Proforma (c)
Adult Education Subvention Scheme 20___/___
Second 4-monthly Subvented Course Summary for the period from 1 January 20__ to 30April 20__
Organisation / : / Name of Centre Administrator / : / *Mr/Ms/MrsVenue/Centre / : / Contact Tel. No. / :
[Note: Please use separate sheet for each venue/centre]
No. & Name of Course in English(same name and order of numbering as appeared in the Approval Letter ) / Total No. of Sessions & Hours Approved for the Whole Course / No. of Sessions & Hours Completed from 1.1.20__
to 30.4.20__ / Exact Period
of the Whole Course/Class / Day(s) of the week / Time / Course
Fee / Actual Enrolment per Class / Age Profile / Average Attendance
from 1.1.20__
to 30.4.20__
(%) / No. of Visits to this Centre
from 1.1.20__
to 30.4.20__
(with Dates)
Sessions / Hours / Sessions / Hours / From / To / From / To / M / F / Total / 15-54 / 55-64 / 65 or above
e.g. 1. Basic Literacy for the Elderly I / 12 / 24 / 12 / 24 / 10.1.20XX / 4.4.20XX / Monday / 10:00 am / 12:00 am / $10 / 10 / 7 / 17 / 0 / 7 / 10 / 90% / 2 (14.2.20XX)
(16.3.20XX)
e.g. 2. Introduction to Wordprocessing / 12 / 18 / 5 / 7.5 / 27.3.20XX / 12.6.20XX / Tuesday / 6:30 pm / 8:30 pm / $10 / 10 / 15 / 25 / 0 / 17 / 8 / 85% / 1 (12.4.20XX)
Signature of * Chairman / Director/ Supervisor/ Other(specify)______/ :
Name in Block Letters / : / *Mr/Ms/Mrs
Official Chop: / Date / :
* Delete as appropriate
This form should be completed not later than 15 May of the respective school year and kept by the Chairman/Director/Supervisor of the organisation for inspection purpose by LWB officers.
April 2015