UNP Nominee withdrawal form To withdraw a Nominee from the UWCSEA Nominee Programme (UNP) this form must be completed and signed by the authorised signatory of the corporation. The parent, who is the authorised representative, is also required to sign this form and the form must be submitted to the Director of Engagement and External Relations within three (3) working days of the parent of the Nominee/s notifying the College of the impending withdrawal. Corporation details Corporation Name Select appropriate campus Dover Campus
East Campus
Authorised representative’s personal details Mr
Mrs
Miss
Ms
Other
Family name
First/Middle name(s)
Position
Tel
Mobile
Address Post code Employee’s Signature
Date
Withdrawing Nominee’s details First/Middle name(s)
Family name (if different)
1.
Date of birth
2.
Date of birth
3.
Date of birth
4.
Date of birth
We confirm that
(dd/mm/yyyy)
(name of authorised representative) is leaving (name of corporation) or is transferring from Singapore and that (name of nominee/s) is therefore being withdrawn from the UNP.
AND (if applicable) We confirm that
(name of nominee/s) is leaving UWCSEA.
Authorised Signatory Mr
Mrs
Miss
Ms
Other
Name Signature
Position Date
For and on behalf of (name of corporation) Affix Company’s registration stamp here. ADM-2122