Identification Number + Citizenship (Please attach a certified true copy of your birth certificate or citizenship certificate.)

Transcription

1 NF 1 Please attach three passport-size color photographs here (Please do not staple) PERSONAL INFORMATION Name (Write in block letters and underline surname/ family name) Dr / Mr / Mrs / Mdm / Miss Sex Age Home Address Telephone Number (Home) Office Address Telephone Number (Office) Facsimile Number Address Postal Address Date of Birth (Day/Month/ Year) Marital Status Place of Birth Name of Spouse (If married) Race Number of Children NRIC/ Passport Number Date and Place of Issue Unique / Foreign Identification Number + Citizenship (Please attach a certified true copy of your birth certificate or citizenship certificate.) Singaporean Others (Please specify) : Are you a Singapore Permanent Resident? Yes No (Singapore permanent residents should attach documentary proof of their status.) + Applicable to Non-Singaporeans entering Singapore only. The number can be found in the Entry / Re-entry Permit.

2 NF 1 ACADEMICL BACKGROUND A CERTIFIED TRUE COPY of A level certificates, degree scrolls, transcripts of academic records must be attached. (Original documents must be produced if requested.) A) University (Undergraduate and Postgraduate) Candidates must request the institutions from which they graduated to send official transcripts of their academic records directly to The Director, Nanyang Fellows Programme, Nanyang Business School (see NF 3). Qualification Course of Study University/Country From Mth/yr To Mth/yr B) Courses you are currently pursuing Course Institution Expected Completion Date ENGLISH LANGUAGE PROFICIENCY - State levels of proficiency excellent, good, fair Written Read Spoken ADMISSION TEST (A) If you have taken the Graduate Management Admission Test (GMAT), please complete the following : (Please attach a certified true copy of GMAT score report) Date of Test Scores (Please indicate percentile in brackets.) Total Verbal Quantitative (B) If you plan to take a future GMAT test, please indicate test date : NTU s code number is 9705 which you have to enter in the GMAT registration forms.

3 WORK EXPERIENCE Starting with your present position, please indicate in reverse chronological order your employment history. From dd/mm/yy To dd/mm/yy Title/Position Name of Firm/Organisation NF 1 Employment Sector (public/statutory/ private/self-employed) CURRENT ANNUAL INCOME / GROSS SALARY BELOW US$ 40,000 US$ 75,001 US$ 100,000 US$ 40,001 US$ 75,000 ABOVE US$ 100,000 NATIONAL SERVICE (applicable to Singapore Citizens and Permanent Residents only.) Completed Currently serving (ROD ) (Expected ROD ) Disrupted Current Military Rank : Reserve service in Army Exempted Reserve service in Air Force Not Applicable Reserve service in Navy Reserve service in others (Please specify) Please refer to Application Procedures Section 11 regarding NS Obligations.)

4 SOURCE OF FINANCE NF 1 Please tick the relevant box to indicate your source of finance. Employer Sponsorship Self-support Others (Please specify) (Foreign applicants must enclose documentary evidence of financial support.) PARTICULARS OF NEXT-OF-KIN Name Relationship Occupation Permanent Address Telephone Number REFEREES Name two referees who will support your application. Referees should preferably be superiors in a position to judge your professional / managerial performance. Please use the attached Letter of Reference form (NF 4) to request their recommendations. (A) Name Designation Name and Address of Institution / Organisation Contact Telephone Number (B) Name Designation Name and Address of Institution / Organisation Contact Telephone Number DECLARATION (A) I affirm that all statements made by me on this form are correct. (B) I understand that any inaccurate or false information (or omission of material information) will render this application invalid and that, if admitted on the basis of such information, I can be required to withdraw from the programme. Signature of Applicant Date This form when completed should be submitted with the relevant supporting documents to: The Director NANYANG FELLOWS PROGRAMME Nanyang Business School South Academic Complex, Blk S3-B2A-39 Nanyang Technological University Nanyang Avenue Singapore

