Please complete this form in BLOCK letters. Area(s) applied for (Please tick one only) * CCA – Performing Arts (Please specify: __________________________)

* CCA – Sports (Please specify: _________________________________)

* Leadership Excellence

* Music Elective Programme (MEP)

Name of Applicant: ___________________________________ BC No./ FIN/ Passport No.*: ____________________________ Nationality: __________________________________________ Sex: Male / Female* Secondary School: ________________________________________________________ Mother Tongue: Chinese / Malay / Tamil / Others / Exempted * Contact No. of Parent/Guardian*: ____________ (HP) ____________ (H) __________(O) Address: ________________________________________________________________ ________________________________________________________________ Email Address of Parent/Guardian*: __________________________________________ I understand that once my child/ward is successfully allocated to Temasek Junior College, my child/ward will not be allowed to participate in the Joint Admissions Exercise (JAE) and is expected to honour the commitment to the allocated DSA-JC school for the entire duration of the programme. My child/ward will also not be allowed to transfer to another school after the release of the GCE ‘O’ Level Examination results. _______________________ ________________ _____________ ___________ Name of Parent / Guardian* NRIC / Passport No.* Signature Date * Please delete as appropriate

2018 Direct School Admission – Junior Colleges (DSA-JC) Exercise

DSA-JC Application Form

(CLOSING DATE: 27 Jun 2018, 1700 hrs)

Please affix your recent photograph

here.

v Checklist of documents submitted with this application (Please tick accordingly)

� Copy of Applicant’s NRIC / Passport / Student’s Pass (where applicable) � PSLE result slip (with aggregate score) � Secondary 1 academic results slips (Mid-Year & End-of-Year) � Secondary 2 academic results slips (Mid-Year & End-of-Year) � Secondary 3 academic results slips (Mid-Year & End-of-Year) � Secondary 4 academic results (till the latest available; including CA) � Secondary 1 to 4 CCA records (till the latest available) � Records of additional qualifications (only highest level required), achievements,

awards, scholarships, etc. (if applicable) � Teacher’s recommendation (optional)

v Applications with incomplete documents will not be considered.

v Early submission of the application form and supporting documents is strongly encouraged.