If BOTH parents (or legal guardians where parents are absent) are travelling out of Singapore at the same time, you are required to complete this form (for each child) which will automatically be passed to the School's Attendance Officer, who will confirm your details against those on our system and contact you for confirmation.

The temporary guardian must be at least 21 years old and the school would strongly recommend that foreign domestic helpers are not named as temporary guardian.

Child's Full Name *
Date of Birth *
Grade *
Class Teacher (Junior School) or
Form Tutor (Senior School) *

By completing and submitting this form, we (parents / legal guardians) give full rights of temporary guardianship over our child (named above) for the period that we are out of Singapore, to the appointed guardians below:

Date that you will depart Singapore (inclusive) *
Date that you will return to Singapore (inclusive) *


Name of Temporary Guardian *
What is the appointed temporary guardian's relationship to the students? *
Further detail about the arrangement of this temporary guardianship.
Singapore Address *
Contact Number: Hand Phone *
Contact Number: Home Phone *
Relationship to parents / legal guardian *

We agree that North London Collegiate School (Singapore) may consult, seek consent and take instructions from the temporary guardian with respect to our child named above as if the temporary guardian were the parent / legal guardian, including consent for medical treatment of any nature or signing documents of any type.

We can be contacted overseas on *
Name of parent / legal guardian (1) *
Name of parent / legal guardian (2)

Single parent families please put n/a *
Date *

Please leave the next box blank or your submission will not be accepted: