.
2. Your Personal Data may be collected, used or disclosed for the following purposes:
- Processing your application, including evaluating your eligibility
- Verifying your background information
- Administering and/or managing your relationship with MTFA, including responding to, handling, and processing queries and requests from you
- Monitoring of your compliance with terms of our services or assistance
- Offering other assistance provided by MTFA
- Carrying out research and analysis for MTFA’s policies on our services and assistance programmes
- Any other incidental business purposes related to or in connection with the above.
3. MTFA may provide and/or disclose your Personal Data to the following parties:
- Any person or organisation where required by law or pursuant to an order of court of competent jurisdiction
- Third party service providers engaged by MTFA for the purposes stated above.
4. You confirm that your family members, whose personal data you have provided, have been informed of this application and have consented to the collection, use or disclosure of their personal data for the purposes stated above.
5. You will inform us if there are any changes to the personal information that you have provided so that we can update our records accordingly.
6. MTFA has adopted appropriate administrative, physical and technical measures to safeguard your personal information from unauthorized access, collection, use, disclosure, copying, modification disposal or similar risks.
7. For more information, you may contact our Data Protection Officer at dpomtfa@mtfa.org.

8. I confirm that all the information given in my application (including all the documents submitted) is true and accurate to the best of my knowledge, and that I have not deliberately omitted any relevant fact.
9. I understand that if I am found to have provided any false or inaccurate information in my application, (a) disbursement may be withheld; and (b) I will be obliged to refund MTFA the total amount of monies that has already been paid to me.
10. I understand that MTFA reserves the right to reject any application without providing verbal or written explanation

If you are filling up this application form on behalf of your child/ward, all references to “your personal data” refers to your child’s/ward’s personal data. Likewise, any reference to “your family members’ personal data” shall refer to your child’s/ward’s family members’ personal data.
Signature of Applicant*
Clear
Date*
DayMonthYear
Date
Should be Empty:

2020 MTFA BURSARY APPLICATION

Personal Particulars

Education Information

Family Particulars

Other Information

Document Submission

Declaration

	From (mm/yy)	To (mm/yy)	Amount per Month
SSO
MUIS
Other Organisations
Other Sources (e.g rental, maintenance, CPF retirement)

	Name of Award	Period of Grant	Amount of Assistance	Status (Pending/Approved)
1
2
3
4