Financial Assistance Application Form

Eligibility Criteria:

EA FSS may be able to help if you/your family member:
• are looking for work or temporarily unable to work due to illness or have to care for children, elderly or other dependents
• have a monthly household income of $1,900 and below or a per capita income of $650
• have little or no family support, savings or assets to rely on for your daily needs
• are a Singapore Citizen or Permanent Resident (at least one immediate family member in the same household must be a Singapore citizen)

Important Note:
Supporting documents are required.
Please keep the original copies of the supporting documents as the Eurasian Association, Singapore (EA) reserves the right to sight the original documents as necessary. Processing time would take approximately 3 - 4 weeks from the submission of all relevant supporting documents.

The approving body's decision is final.

Please upload the following documents below:
1. NRIC of all Adults in the Household.
2. Birth Certificate of all Children in the Household.
3. Letter of appointment / termination / retrenchment (employment)
4. Doctor’s memo certifying fitness for work, and duration of the condition, if applicable:
5. Latest Utility / Service & Conservancy Charges / Rental Payment Bills - Where applicable.
6. Updated Bank Book / Latest Bank Statement. *
7. Latest CPF Contribution History and Latest payslip
8. Documents on assistance received from other organisation(s)
* Only Bank Statements reflecting the Bank, and Account Name, and Account No. with the Credit & Debit Transactions and Balance will be accepted.

Consent / Declaration
I declare that all the information provided in this form is true, correct and accurate to the best of my knowledge.

I understand and acknowledge that if any of the information provided in this form is false or inaccurate, I will be liable to repay in full any subsidy and financial assistance granted inclusive of all administrative expenses.

Under the Personal Data Protection Act (PDPA), I grant the Eurasian Association, Singapore to use my personal information in processing this application and sharing with parties involved with this application.

Consent to Access OneCV
OneCV:
I understand that the following may be carried out, for the purposes of facilitating my application for financial or other assistance from your Agency:

a) my Personal Information** may be used to assess my and/or my household’s eligibility for such assistance to be provided by your Agency; and

b) my Personal Information may be used to render such assistance to me and/or my household by your Agency.
I give my consent to your Agency or person authorised by MSF to collect, share and use the Personal Information only for the purposes stated above.
This consent shall be governed and construed in accordance with the laws of the Republic of Singapore. [If assistance is rendered to the household]:

c) I confirm that all the named beneficiaries on whose behalf I have applied for assistance are aware of this application and acknowledge that their records may be shared in the manner stated above.

** Personal Information may relate to past, present or future matters, and includes my personal data (e.g. name, NRIC no.), personal data of my family members who may have received financial assistance and/or other types of assistance to date, and any other information about me or my family that is relevant for the Agency’s evaluation of my application for financial assistance.