1 of Jan-18 10:01 AM. Application for the admission of Category E applicants to undergraduate courses in Ac SAMPLE

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1 1 of Jan-18 10:01 AM Application for the admission of Category E applicants to undergraduate courses in Ac

2 2 of Jan-18 10:01 AM Please check your application before submission. The Office of Admissions cannot be held responsible for the accuracy of your ap As you are on a secure site, and for security reasons, please note that you are only given 30 minutes to complete the application form. You will more than the allocated time. Guide to completing application form: 1. There are 14 sections in this application form. All sections must be completed, if applicable. 2. Please ensure all information is correct as inaccurate data may affect your application. 3. Application will take 15 to 20 minutes to complete. Please have the following documents/ information ready as reference when filing in the a i) High School Education (if applicable; especially for international applicants) ii) University Results iii) Personal Statement of 1,500 characters - Prepare draft eassy as MS Word document and copy the final version into this section. 4. You are encouraged to provide a valid Singapore mobile number to receive SMS alert for admission updates (e.g. shortlist notification for inte of admission). 5. If your online application is successful, you will receive an 8-digit application number; if not, please submit your application again. The application form consists of the following sections. Please complete all sections. 1. Personal Particulars 8. Next-of-Kin Information 2. Contact Information 9. Personal Identification Number 3.. Academic Qualifications 10. Application Fee 4. University/Tertiary Education 11. Financial Aid 5. Choice of Courses 12. Other Information 6. National Service 13. Tuition Grant 7. Disabilities and Special Needs 14. Declaration Fields that are marked with * are mandatory. 1. Personal Particulars Full Name * Given Name * (full name as printed on your NRIC/passport/Birth Certificate) (e.g. TAN KOK LENG) (e.g. KOK LENG) te: Click here ( for guide on how to key in Given Name Family Name * (E.g. TAN) te: Click here ( for guide on how to key in Family Name Date of Birth * / / (dd / mm / yyyy eg. 08 / 02 / 1989) Gender * Citizenship * Singapore Permanent Resident (Please do not select if you are a Singapore Citizen.) NRIC number/fin Passport Number Marital Status* Race / Ethnic Group* Religion* 2. Contact Information S (To be filled in by non-singapore Citizen. If you are a Malaysian, please enter your 12-digit Malaysian I/C number) Postal Address * (n-english and incomplete postal address will result in non-delivery of letter/s sent out by the University) Block/House. * (e.g. APT BLK 42) Street Name/Building Name * Unit. (e.g. #12-34) State/City Country * (Leave blank if you are providing a Singapore address) Postal Code * (This must be a valid for the next 12 months) Alternate (Alternate must be different from the primary above)

3 3 of Jan-18 10:01 AM Home Telephone* Mobile Country Area Number Country Area Number (Do not use hyphen or space in the Number field, eg ; For Singapore number, leave the country and area code blank) (Do not use hyphen nor space in the Number field, eg ; For Singapore number, leave the country and area code blank) 3. Academic Qualifications Secondary Education Name of Secondary School City/Country From To Examination Subjects English Additional Mathematics Physics Marks / Grade Obtained Year Taken Maximum Marks / Grade Possible The above information is required to confirm that you satisfy specific course pre-requisites. If you have not offered any of these subjects, you can leave the space blank. High School Education* Name of High School Enter Name of High School if not found in list City/Country Examination S'PORE-CAMBRIDGE GCE 'A' LEVEL Year Taken Type of results submitted Actual Ensure the grades/results here are accurate as inaccurate information will affect your application outcome. Examination Results Subject Level Grade Additional Information Please provide, if available Date Taken Marks / Grade Obtained IELTS (Please input the score for Academic testing (Please enter Overall band component score only) only) (Please enter Writing component score only) (Please enter Reading component score only) TOEFL Paper Internet

4 4 of Jan-18 10:01 AM EL1119 MUET (aggregate score) SAT SAT Essay (if any) Critical Reading Math Writing/ Evidence-Based Reading and Writing Reading Analysis Writing SAT Subject Tests Subject ACT Composite Score (Please enter Composite score only) (Please enter Writing score only) Advanced Placement (AP) Subject Students who are offering the Indian Standard 12 qualification may fill in their JEE Advanced common rank list (if applicable) below: JEE Advanced Common Rank List Reason for transfer (please limit to 1500 characters) Please provide your reason(s) for seeking a transfer which would assist the University to assess your application. Please leave this blank if you are a high school student who have not enrolled into a University chars remaining 4. University/Tertiary Education Q1.Have you graduated from the National University of Singapore, Yale-NUS college, Nanyang Technological University, Singapore University of Technology and Design, Singapore Management University, Singapore University of Social Sciences, or Singapore Institue of Technology?

5 5 of Jan-18 10:01 AM Q2.Are you a current student of National University of Singapore, Yale-NUS college, Nanyang Technological University, Singapore University of Technology and Design, Singapore Management University, Singapore University of Social Sciences, or Singapore Institue of Technology? Q3.Are you a former student of National University of Singapore, Yale-NUS college, Nanyang Technological University, Singapore University of Technology and Design, Singapore Management University, Singapore University of Social Sciences, or Singapore Institue of Technology seeking readmission? Q4.Are you a current / former student of any other university or tertiary institutions (except polytechnics in Singapore)? If you have chosen YES to the questions Q1, Q2, Q3 or Q4, please provide your academic results as follows University From To Enter Name of University if not found in list Course Matriculation/Student Identification Number If you are still taking the module(s), please input results and CAP as "IP". Year Semester/Term Subject Marks / Grade Obtained Maximum Ma Grade Possib Please indicate if you were ever on LOA (Leave of Absence) during your course of study LOA start month & year LOA end month & year Please indicate number of semesters spent (including current) Are you currently pursuing a double degree programme (DDP) in NUS? Are you withdrawing from the current double degree programme (DDP) in NUS? (Please choose t Applicable if you are currently not on the DDP) Are you changing your home faculty for your current double degree programme (DDP) in NUS? (Please choose t Applicable if you are currently not on the DDP) Are you a scholarship holder? t applicable t applicable

6 6 of Jan-18 10:01 AM 5. Choice of Courses There are TWO parts in this section. In Part (a), select your Single Degree courses in order of preference You must omplete Part (a) if you wish to select the Double Degree (DDP)/ Concurrent Degree (CDP) programmes in Part (b) in order of preference (optional) a) Single Degree Courses Indicate your choice of single degree courses in order of preference using the Drop-Down-Menu listing all the single-degree courses. We will consider your choice in the order that you have indicated subject to you meeting the course requirements. You may choose fewer than 8 choices but do not repeat the choices. For the latest update on courses, please refer to /oam/programmes.html ( 1st Choice* 5th Choice 2nd Choice 6th Choice 3rd Choice 7th Choice 4th Choice 8th Choice Application for the Music course should be filed separately to the Yong Siew Toh Conservatory of Music at ( Students reading common Engineering will be streamed at the end of Year 1 to Biomedical Engineering, Chemical Engineering, Civil Engineering, Computer Engineering, Electrical Engineering, Environmental Engineering, Industrial & Systems Engineering, Mechanical Engineering or Materials Science & Engineering To be considered for Medicine and Dentistry, you must rank these courses as first or second choice. To be considered for Law, you must rank this course as first or second choice OR rank Law as third choice if you had selected Medicine and Dentistry as your first and second choices. To be considered for Nursing, Architecture or Industrial Design, you must rank these courses as your first, second or third choice. Applicants who wish to be considered for a transfer to the course of Data Science and Analytics should be matriculated no earlier than AY2016/2017. b) Double Degree (DDP)/ Concurrent Degree (CDP) Programmes Please proceed to indicate your choices below in order of preference if you are interested in the following programmes: Double Degree (DDP), Concurrent Degree (CDP) To be considered for the above programmes, you must include at least one of the faculties/schools offering the programme as one of your choices in Part (a). 1. To be considered for the Business Administration & Law, Economics & Law, Law & Life Sciences, and/or Law & Master in Public Policy double/concurrent degree programmes, you must have listed Law as your first or second choice in the selection of a single degree course in (a). For more information, please refer to ( 2. To be considered for Arts & Social Sciences (NUS) and Arts (Sciences Po) Double Degree Programme, you must have listed Arts & Social Sciences as one of your choices in (a) AND the Arts & Social Sciences (NUS) and Arts (Sciences Po) Double Degree Programme as your first or second choice in (b). Additionally you are required to read carefully its application procedures, including the application window, including the application window, at /info/apply.html ( You will be evaluated for admission to one of your choices in Part (b) if you are successful in gaining admission into the faculty /school that offers the programme. Some CDP/DDPs require a selection interview. Only shortlisted candidates will be informed. You may be shortlisted for one or more interviews if you indicate more than one choice for your CDP/DDP options. 1st Choice 2nd Choice 3rd Choice 4th Choice

7 7 of Jan-18 10:01 AM 5th Choice 6. National Service (NS) in Singapore (applicable to Singapore Citizens and Singapore Permanent Residents only) Please choose "t Applicable" if you do not need to or are not serving National Service in Singapore. If you are waiting to be enlisted for NS, please select "Registered/Waiting to be enlisted" for your "NS Status." Unless you have indicated your NS status as "t Applicable", "Registered" or "Exempted", you are required to indicate your NS date. If you are currently Registered/Waiting to be enlisted, it is important that you indicate your date of enlistment if it is available. National Service Status * Enlistment Date ORD/Disruption Date (t applicable if your NS status is "NA" or "EXEMPTED" or "Registered".) If you are exempted from National Service, you are required to submit the necessary document (endorsed by MINDEF) according to instructions on the Application Checklist. 7. Disabilities and Special Needs Do you have any past or current medical/mental health condition * and/or physical disability which may cause you to require special assistance or facilities while studying at the University? * Students with colour-blindness are advised to indicate their condition here as they may face challenges in certain programmes such as Data Science & Analytics, Environmental Studies, Food Science & Technology, Pharmacy, Project & Facilities Management, and Science. If yes, please provide details below and submit medical documents and/or other supporting documents. Medical conditions Medical condition 1: Medical condition 2: Medical condition 3: Please provide more details on your medical condition in the box 250 chars remaining 250 chars remaining 250 chars remaining If you require any form of special assistance and/or facilities if admitted to the University, please provide details below chars remaining te: This information will enable the University to develop a complete profile of an applicant and determine whether he/she might need additional resources in his/her studies. The University does not, however, guarantee the provision of special aid (financial or otherwise) to any student. 8. Next-of-Kin Information Please provide a contact person in case of an emergency.

8 8 of Jan-18 10:01 AM Name of Next-of-Kin / Guardian * Relationship with Applicant* Occupation * Telephone * Mobile Country Area Number Country Area Number (country & area codes are required only for non-singapore number) (country & area codes are required only for non-singapore number) 9. Personal Identification Number (PIN) Enter a PIN (case sensitive)* Re-enter your PIN (case sensitive)* (8 alpha-numeric characters e.g. gwwg254x) Please keep your PIN confidential as you will need it to access important application-related information via the Online Application Status Facility ( ( Uploading of supporting documents Online status enquiry Online reply to NUS' offer of admission Online appeal E-Payment via Credit Card 10.Application Fee A non-refundable application fee of SGD10 is payable. Please select one of the following modes of payment ( Credit card [Visa/ MasterCard/ Amex only]. Payment can be made immediately via the web link located at the acknowledgement page after submitting your application.) Bank draft/cheque made payable to 'National University of Singapore' NETS at the Office of Admissions, NUS AXS at any AXS Stations islandwide * Payment must be made by application closing date. Applications without full payment will not be processed. 11.Financial Aid NUS offers Financial Aid schemes such as loans, bursaries and work-study opportunities in order to help financially needy students meet their study expenses in NUS. Do you intend to apply for Financial Aid offered by NUS to support your studies in NUS? * 12.Other Information Have you ever been convicted of an offence by a court of law or a military court (court martial) in any country or are there any court proceedings pending against you anywhere in respect of any offence? If your answer to the above question is, please click below. * Or

