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<strong>Application</strong> <strong>for</strong> <strong>the</strong> <strong>admission</strong> <strong>of</strong> <strong>Category</strong> E applicants to undergraduate courses in Academic Year 2012-<br />

2013<br />

Please check your application be<strong>for</strong>e submission. The Office <strong>of</strong> Admissions cannot be held responsible <strong>for</strong> <strong>the</strong> accuracy <strong>of</strong> your application.<br />

As you are on a secure site, and <strong>for</strong> security reasons, please note that you are only given 30 minutes to complete <strong>the</strong> application <strong>for</strong>m. You will be logged out if you take<br />

more than <strong>the</strong> allocated time.<br />

If you would like to provide details in <strong>the</strong> "Exceptional talents and achievements" section, you are strongly encouraged to pre-type your text using a text editor and <strong>the</strong>n<br />

copy it over to <strong>the</strong> allocated box in <strong>the</strong> <strong>for</strong>m.<br />

The application <strong>for</strong>m consists <strong>of</strong> <strong>the</strong> following sections. Please complete all sections.<br />

1. Personal Particulars 8. Disabilities and Special Needs<br />

2. Contact In<strong>for</strong>mation 9. Next-<strong>of</strong>-Kin In<strong>for</strong>mation<br />

3.. Academic Qualifications 10. Personal Identification Number<br />

4. University/Tertiary Education 11. <strong>Application</strong> Fee<br />

5. Exceptional talents and achievements 12. Financial Aid<br />

6.. Choice <strong>of</strong> Courses 13. O<strong>the</strong>r In<strong>for</strong>mation<br />

7. Employment History 14. Declaration<br />

Fields that are marked with * are mandatory.<br />

1. Personal Particulars Back to Top Next Section<br />

Full Name *<br />

Given Name *<br />

Family Name *<br />

Date <strong>of</strong> Birth *<br />

Gender *<br />

Citizenship *<br />

(full name as printed on your NRIC/passport/Birth Certificate)<br />

(e.g. KOK LENG)<br />

Note: Click here here <strong>for</strong> guide on how to key in Given Name<br />

(E.g. TAN)<br />

Note: Click here here <strong>for</strong> guide on how to key in Family Name<br />

/ / (dd / mm / yyyy eg. 08 / 02 / 1989)<br />

Singapore Permanent Resident Yes No (Please do not select ‘Yes’ if you are a Singapore Citizen.)<br />

NRIC number/FIN<br />

S<br />

Passport Number<br />

Marital Status*<br />

Race / Ethnic Group*<br />

Religion*<br />

(To be filled in by non-Singapore Citizen.<br />

If you are a Malaysian, please enter your 12-digit Malaysian I/C number)<br />

(e.g. TAN KOK LENG)<br />

2. Contact In<strong>for</strong>mation Back to Top Next Section<br />

Postal Address *<br />

SAMPLE<br />

Block/HouseNo.<br />

Street Name/Building Name<br />

State/City<br />

(e.g. APT BLK 42)<br />

Unit<br />

No.<br />

(You do not need to fill in "Singapore" here if you are providing<br />

a Singapore address)<br />

Country *<br />

Postal Code<br />

Email *<br />

Alternate Email<br />

<strong>Home</strong><br />

Telephone*<br />

Handphone / Pager<br />

Country Area Number<br />

Country Area Number<br />

(Please ensure your email address will be in-use <strong>for</strong> at least<br />

ano<strong>the</strong>r 12 months)<br />

(Pls do not fill in country & area codes <strong>for</strong> Singapore number; <strong>for</strong> <strong>the</strong> 'number'<br />

field, please do not put hyphen or leave space in-between numbers, An eg.<br />

Contact number should be keyed in as 12345678)<br />

(Pls do not fill in country & area codes <strong>for</strong> Singapore number; <strong>for</strong> <strong>the</strong> 'number'<br />

field, please do not put hyphen or leave space in-between numbers, An eg.<br />

Contact number should be keyed in as 12345678)


