Bachelor of Arts in Chinese Language and Literature

1.
Bachelor of Arts in Chinese Language and Literature
Application Form
2002 (January 2002 Intake)
Please read the instructions carefully as failure to comply with any of them would adversely affect your application.
2. �
Please complete the application form. Tick � boxes as appropriate.
3. S$36.05 3%
An application fee of S$36.05 (inclusive of 3% GST) is charged.
4. ( /
/
All applications (including Citizens and Permanent Residents of Singapore) must submit a copy of personal identification (eg Identity Card / Passport). Non-
Singapore Citizens must also submit a copy of valid work permit / employment pass / re-entry permit.
5.
Detailed result transcripts of academic qualifications must be attached.
6.
All applications with incomplete information and not accompanied by copies of supporting documents, photograph and application fee will not be considered.
7. CERTIFIED TRUE COPY
All supporting photocopied certificates, result transcripts and other documents must be stamped "Certified True Copy" and endorsed by the proper authority.
Certification may be made by your company with the name, NRIC no. and position of the person certifying the photocopies. Certification can also be made at
SIM with your original documents and photocopies presented for verification.
NRIC/Passport No:
*
Title* : Mr / Ms / Dr Chinese Name:
Full Name (as it appears in your NRIC/Passport): _______________________________________________________________
( / please underline surname)
Home Address: ____________________________________________________________________________________
_________________________________________________________________________ Singapore
Home Tel. No. : Pager No.:
Handphone: E-mail Address: _______________________________________
Marital Status: Single Married
Gender: Male Female Date of Birth:
( 1/1/2002 /Age (as at 1/1/2002):
SIM Clementi Centre, 535A Clementi Road
(Block 82 Ngee Ann Polytechnic) Singapore 599490
Tel: 1800-4688866 Fax: 4699312 (
Important Instructions
1. Personal Details
dd mm yy
( )
Nationality: Singaporean Malaysian Others (Please specify): __________________________
( ) / *
Employment Status : Permanent Resident Work Permit/Employment Pass
(for non-Singapore Citizen only) ( )
Others (please specify): _____________________________________________________
* Delete where not applicable
(Closing Date): 11/8/2001
Affix A Recent
Photo
(Please indicate your
name & NRIC No.
on the reverse of the
photo)

Race: Chinese Malay Indian Others (Please specify)________________________________
Preferred Mailing Address: Home Office
National Service Status: Regular/NSF* Completed Full-Time Exempted Not Applicable
Period : From /dd /mm /yy To /dd /mm /yy Total years served : yr mth
2. Present Employment Details
Company Code: (For Official Use Only)
Company Name:___________________________________ Department:________________
Company Address:_________________________________________________________________
___________________________________________________________ Singapore
Company Type:
Telephone No: Ext. Fax:
Industry Code: (refer to code table)
Government Ministry Private Public Listed
Statutory Board Professional Body
/Others (please specify)_________________________________________
Current Designation: ___________________________ No. of years/months at this position: yr mth
Current Designation Level: (refer to code table) From : mm yy
Gross Annual Salary : ___________________________
Job Description : ___________________________________________________________________________
_______________________________________________________________________________________________________
3. Past Employment Record
In chronological sequence, starting with your most recent past position:
Name of
Company
Designation
Gross
Annual
Income
( )
Fr (mth/yr)
Period
( )
To (mth/yr)
No. of
Years/Months
(
Job Description
Responsibilities &
Nature of work)

a) - 1/1/2002
Total number of years of working experience as at 1/1/2002 (inclusive of National Service) yr mth
b)
4. Summary of Working Experience
Total number of years of relevant working experience (in the chosen field of study) yr mth
5. Educational Qualification
Qualification
Level
Degree
___________
Qualification
Initials
Other
Qualification
Name of Qualification & Awarding
Institution
_________________________________
Qualification Title
_________________________________
Awarding Institute
_________________________________
Discipline/Specialization
_________________________________
Qualification Title
_________________________________
Awarding Institute
_________________________________
Discipline/Specialization
_________________________________
Qualification Title
_________________________________
Awarding Institute
_________________________________
Discipline/Specialization
_________________________________
Qualification Title
_________________________________
Awarding Institute
_________________________________
Discipline/Specialization
Country Period of
Study
________
Fr mm/yy
________
To mm/yy
________
Fr mm/yy
________
To mm/yy
________
Fr mm/yy
________
To mm/yy
________
Fr mm/yy
________
To mm/yy
/
Full Time/
Part Time
'A' ('A' Level Qualification)
GCE 'A' Level (Singapore-Cambridge)
No. of 'A' level passes _________ ____________ (year(s) awarded)
'AO' No. of 'AO' level passes ________ ________ (year(s) awarded)
Other GCE 'A' level equivalent (e.g. STPM, HSC)
____________________________________ _______________________________________________
(please specify qualification) (please specify country of qualification)
No. of passes_________ _____________ (year(s) awarded)
'O' ('O' Level Qualification)
GCE 'O' Level (Singapore-Cambridge)
No. of 'O' level passes _________ _____________ (year(s) awarded)
Other GCE 'O' level equivalent (e.g. SPM)
____________________________________ _______________________________________________
(please specify qualification) (please specify country of qualification)
No. of passes______ ______________ (year(s) awarded)
FT
FT
FT
FT
PT
PT
PT
PT
For Official
Use
Category
Category
Score