5 NF 2 STATEMENT OF OBJECTIVES Name of Applicant (Underline surname or family name) Programme Applied For: Application No. Please comment on your career goals and those factors which have influenced you to pursue a postgraduate programme. We are interested in what you believe you can contribute to the programme and to your fellow students in the programme. We encourage you also to describe how you perceive the Nanyang Fellows Programme to be beneficial to you. (You may use the reverse page if necessary)

6 NF 2

7 NF 3 TRANSCRIPT REQUEST FORM TO APPLICANT Please complete the information below and send this form in the enclosed envelop to the Registrar of each university you have attended. Name of Applicant (Please underline surname or family name) Programme Applied For : Name of University School Attended within University Date of Enrolment Degree, Major, and Date of Conferment I authorise the release of my transcript to the Director, Nanyang Fellows Programme, Nanyang Business School, South Academic Complex, Blk S3-B2A-39, Nanyang Technological University, Nanyang Avenue, Singapore Signature of Applicant Date TO REGISTRAR The above-mentioned person is applying for admission to the Nanyang Fellows Programme in the Nanyang Business School. The admission procedures require the applicant to submit a complete set of transcripts. To accurately evaluate the transcript, it is vital for us to have information about the grading system. Please complete this form (where applicable) and return it together with the applicant s transcript. Applicant s Cumulative Grade-point Average (where applicable) Highest Possible Grade-point Average in Your School (where applicable) Lowest Passing/Satisfactory Grade-point Average (where applicable) Applicant s Rank in Class Total Class Size (final year) Explanation of Grading System (eg. A=4, B=3, etc)

8 NF 3 TRANSCRIPT REQUEST FORM TO APPLICANT Please complete the information below and send this form in the enclosed envelop to the Registrar of each university you have attended. Name of Applicant (Please underline surname or family name) Programme Applied For : Name of University School Attended within University Date of Enrolment Degree, Major, and Date of Conferment I authorise the release of my transcript to the Director, Nanyang Fellows Programme, Nanyang Business School, South Academic Complex, Blk S3-B2A-39, Nanyang Technological University, Nanyang Avenue, Singapore Signature of Applicant Date TO REGISTRAR The above-mentioned person is applying for admission to the Nanyang Fellows Programme in the Nanyang Business School. The admission procedures require the applicant to submit a complete set of transcripts. To accurately evaluate the transcript, it is vital for us to have information about the grading system. Please complete this form (where applicable) and return it together with the applicant s transcript. Applicant s Cumulative Grade-point Average (where applicable) Highest Possible Grade-point Average in Your School (where applicable) Lowest Passing/Satisfactory Grade-point Average (where applicable) Applicant s Rank in Class Total Class Size (final year) Explanation of Grading System (eg. A=4, B=3, etc)

9 NF 4 CONFIDENTIAL LETTER OF REFERENCE TO APPLICANT Please fill in you name, application number and programme applied for, and forward this form with the returned envelope provide to your referee for completion. Name of applicant (Please underline surname or family name) NOTE TO REFEREE The above-named applicant is applying for admission to the Nanyang Fellows Programme. The Director, Nanyang Fellows Programme, would appreciate receiving a confidential report from you on the applicant. (1) How long have you known the applicant and in what capacity? (2) Among the employees at a similar level whom you have known in recent years, how would you rate the applicant? (Please tick one of the boxes) Excellent (Top 5%) Average (Middle 40%) Very Good (Top 15%) Poor (Bottom 30%) Good (Top 30%) (3) Please indicate with an X your rating of this applicant in the following categories: (i) (ii) (iii) (iv) (v) Academic ability Analytical ability Motivation for graduate study Maturity/Ability to work with others Executive potential Poor Average Good Very Good Excellent Unable to Observe

10 NF 4 (4) Please comment on the applicant s strengths and ability to complete a graduate programme. Please also add any statement concerning his or her potential for becoming a responsible and successful executive. (5) Do you recommend the applicant for admission to the Nanyang Fellows Programme? (Please tick one of the boxes.) Name of Referee Strongly recommend Recommend Designation Recommend with some reservations Do not recommend Name and Address of Institution/Organisation Contact Telephone Number Signature of Referee Date DO NOT RETURN TO APPLICANT. Please mail direct to the following address: The Director NANYANG FELLOWS PROGRAMME Nanyang Business School South Academic Complex, Blk S3-B2A-39 Nanyang Technological University Nanyang Avenue SINGAPORE

11 NF 4 CONFIDENTIAL LETTER OF REFERENCE TO APPLICANT Please fill in you name, application number and programme applied for, and forward this form with the returned envelope provide to your referee for completion. Name of applicant (Please underline surname or family name) NOTE TO REFEREE The above-named applicant is applying for admission to the Nanyang Fellows Programme. The Director, Nanyang Fellows Programme, would appreciate receiving a confidential report from you on the applicant. (1) How long have you known the applicant and in what capacity? (2) Among the employees at a similar level whom you have known in recent years, how would you rate the applicant? (Please tick one of the boxes) Excellent (Top 5%) Average (Middle 40%) Very Good (Top 15%) Poor (Bottom 30%) Good (Top 30%) (3) Please indicate with an X your rating of this applicant in the following categories : (i) (ii) (iii) (iv) (v) Academic ability Analytical ability Motivation for graduate study Maturity/Ability to work with others Executive potential Poor Average Good Very Good Excellent Unable to Observe

12 NF 4 (4) Please comment on the applicant s strengths and ability to complete a graduate programme. Please also add any statement concerning his or her potential for becoming a responsible and successful executive. (5) Do you recommend the applicant for admission to the Nanyang Fellows Programme? (Please tick one of the boxes.) Name of Referee Strongly recommend Recommend Designation Recommend with some reservations Do not recommend Name and Address of Institution/Organisation Contact Telephone Number Signature of Referee Date DO NOT RETURN TO APPLICANT. Please mail direct to the following address: The Director NANYANG FELLOWS PROGRAMME Nanyang Business School South Academic Complex, Blk S3-B2A-39 Nanyang Technological University Nanyang Avenue SINGAPORE

13 NF 5 ORGANISATION ENDORSEMENT TO APPLICANT Your application must have the endorsement of your Chief Executive Officer (or equivalent) to support your application. Name of Applicant TO BE COMPLETED BY CEO (OR EQUIVALENT) Name in full Title/Position Company s Name Address Telephone Number: Facsimile Number: I hereby endorse this application for the following reasons: Signature Date

14 NF 6 CHECK LIST Before submitting your application, please check to ensure that you have done the following : Application Form (NF 1) Statement of Objectives Form (NF 2) THREE passport-size photographs (your name should be clearly written on the reverse side of each photograph A certified true copy of each of the following: TOFEL score report GCE A level certificate or its equivalent Degree scroll Transcript of academic records from each University attended GMAT score report (if taken not mandatory) Professional membership certificates (if any) Identity card (for Singaporeans) or Passport (for foreigners) or identity card and re-entry permit (for Singapore Permanent Residents) Documentary evidence of financial support (overseas applicants only) Arrange to have your Official Transcripts (NF 3) sent DIRECTLY from your University Remind your referees to submit the Referee s Report (NF 4) directly to the Director, Nanyang Fellows Programme Submit documents to : The Director NANYANG FELLOWS PROGRAMME Nanyang Business School South Academic Complex, Blk S3-B2A-39 Nanyang Technological University Nanyang Avenue Singapore