3. Academic Qualifications Back to Top Next Section<br />

Secondary Education<br />

Name <strong>of</strong> Secondary School City/Country From To<br />

Examination<br />

Year<br />

Taken<br />

Subjects<br />

Marks / Grade<br />

Obtained<br />

Maximum Marks / Grade<br />

Possible<br />

English<br />

Additional Ma<strong>the</strong>matics<br />

Physics<br />

The above in<strong>for</strong>mation is required to ascertain that you satisfy specific course pre-requisities. You may not have <strong>of</strong>fered<br />

some <strong>of</strong> <strong>the</strong>se subjects <strong>the</strong>re<strong>for</strong>e in<strong>for</strong>mation is not compulsory. Please leave <strong>the</strong> space blank if you have not taken <strong>the</strong><br />

above subjects.<br />

High School Education*<br />

Name <strong>of</strong> High School Enter Name <strong>of</strong> High School if not found in list City/Country From To<br />

Examination<br />

Type <strong>of</strong> results submitted<br />

Actual<br />

Year<br />

Taken<br />

Please ensure that <strong>the</strong> in<strong>for</strong>mation you enter is accurate as your <strong>admission</strong> outcome will be adversely<br />

affected by inaccurate in<strong>for</strong>mation.<br />

Examination Results<br />

Spore-Camb GCE 'A' level<br />

Subject Level Grade<br />

SAMPLE<br />

Additional In<strong>for</strong>mation<br />

Please provide, if available<br />

IELTS<br />

Date Taken<br />

Marks / Grade Obtained<br />

TOEFL<br />

EL1119<br />

Paper Computer Internet<br />

MUET<br />

Reasoning Test (SAT I)


Critical Reading / Verbal<br />

Math<br />

Writing<br />

Subject Test (SAT II)<br />

Subject<br />

ACT Composite Score<br />

Advanced Placement (AP)<br />

Subject<br />

Students who are <strong>of</strong>fering <strong>the</strong> Indian Standard 12 qualification may fill in <strong>the</strong>ir IIT/AIEEE (if applicable) below:<br />

AIEEE Rank<br />

IIT Rank<br />

Reason <strong>for</strong> transfer (please limit to 1500 characters)<br />

State Rank<br />

Country Rank<br />

State Rank<br />

Country Rank<br />

SAMPLE<br />

Please provide your reason(s) <strong>for</strong> seeking a transfer which would assist <strong>the</strong> University to assess your application. You may leave this<br />

blank if you are a high school student not having enrolled into an university.<br />

1500<br />

chars remaining<br />

4. University/Tertiary Education Back to Top Next Section<br />

Are you a current / <strong>for</strong>mer (regardless <strong>of</strong> whe<strong>the</strong>r you have or have not graduated) student <strong>of</strong> <strong>the</strong> National University<br />

<strong>of</strong> Singapore (<strong>NUS</strong>), Nanyang Technological University (NTU), Singapore Management University (SMU) and/or any<br />

o<strong>the</strong>r tertiary institutions (except polytechnics in Singapore)?<br />

(Please click here <strong>for</strong> more in<strong>for</strong>mation)<br />

Yes<br />

No<br />

Are you a current / <strong>for</strong>mer student <strong>of</strong> any o<strong>the</strong>r university or tertiary institutions?<br />

Yes<br />

No<br />

If you have chosen YES to <strong>the</strong> above question, please provide your academic results as follows<br />

University<br />

Course


Year Subject Marks / Grade Obtained Maximum Marks /<br />

Grade Possible<br />

GPA<br />

5. Exceptional talents and achievements Back to Top Next Section<br />

Some vacancies will be set aside <strong>for</strong> <strong>admission</strong> to <strong>NUS</strong> under <strong>the</strong> Discretionary Admissions Scheme.<br />

This section is an opportunity <strong>for</strong> you to list <strong>the</strong> activities that you have been involved in besides your academic work. If you choose not to fill in this<br />

section, you will not be considered under <strong>the</strong> Discretionary Admissions Scheme.<br />

A list <strong>of</strong> activities that we may take into consideration is provided below. Please provide relevant details. You should submit relevant records to support<br />

