WOODLANDS TRANSPORT SOLUTION PTE LTD Tél: 6466 0662 Fax: 6467 7582 e-mail:
[email protected] TRANSPORT REQUEST FORM 2016/2017
Please return completed form to Transport Office, Hollandse School, 65 Bukit Tinggi Road , Singapore 289757
FAMILY DATA FATHER'S FAMILY NAME
FATHER'S NAME
TEL. NUMBER (OFFICE)
MOBILE NUMBER
FATHER'S EMAIL COMPANY'S NAME
JOB TITLE OR DESIGNATION
MOTHER'S FAMILY NAME
MOTHER'S NAME
TEL. NUMBER (OFFICE)
MOBILE NUMBER
MOTHER'S EMAIL JOB TITLE OR DESIGNATION
COMPANY'S NAME Block/House No.
Street Name
Unit No.
Building/Condominium Name
RESIDENTIAL ADDRESS
RESIDENCE TEL. NUMBER
POSTAL CODE
CHILDREN DATA
NAME
FAMILY NAME 1) 2) 3) 4) 5)
GENDER *
GROUP
START DATE JOURNEY TO JOURNEY FROM SCHOOL (DD/MM/YY) SCHOOL * *
CLASS
DAYS OF REQUIRED SERVICE
M/F
YES / NO
YES / NO
Mon
Tue
Wed
Thurs
Fri
M/F
YES / NO
YES / NO
Mon
Tue
Wed
Thurs
Fri
M/F
YES / NO
YES / NO
Mon
Tue
Wed
Thurs
Fri
M/F
YES / NO
YES / NO
Mon
Tue
Wed
Thurs
Fri
M/F
YES / NO
YES / NO
Mon
Tue
Wed
Thurs
Fri
(*) Circle where appropriate
METHOD OF PAYMENT SEND INVOICE TO
FATHER'S COMPANY Residence
FAMILY
MOTHER'S COMPANY
Company
TEL. NO.
For the Attention of ATTACH YOUR CHILD OR CHILDREN RECENT PHOTO HERE [Passport Size] Email Company's Name: Company's Address:
POSTAL CODE
By signing on this form, Parents or Guardians acknowledge that they have read and accepted the following: 1) Waiver and Indemnity form as defined overleaf. 2) The terms and conditions of school bus transport 3) The Transport Procedure and disciplinary procedure which can be found in details in the Students & Parents Handbook 2016/2017. This form cannot be processed unless the form of HSL Waiver and Indemnity, terms and conditions of school bus transport attached has been signed Please Return completed form to Transport Office, Hollandse School, 65 Bukit Tinggi Road , Singapore 289757
We require 2 weeks advance notice for all new application. Late submission may result in a delay in the commencement of the bus service. Written notification must be given to the Transport Office at least 2 weeks prior to the termination date. Unless Woodlands Transport receives written notification of any cancellation two weeks before the effective date, Woodlands Transport reserves the right to assume that the existing service is still required and parents will be invoiced accordingly.
Parent's Full Name: Signature:
Date: Woodlands Transport Solution Pte Ltd
Date: