FORMS

Application Forms

PART TIME DIPLOMA - ENROLMENT FORMS
Declaration of Undertaking By Student	Applicable to All students
Subsidy Declaration Form	Applicable to Singapore Permanent Residents (SPRs) taking Part Time/Post Diploma only. Not applicable to Singapore citizens or foreigners.
Guideline for photo to be submitted	Please refer to the guideline before submit your photo

Withdrawal Forms

Students intending to withdraw from their course of study must complete a prescribed “Withdrawal Form” and return it to the PACE Office as soon as possible.

Student shall settle all outstanding bills with the Polytechnic prior to withdrawal.

The portion of course fee to be refunded is based on when withdrawal form reaches PACE Office. For more information, click here.

PART TIME DIPLOMA	WSQ COURSES, SHORT COURSES & ONLINE COURSES
Withdrawal Form	Withdrawal Form

Others

PART-TIME DIPLOMA

COMMON FORMS
Change of Personal Particulars	DOCUMENTARY EVIDENCE MUST ACCOMPANY THIS REQUEST. (E.g. For change of name/NRIC, show the original and submit a photocopy of the Deed Poll; for citizenship change from Malaysian to Singapore PR, show original and submit a photocopy of Blue NRIC and Re-entry Permit from passport.) Those who inform PACE of their change of citizenship to Singapore Citizen or Singapore Permanent Resident (SPR) status after the commencement of a semester will pay the fees for Singaporeans or SPR with effect from the next semester. There shall be no refund of the difference of fees already paid.
Change of Address	Students who wish to update their mailing or residential addresses may login to the Student Portal to do so. You may refer to the Student Portal User Guide for more information.
Replacement of Student Card	Students may request for student card replacement via Student Portal at a cost of $10.70 (after GST) per card. You may refer to the Student Portal User Guide for more information.
Module Exemption Form	All applications have to be submitted before commencement of the new semester. You should only apply for exemption for module(s) taken in the current semester.
Request form (Part-time Diploma, Advanced Diploma, Specialist Diploma, Diploma Conversion)	Certification Letter Request - Student status - Attendance summary - Completion of modular certificate/post-diploma certificate/diploma - Test/Exam timetable for exam leave application Request Description – Cost (after GST) Reprint of Academic Transcript - $10.70 per copy Reprint of Modular Certificate (MC) - $21.40 per MC Reprint of Post-Diploma Certificate (PDC) - $21.40 per PDC Replacement of Full Qualification Certificate * - $21.40 per certificate *Only 1 replacement is allowed per graduate for each course completed Syllabus (sent to Local Institution) - $10.70 per set Syllabus (sent to Overseas Institution) - $21.40 per set

SEMESTER RESULT
Appeal Form for Failed Module	All appeal against a failed module should be lodged within 4 working days after the release of the semester results. Appeals made after the deadline will not be entertained. Please note that only ONE such appeal can be lodged. No re-appeals are permitted. No appeals will be accepted for re-grading of any module in which a student has passed. * A non-refundable fee of S$26.75 (inclusive of GST) per failed module will be charged for the appeal.

SEMESTER RESULT

Appeal Form for Failed Module

All appeal against a failed module should be lodged within 4 working days after the release of the semester results.

Appeals made after the deadline will not be entertained. Please note that only ONE such appeal can be lodged. No re-appeals are permitted.

No appeals will be accepted for re-grading of any module in which a student has passed.

* A non-refundable fee of S$26.75 (inclusive of GST) per failed module will be charged for the appeal.

ENTRANCE TEST(S)
Post-Diploma Programming Entrance Test Syllabus	For Specialist Diploma in Full Stack Web Development / Specialist Diploma in Mobile Apps Development Entrance Test(s)

FINANCIAL FORMS / GUIDES
Company Sponsorship Form	Submission ends 2 weeks prior to semester commencement for both new and existing students.
MOE Bursary Form	Eligibility Criteria Singaporeans Subsidised full qualification part-time diploma students Gross monthly Household Income (GHI) of immediate and non-immediate family member of $9,000 and below, or Per Capita Income (PCI*) of $2,250 and below Submission between 3rd week (from semester commencement) and last day of exam week.
PSEA form	Submission ends 1 week prior to semester commencement for both new and existing students. Only original signed form acceptable.
Payment of Course Fees using SkillsFuture Credit	Applicable to Singapore citizen aged 25 and above. This is a guide on paying course fees using SkillsFuture Credit for MOE PT Diploma/Post-Diploma courses.

SHORT COURSE

COMMON FORMS
Appeal Form	Applicable to all participants
PSEA form	Applicable to all participants

WSQ COURSE

COMMON FORMS
Assignment Cover Sheet for WSH Courses	Applicable to all WSH participants
Assignment Cover Sheet for SDOH	Applicable to all SDOH participants
Make Up Class Request Form	Applicable to all participants
PSEA form	Applicable to all participants
Appeal Form	Applicable to all participants
Change of Personal Particulars	Applicable to all WSH participants

Earn & Learn Program (ELP)

COMMON FORMS
Sign-on Incentive Disbursement	Eligibility Criteria - Singaporean - The applicant shall be a graduate from Full-time Polytechnic Diploma/ ITE Technical Diploma/ ITE Technical Engineer Diploma within 5 years of graduation or within 5 years from his last day of National Service Operationally Ready Date (ORD).
ELP Participant Declaration Form	Applicable to all ELP participants

Others

COMMON FORMS
Change of personal particulars	Applicable to all ePACE participants

Singapore Polytechnic

500 Dover Road Singapore 139651

Last updated: 04 September 2019

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