<strong>the</strong> in<strong>for</strong>mation you have provided. If you wish to include particulars <strong>of</strong> referees, you should seek <strong>the</strong>ir consent be<strong>for</strong>e listing <strong>the</strong>m. Please also in<strong>for</strong>m<br />

<strong>the</strong>m that <strong>the</strong> University might contact <strong>the</strong>m <strong>for</strong> clarification.<br />

You should indicate your achievements in <strong>the</strong> International Science Olympiads competitions under 'Activity 1'. You should leave it blank if you have not<br />

participated in any <strong>of</strong> <strong>the</strong> indicated Olympiads.<br />

You may wish to provide o<strong>the</strong>r relevant details under 'Activity 2 and 3'. You may also wish to elaborate on your involvement and achievements in <strong>the</strong>se<br />

activities in an essay in this section. You must submit relevant records/supporting documents <strong>for</strong> <strong>the</strong> in<strong>for</strong>mation provided.<br />

Activity 1*<br />

Level <strong>of</strong> achievement<br />

Name <strong>of</strong> activity/ organisation/employer*<br />

Level<br />

Position Held<br />

From*<br />

To*<br />

Name <strong>of</strong> contact person (if available)<br />

Position <strong>of</strong> contact person<br />

Telephone number<br />

Fax number<br />

SAMPLE<br />

You may wish to provide o<strong>the</strong>r relevant details under 'Activity 2 and 3'. You may also wish to elaborate on your involvement and achievements in <strong>the</strong>se<br />

activities in an essay in this section. You must submit <strong>the</strong> relevant records/supporting documents <strong>for</strong> <strong>the</strong> in<strong>for</strong>mation you provided.<br />

Activity 2*<br />

Level <strong>of</strong> achievement<br />

Name <strong>of</strong> activity/ organisation/employer*<br />

Level<br />

Not Applicable


Position Held<br />

From*<br />

To*<br />

Name <strong>of</strong> contact person (if available)<br />

Position <strong>of</strong> contact person<br />

Telephone number<br />

Fax number<br />

Activity 3*<br />

Level <strong>of</strong> achievement<br />

Name <strong>of</strong> activity/ organisation/employer*<br />

Level<br />

Not Applicable<br />

Essay<br />

Position Held<br />

From*<br />

To*<br />

Name <strong>of</strong> contact person (if available)<br />

Position <strong>of</strong> contact person<br />

Telephone number<br />

Fax number<br />

This section is an opportunity <strong>for</strong> you to elaborate on <strong>the</strong> in<strong>for</strong>mation you have provided earlier. You may discuss a special talent, a personal experience or<br />

an activity that you have been involved in that is relevant to <strong>the</strong> course you are applying <strong>for</strong> <strong>admission</strong>.<br />

As your essay is limited to only 2000 characters, do present your ideas in a focused and thoughtful manner.<br />

2000<br />

chars remaining<br />

6. Choice <strong>of</strong> Courses Back to Top Next Section<br />

There will be TWO parts in this section: (a) and (b).<br />

In (a), please tell us your choice <strong>of</strong> Single Degree courses in order <strong>of</strong> your preference. You must complete (a) be<strong>for</strong>e you<br />

proceed to (b) to indicate your interest in <strong>the</strong> Double/Concurrent Degree programmes.<br />

You need to complete (b) only if you are interested in <strong>the</strong> double/concurrent degree programmes.<br />

a) Single Degree Courses<br />

State your choice <strong>of</strong> course in order <strong>of</strong> preference. We will consider your choice in <strong>the</strong> order that you have indicated. For example,<br />

if you do not qualify <strong>for</strong> your first choice, we will consider you <strong>for</strong> your second choice and so <strong>for</strong>th, at no disadvantage. You may<br />

choose fewer than 8 choices but do not repeat <strong>the</strong> choices. For <strong>the</strong> latest update on courses, please refer to<br />

http://www.nus.edu.sg/oam/course.<br />

1st Choice*<br />

2nd Choice<br />

3rd Choice<br />

4th Choice<br />

ARCHITECTURE<br />

ARCHITECTURE<br />

ARCHITECTURE<br />

ARCHITECTURE<br />

SAMPLE<br />

5th Choice<br />

6th Choice<br />

7th Choice<br />

8th Choice<br />

ARCHITECTURE<br />

ARCHITECTURE<br />

ARCHITECTURE<br />

ARCHITECTURE<br />

Note: For each choice, <strong>the</strong>re is a Drop-Down-Menu comprising all single-degree courses which <strong>NUS</strong> <strong>of</strong>fers<br />

<strong>Application</strong> <strong>for</strong> <strong>the</strong> Music course should be filed separately. Please refer to <strong>the</strong> Yong Siew Toh Conservatory <strong>of</strong> Music (<strong>NUS</strong>)<br />

website at http://music.nus.edu.sg<br />

Students reading common Engineering will be streamed at <strong>the</strong> end <strong>of</strong> Year 1 to Bioengineering, Chemical Engineering, Civil<br />

Engineering, Computer Engineering, Electrical Engineering, Environmental Engineering, Industrial & Systems Engineering,<br />

Mechanical Engineering or Materials Science & Engineering<br />

Students must indicate Dentistry as <strong>the</strong>ir first or second choice if <strong>the</strong>y wish to be considered <strong>for</strong> <strong>admission</strong> to this course.<br />

Students must indicate Medicine as <strong>the</strong>ir first or second choice if <strong>the</strong>y wish to be considered <strong>for</strong> <strong>admission</strong> to this course.<br />

b) Double/Concurrent Degree Programmes<br />

Please fill in this section if you are interested in a double/concurrent degree programme.<br />

Note that:<br />

1. If you wish to apply <strong>for</strong> a double/concurrent degree programmes, you must include at least one <strong>of</strong> <strong>the</strong> faculties/schools <strong>of</strong>fering<br />

<strong>the</strong> double/concurrent degree programme as one <strong>of</strong> your choices in (a).<br />

2. The faculties / schools <strong>of</strong>fering direct <strong>admission</strong> to double / concurrent degree programmes are Arts & Social Sciences (<strong>for</strong>


Economics and Communications & New Media), Business, Computing, Engineering (except Engineering Science course), Law<br />

and Science (<strong>for</strong> Ma<strong>the</strong>matics/Applied Ma<strong>the</strong>matics and Life Sciences).<br />

3. To be considered <strong>for</strong> <strong>the</strong> Business Administration & Law, Business Administration(Accountancy) & Law, Economics & Law, Law<br />

& Life Sciences, and/or Law & Master in Public Policy double/concurrent degree programmes, you must have listed Law as your<br />

first or second choice in <strong>the</strong> selection <strong>of</strong> a single degree course in (a). For more in<strong>for</strong>mation, please click here.<br />

4. To be considered <strong>for</strong> <strong>the</strong> Ma<strong>the</strong>matics/Applied Ma<strong>the</strong>matics & Computing (Computer Science) double degree programme, you<br />

must have listed Science and/or Computing (Computer Science) as one <strong>of</strong> your choices in (a).<br />

5. To be considered <strong>for</strong> <strong>the</strong> Computing (Computer Science with Specialisation in Communications & Media) & Master <strong>of</strong><br />

Entertainment Technology (Carnegie Mellon University) double degree programme, you must have listed Computing (Computer<br />

Science) as one <strong>of</strong> your choices in (a).<br />

6. To be considered <strong>for</strong> <strong>the</strong> Computing (Computer Science with Specialisation in Computational Biology) & Scientiae Magister in<br />

Computer Science-Computational Biology track (Brown University) concurrent degree programme, you must have listed<br />

Computing (Computer Science) as one <strong>of</strong> your choices in (a).<br />

7. To be considered <strong>for</strong> <strong>the</strong> Computing (Computer Science) & Grad Scientiae Magistri (Scientia Computatoria) (Brown University)<br />

concurrent degree programme, you must have listed Computing (Computer Science) as one <strong>of</strong> your choices in (a).<br />

8. To be considered <strong>for</strong> <strong>the</strong> Computing (In<strong>for</strong>mation Systems) and Master <strong>of</strong> Philosophy in Management (Cambridge University)<br />

concurrent degree programme, you must have listed Computing (In<strong>for</strong>mation Systems) as one <strong>of</strong> your choices in (a).<br />

9. To be considered <strong>for</strong> <strong>the</strong> Computing (In<strong>for</strong>mation Systems) and Master <strong>of</strong> Science (Management) (<strong>NUS</strong>) concurrent degree<br />

programme, you must have listed Computing (In<strong>for</strong>mation Systems) as one <strong>of</strong> your choices in (a).<br />

You will be evaluated <strong>for</strong> <strong>admission</strong> to a double/concurrent degree programme if you are successful in gaining <strong>admission</strong> into a faculty<br />

/school that <strong>of</strong>fers one <strong>of</strong> <strong>the</strong> double/concurrent degree programmes.<br />

Some double/concurrent degree programmes require a selection interview. Only shortlisted candidates will be in<strong>for</strong>med to attend <strong>the</strong><br />

interview(s) <strong>for</strong> <strong>the</strong> double/concurrent degree programmes. You may be shortlisted <strong>for</strong> one or more interviews if you indicate more<br />

than one choice <strong>for</strong> your Double/Concurrent Degree Programme options. Please note that Double/Concurrent Degree Programmes are<br />

highly competitive.<br />

If you are interested in more than one double/concurrent degree programme, please select <strong>the</strong> programmes in order <strong>of</strong> preference.<br />

1st<br />

Choice<br />

2nd<br />

Choice<br />

3rd<br />

Choice<br />

4th<br />

Choice<br />

BUSINESS ADMINISTRATION & COMMUNICATIONS AND NEW MEDIA<br />

BUSINESS ADMINISTRATION & COMMUNICATIONS AND NEW MEDIA<br />

BUSINESS ADMINISTRATION & COMMUNICATIONS AND NEW MEDIA<br />

BUSINESS ADMINISTRATION & COMMUNICATIONS AND NEW MEDIA<br />

Note: For each choice, <strong>the</strong>re is a Drop-Down-Menu comprising:<br />

Business Administration & Communications and New Media<br />

Business Administration (Accountancy) & Communications and New Media<br />

Business Administration & Computing (Computer Science)<br />

Business Administration & Computing (In<strong>for</strong>mation Systems)<br />

Business Administration (Accountancy) & Computing (Computer Science)<br />

Business Administration (Accountancy) & Computing (In<strong>for</strong>mation Systems)<br />

Business Administration & Law<br />

Business Administration (Accountancy) & Law<br />

Business Administration & Master <strong>of</strong> Science (Management)<br />

Business Administration (Accountancy) & Master <strong>of</strong> Science (Management)<br />

Business Administration & Master in Public Policy<br />

Business Administration (Accountancy) & Master in Public Policy<br />

Engineering (Except Engineering Science) & Business Administration<br />

Engineering (Except Engineering Science) & Business Administration (Accountancy)<br />

Engineering (except Engineering Science) and Economics<br />

Economics and Business Administration<br />

Economics and Business Administration (Accountancy)<br />

Economics and Law<br />

Law and Master in Public Policy<br />

Law and Life Sciences<br />

Ma<strong>the</strong>matics/Applied Ma<strong>the</strong>matics & Computer Science<br />

Computing (Computational Biology) & Scientiae Magister in Computer Science-Computational Biology track (Brown University)<br />

Computing (Computer Science) & Grad Scientiae Magistri (Scientia Computatoria) (Brown University)<br />

Computing (Communications & Media) and Master <strong>of</strong> Entertainment Technology (Carnegie Mellon University)<br />

Computing (In<strong>for</strong>mation Systems) and Master <strong>of</strong> Philosophy in Management (Cambridge University)<br />

Computing (In<strong>for</strong>mation Systems) and Master <strong>of</strong> Science (Management) (<strong>NUS</strong>)<br />

7. National Service and Employment History Back to Top Next Section<br />

Please click here <strong>for</strong> more in<strong>for</strong>mation on NS Status be<strong>for</strong>e completing this section.<br />

SAMPLE<br />

If you are waiting to be enlisted <strong>for</strong> NS, please select "Registered/Waiting to be enlisted" <strong>for</strong> your "NS Status." Unless<br />

you have indicated your NS status as "Not Applicable", "Registered" or "Exempted", you are required to indicate your<br />

NS date.<br />

National Service<br />

Status *<br />

Enlistment Date<br />

ORD/Disruption Date<br />

NOT APPLICABLE<br />

01 JAN 2012<br />

01 JAN 2023<br />

(Not applicable if your NS status is "NA" or "EXEMPTED.")<br />

If you are exempted from National Service, you are required to submit <strong>the</strong> necessary documents (endorsed by MINDEF) to Office <strong>of</strong> Admissions. Please click here <strong>for</strong> more<br />

in<strong>for</strong>mation on submission <strong>of</strong> supporting documents.<br />

Employment History<br />

If you are at least 25 years old as <strong>of</strong> 1 July 2011 with at least 4 full years <strong>of</strong> relevant full-time working experience, would you<br />

like to be considered as a Mature Candidate?


Yes<br />

No<br />

If you have answered "Yes", please complete both Parts (a) and (b) in this section.<br />

(a) Particulars <strong>of</strong> Referrals<br />

Please provide 2 referrals (compulsory) from at least one employer. Referrals must be at supervisory level and above.<br />

Referee 1<br />

Name <strong>of</strong> Company<br />

Name <strong>of</strong> Referee<br />

Telephone number<br />

Referee 2<br />

Name <strong>of</strong> Company<br />

Name <strong>of</strong> Referee<br />

Country Area Number<br />

(Country & area codes are required only <strong>for</strong> non-Singapore number)<br />

Telephone number<br />

Country Area Number<br />

(Country & area codes are required only <strong>for</strong> non-Singapore number)<br />

(b) Employment History<br />

Please indicate <strong>the</strong> name <strong>of</strong> <strong>the</strong> company and length <strong>of</strong> service with each employer which makes up <strong>the</strong> 4 full years <strong>of</strong> relevant<br />

working experience, starting from <strong>the</strong> most current employer.<br />

Name <strong>of</strong> Company Position From To<br />

(c) SAT Reasoning Test (SAT I) Scores<br />

Please provide your SAT Reasoning Test (SAT I) scores in Section 6 <strong>of</strong> this Form if you have indicated that you wish to be<br />

considered as a Mature Candidate.<br />

8. Disabilities and Special Needs Back to Top Next Section<br />

Have you had or do you have any communicable diseases, mental illness, colour blindness, and/or disabilities<br />

(including but not limited to chronic illnesses, visual or o<strong>the</strong>r physical constraints or limitations) which may or may<br />

not cause you to require special assistance or facilities while studying at <strong>the</strong> University?<br />

Yes No<br />

If yes, please provide all relevant in<strong>for</strong>mation on a separate sheet <strong>of</strong> paper (and attach <strong>the</strong> relevant medical<br />

documents).<br />

Note: This in<strong>for</strong>mation will enable <strong>the</strong> University to develop a complete pr<strong>of</strong>ile <strong>of</strong> an applicant and to determine<br />

whe<strong>the</strong>r he/she might need additional resources in his/her studies. The University does not, however, guarantee<br />

<strong>the</strong> provision <strong>of</strong> special aid (financial or o<strong>the</strong>rwise) to any student.<br />

remaining<br />

JAN 2012 JAN 2012<br />

JAN 2012 JAN 2012<br />

JAN 2012 JAN 2012<br />

JAN 2012 JAN 2012<br />

SAMPLE<br />

9. Next-<strong>of</strong>-Kin In<strong>for</strong>mation Back to Top Next Section<br />

1000<br />

chars<br />

Please provide a contact person in case <strong>of</strong> an emergency.<br />

Name <strong>of</strong> Next-<strong>of</strong>-Kin /<br />

Guardian *<br />

Relationship with Applicant*<br />

Occupation *<br />

Telephone *<br />

(country & area codes are required only <strong>for</strong> non-Singapore number)<br />

Handphone / Pager<br />

Country Area Number<br />

(country & area codes are required only <strong>for</strong> non-Singapore number)<br />

