Yew Chung Education Foundation

Application Form

Your information! (The field With "*" must be filled in.)

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*Login Name:	Use a nick name that is between 1-20 alphanumerics in length.
*Password:	Choose a password that is between 1-20 alphanumerics in length.
*Confirm PWD:	Please re-type the password.
*Choose a question:
*My answer:
*Additional Code:	Please enter what you see on the screen:	if it's not clear.

*Last Name:

*First Name:

Middle Name:

Chinese Name:

*Religion:

*Nationality:

Date of Birth:

*Gender:

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*Marital Status:

*# of Children:

*1st Lang.:

*2nd Lang.:

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*Street Name:

District:		Region:
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Postal/Zip Code:		*Country:

Year(s) Worked:

Annual Net Salary Expected (US$):

Where did you learn of us?

Have you been the subject of any litigation with the exception of proceedings of matrimonial, probative, and traffic related that attracted only fine penalty?

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If you are an overseas foreign teacher, please provide the following information to us for assessing tuition subsidy for your dependents (if eligible) and medical insurance purposes:

Self Introduction:

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