9 9 of Jan-18 10:01 AM If your answer to the above question is, please click below and provide a full statement of the relevant information in the box below and/or on a separate sheet of paper (and attach the relevant documents). 100 chars remaining 13.Tuition Grant For Singapore Citizens: All eligible Singapore Citizens are automatically awarded a Tier A Tuition Grant, which is the highest level of tuition fee subsidy. Please fill in the Tuition Grant Declaration Form as part of your university application. For Permanent Residents: You may apply for a Tier B Tuition Grant, which will partially cover the costs of tertiary education. If you take up a Tier B Tuition Grant, you will be required to secure employment and serve in a Singapore entity for three years upon graduation. To apply, please fill in the Tuition Grant Application Form as part of your university application. For International Students: There is a limited number of Tuition Grants available for International Students, and these are awarded on a competitive basis based on merit. You may apply for a Tier C Tuition Grant. If you take up a Tier C Tuition Grant, you will be required to secure employment and serve in a Singapore entity for three years upon graduation. If you wish to apply, please fill in the Tuition Grant Application Form as part of your university application. te to ALL: (1) You are eligible for a Tuition Grant if you have not previously completed a course at an equal or higher level than the course you are applying for, for which you have previously received a subsidy or sponsorship from the Government of Singapore. You may find more details here ( For further details on fees for all nationalities, please click here ( /fees.html#tuitionfees). (2) Students offered admission to Medicine and Dentistry are required to serve a bond with the Singapore Ministry of Health after graduation. For Medicine, the bond duration is five years for Singapore Citizens and six years for Permanent Residents and international students. For Dentistry, the bond duration is four years for Singapore Citizens and five years for Permanent Residents and international students. Click to Declare or Apply Tuition Grant You haven't made any declaration related to Tuition Grant. 14.Declaration I hereby declare that all information provided by me in connection with this application is true, accurate and complete. I understand that any inaccurate, incomplete or false information given or any omission of information required shall render this application invalid and NUS may at its discretion withdraw any offer of acceptance made to me on the basis of such information or, if already admitted, I may be liable to disciplinary action, which may result in my expulsion from NUS. And I hereby authorise NUS to obtain and verify any part of the information given by me from or with any source (such as Ministry of Education), as it deems appropriate. I declare and warrant that for any personal data of other individuals disclosed by me in connection with this application, I have, prior to disclosing such personal data to NUS, obtained the appropriate consent from the individuals whose personal data are being disclosed, to permit NUS to collect, use and disclose such personal data for purposes related to this application, as set out fully in the Personal Data tice & Consent. I agree that all such information provided by me in connection with this application may be disclosed to authorize NUS personnel or third parties on a need-to-know basis for purposes related to this application, as set out fully in the Personal Data tice & Consent. Third parties include (i) the Ministry of Education, other government agencies or statutory bodies or non-government agencies authorised to carry out specific Government services or duties and (ii) persons or organisations providing students with financial aid. I have read and agree to the terms and conditions contained in the Personal Data tice & Consent ( ( /oam/docs/nus-adm_personal_data_tice_and_consent.pdf)

10 10 of Jan-18 10:01 AM I agree to receive marketing, advertising and promotional information from NUS via postal mail, electronic mail, SMS or MMS and/or fax. I agree to receive marketing, advertising and promotional information from NUS at my telephone number provided above via voice call / phone call. Continue Copyright National University of Singapore. All Rights Reserved. Company Registration Number: E Terms of Use ( Privacy ( n-discrimination (