Country Area Number<br />

10.Personal Identification Number Back to Top Next Section<br />

Enter an Admission PIN (8 alpha-numeric characters)<br />

(case sensitive)*


Re-enter your Admission PIN (8 alpha-numeric characters)<br />

(case sensitive)*<br />

Please keep your PIN confidential. Your PIN is important and you will need it to access <strong>the</strong> following online facilities<br />

related to this application.<br />

Online status enquiry<br />

Online reply to <strong>NUS</strong>' <strong>of</strong>fer <strong>of</strong> <strong>admission</strong><br />

Online appeal<br />

E-Payment via Credit Card<br />

11.<strong>Application</strong> Fee Back to Top Next Section<br />

A non-refundable application fee <strong>of</strong> SGD20 is payable. Please select one <strong>of</strong> <strong>the</strong> following modes <strong>of</strong> payment<br />

Credit card (Visa and MasterCard only. Payment can be made immediately via <strong>the</strong> web link located at <strong>the</strong><br />

acknowledgement page after submitting your application.)<br />

Bank draft/cheque made payable to 'National University <strong>of</strong> Singapore'<br />

NETS at <strong>the</strong> Office <strong>of</strong> Admissions, <strong>NUS</strong><br />

* Payment must be made by <strong>the</strong> application closing date. <strong>Application</strong>s without full payment will not be<br />

processed.<br />

12.Financial Aid Back to Top Next Section<br />

<strong>NUS</strong> <strong>of</strong>fers Financial Aid schemes such as loans, bursaries and work-study opportunities in order to help financially<br />

needy students meet <strong>the</strong>ir study expenses in <strong>NUS</strong>.<br />

Do you intend to apply <strong>for</strong> Financial Aid <strong>of</strong>fered by <strong>NUS</strong> to support your studies in <strong>NUS</strong>?<br />

Yes<br />

No<br />

13.O<strong>the</strong>r In<strong>for</strong>mation Back to Top Next Section<br />

Have you ever been convicted <strong>of</strong> an <strong>of</strong>fence by a court <strong>of</strong> law or a military court (court martial) in any country or<br />

are <strong>the</strong>re any court proceedings pending against you anywhere in respect <strong>of</strong> any <strong>of</strong>fence?<br />

Are you currently, or have you ever been, charged with or subject to disciplinary action <strong>for</strong> any type <strong>of</strong><br />

misconduct, scholastic or o<strong>the</strong>rwise, at any educational institution?<br />

Are you currently, or have you ever been, under investigation or subject to enquiry in respect <strong>of</strong> any<br />

misconduct, scholastic or o<strong>the</strong>rwise, at any educational institution?<br />

If your answer to any or all <strong>of</strong> <strong>the</strong> above questions is ‘No’, please click ‘No’ below.<br />

No<br />

Or<br />

If your answer to any or all <strong>of</strong> <strong>the</strong> above questions is ‘Yes’, please click ‘Yes’ below and also provide a full<br />

statement <strong>of</strong> <strong>the</strong> relevant in<strong>for</strong>mation in <strong>the</strong> box below and/or on a separate sheet <strong>of</strong> paper (and attach <strong>the</strong><br />

relevant documents).<br />

Yes<br />

remaining<br />

14.Declaration<br />

SAMPLE<br />

I hereby declare that all in<strong>for</strong>mation provided by me in connection with this application is true, accurate and<br />

complete. I understand that any inaccurate, incomplete or false in<strong>for</strong>mation given or any omission <strong>of</strong> in<strong>for</strong>mation<br />

required shall render this application invalid and <strong>NUS</strong> may at its discretion withdraw any <strong>of</strong>fer <strong>of</strong> acceptance<br />

made to me on <strong>the</strong> basis <strong>of</strong> such in<strong>for</strong>mation or, if already admitted, I may be liable to disciplinary action, which<br />

may result in my expulsion from <strong>NUS</strong>. And I hereby authorise <strong>NUS</strong> to obtain and verify any part <strong>of</strong> <strong>the</strong><br />

in<strong>for</strong>mation given by me from or with any source, as it deems appropriate.<br />

100<br />

chars<br />

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