15 GUIDE FOR APPLICANTS TUITION FEES $51,000 All figures shown are in Singapore dollars. Covers course fees at NTU and MIT, airfare, transportation and accommodation for one overseas Business Study Mission, computer fees and examination fees - payable in three installments in July, October, and March. ESTIMATED COST OF LIVING IN SINGAPORE 1. Accommodation on campus (apartment rental only; limited units are available; offcampus accommodation may cost up to double these figures) $ per month (shared apartment) $1, per month (married quarters) 2. Food $ per month (university canteens / off campus food stalls) 3. Transport (bus fare / rapid transit) $50.00 per month 4. Incidental expenses (recreation, toiletries, laundry, hairdressing, stationery, postage, etc) $ per month In addition to the course fees, a participant in this Programme can expect to incur additional expenses on course materials: $800-$1,500 per annum. ESTIMATED COST OF AIR TICKET AND LIVING IN MIT, BOSTON FOR SIX WEEKS 1. Air ticket (SQ) $2, Accommodation $4, (twin sharing) 3. Food $2, Transport $200.00

16 APPLICATION PROCEDURES ADMISSION REQUIREMENTS The Nanyang Business School welcomes applications from graduates of all disciplines to enrol in its MBA (Nanyang Fellows) Programme. Applicants are expected to possess: 1. a good bachelor s degree. 2. at least eight years management experience at time of admission. 3. an acceptable score in the Test of English as a Foreign Language (TOEFL) for those applicants whose medium of instruction at tertiary level was not English. 4. an acceptable score in the Graduate Management Admission Test (GMAT) is not mandatory but will be looked upon favourably. The GMAT is conducted by the Educational Testing Service in Princeton,New Jersey, USA. Requests for the GMAT Bulletin of Information should be directed to: The Graduate Management Admission Test, Education Testing Service, CN 6103, Princeton, New Jersey , USA.

17 APPLICATION INSTRUCTIONS This application folder contains the following items: Application Form for Nanyang Fellows Admission (NF 1) Statement of Objectives Form (NF 2) 2 Transcript Request Forms (NF 3) 2 Letter of Reference Forms (NF 4) Organisation Endorsement Form (NF.5) Checklist (NF 6) To be considered for admission, you must complete and return all these documents to the Director, Nanyang Fellows Programme, Nanyang Business School. APPLICATION FORM (NF 1) The application should be submitted with THREE passport-size color photographs (in formal attire) enclosed (your name should be clearly written on the reverse side of each photograph). Please answer all relevant questions completely and write in block letters or typed form. The completed application should be accompanied by a photocopy of each of the documents listed below. All photocopied documents must be printed on A4-size paper. Any documents not in English must be accompanied by certified copies of the English translation of the documents. (a) (b) (c) (d) (e) (f) (g) GCE A level certificate or its equivalent Degree scroll Transcript of academic records from each university attended GMAT score report (if taken - not mandatory) Professional membership certificates (if any) Identity card (for Singaporeans) or Passport (for foreigners) or Identity card and re-entry permit (for Singapore Permanent Residents) \ TOEFL score report If you are admitted into the programme, the original documents must be produced for inspection. Applications should be accompanied by documentary evidence of financial support in the form of a bank statement or letter of confirmation from a sponsor.

18 Return the signed application forms, together with the requisite supporting documents, in the large self-addressed envelope provided, to : The Director NANYANG FELLOWS PROGRAMME Nanyang Business School South Academic Complex, Blk S3-B2A-39 Nanyang Technological University Nanyang Avenue Singapore STATEMENT OF OBJECTIVES (NF 2) The Statement of Objectives is your opportunity to describe your reasons for wanting to do graduate study in business. TRANSCRIPTS (NF 3) IN ADDITION to submitting certified true copies of your transcripts with the application, we also require official transcripts to be sent directly to us from your university/universities. We have provided two transcript request forms in this application folder. You should complete the first part of the form and send the form, with a transcript envelope, to the Registrar of each university or college you have attended. (Only one copy of each transcript is required.) The transcript request form and the transcript itself will be returned to us directly by the university. LETTERS OF REFERENCE (NF 4) You are responsible for securing two recommendations from referees. All letters of reference must be written in English. It is strongly suggested that both references be from superiors in a position to judge your professional or managerial performance. The referees reports are to be returned to us directly from the referees.