National Youth Achievement Award - Free Download
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National Youth Achievement Award
National Youth Achievement Award
NATIONAL YOUTH ACHIEVEMENT AWARD
ENROLMENT FORM
Name: _______________________________________________________ Sex: *F / M
Nationality: ___________________________ NRIC/Passport No: __________________
Date of Birth: ____________ Age: _______ Race: ____________ Religion: ________
Tel No: ___________ Pager/Handphone: _____________ E-mail: ________________
Address: _______________________________________________________________
Name of School / Organisation : _________________________________Class : _____
* Please tick and delete as appropriate
I have completed _______________________ level of the Award in __________
(*Bronze / Silver) (Year)
I will be taking the following activities for the * Gold / Silver / Bronze level :
Service: _______________________________________________________________
Adventurous Journey: ____________________________________________________
Skills: _________________________________________________________________
Physical Recreation: _____________________________________________________
Residential Project: ______________________________________________________
(Gold level only)
Signature of Participant : ______________________________ Date:_______________
*Parent / Guardian’s Consent
I, _______________________________, *parent / guardian of ____________________
_________________________ allows my *son / daughter / ward to participate in the
National Youth Achievement Award Programme.
Signature of *Parent / Guardian: __________________________ Date: ____________
Please Do Not Send CASH
Cheque should be made payable to “National Youth Achievement Award”
Registration fee: Bronze - $7.00 Silver - $12.00 Gold - $17.00
Mailing Address: 5 Magazine Road #03-02 Central Mall Singapore 059571
Tel: 6733 6753 Fax: 6733 6754 E-mails : nyaac@singnet.com.sg, nyaaward@singnet.com.sg
Web-site : http://www.nyaa.org
Registration No:
Date of Issue:
Receipt No :
NYP students, for more information & submission of form, pls come to the
SA Office @ Blk E Level 4, Rm E407.
National Youth Achievement Award Previous Page
source: nyp.edu.sg
National Youth Achievement Award
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