6. Past Enrolment as an OUDP Student
Please provide the following information if you have been enrolled as an OUDP student (the information is important to
ensure that pertinent data relating to your studies with the OUDP is updated):
________________ __________________ *
Year of enrolment__________ Year of completion/withdrawal*________________
Student Personal Identifier (PI) No. (if any) _____________________________
Courses completed (if any) _____________________________________________________
_______________________________________________________________________________________
Degree awarded (if any) ________________________________________________
_______________________________________________________________________________________
7.
Courses you are currently pursuing (including SIM Programmes)
courses
Course Institution Date of Final Examination
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
/ Please submit copies of all transcripts/result slips todate
8. Company Sponsorship
a) Company Sponsorship
Is the company sponsoring the applicant's course fee? Yes No
b) Company Certification
If yes, please get your company to complete this section
We certify that all statements made on this application are true and complete to the best of our knowledge. We agree that any
misrepresentation or omission is sufficient grounds for rejecting the application. We also authorise any investigation of the
above information for the purpose of verification.
_____________________________________ ___________________________
Name and Designation of Authorised Company Official Telephone No.
_____________________________________ ___________________________
Signature and Date Company Stamp

"Certified True Copy"
1 4
Please ensure that items 1 to 4 are stamped "Certified True Copy" either by your employer or SIM, and attached them to the
application form. Support documents that are not certified true copy will not be considered and will adversely affect your
application.
1. 'O'
1 copy of all educational qualifications attained (including 'O' level qualification)
2. 'O'
1 copy of all result transcripts (including 'O' level qualification)
3.
1 copy of personal identification document (eg. Identity Card, Passport)
4. Valid work permit / entry pass / re-entry permit for Non-Singapore Citizens
5.
9. Applicant's Checklist and Declaration
1 original recent NRIC-size photograph
6. S$36.05
Application fee of S$36.05 (non-refundable) made payable to: "Singapore Institute of Management"
I certify that all the information given by me in this application is true and correct and I understand that any misrepresentation or
omission is sufficient ground for rejecting my application.
I hereby agree to abide by all regulations and procedures laid down by the OUDP if I am successfully registered as its student.
I hereby declare my consent to have my particulars (eg. Company's name, designation, home and office addresses and telephone
numbers, etc) made available to my tutors and lecturers.
___________________________________________ _______________________________
Signature of Applicant Date
2001 6

CODE TABLE
(Designation Level)
Top Management 09-01 Junior Management 09-04
One who oversees the whole group of companies and One with at least one subordinate
his / her immediate line subordinates e.g. Chairman, accountable to him / her e.g. supervisors,
President, Executive Vice-President, Senior Vice- executives, senior and executive officers
President, Vice President, Executive Director, Deputy in government ministries and Statutory
Executive Director, Group General Manager, General Boards.
Manager, Chief Executive Officer (CEO).
Non-Managerial Professional / Technical 09-05
Executives
Senior Management 09-02 A professional whose work does not
One who heads a subsidiary company, division or generally require managerial / supervisory
department and his / her immediate line subordinates functions e.g. Lawyers, Accountants,
e.g. Branch Manager, Assistant General Manager, Auditors, Engineers, R&D Scientists,
Assistant Vice-President, Division Manager / Architects, Chemists, Doctors, etc.
Director (e.g. Training / Administrative
Director / Manager, Director / Manager of HRD etc), Non-Executive Staff 09-06
Senior Operations Manager, Chief Financial Officer. e.g. secretaries, clerks, etc.
Middle Management 09-03 Sole Proprietor 09-07
One who heads sections / departments within a large
division or department e.g. Section / Department Student 09-08
Heads, Accounts Managers, Assistant Director in Someone studying full-time and not
government ministries and Statutory Boards. gainfully employed
(Industry Code)
Agricultural, Forestry & Fishing Construction
Agriculture, Forestry Fishing 02-0101 Building Construction, Electrical Wiring &
Installation, Plumbing 02-0501
Mining & Quarrying
Stone Quarrying, Crude Petroleum, Natural Gas Commerce
Production, other mining 02-0201 Wholesale and Retail Trade (including Import
and Export) 02-0601
Manufacturing Restaurants and Hotels 02-0602
Food, Beverage, Tobacco 02-0301 Holding companies 02-0603
Textiles, Wearing Apparel 02-0302
Leather Products, Footwear 02-0303 Transport, Storage & Communications
Timber & other Wood Products, Furniture 02-0304 Land / Sea / Air Transport 02-0701
Paper & Paper Products 02-0305 Storage and Warehousing 02-0702
Printing & Publishing 02-0306 Tourist and Travel Agencies 02-0703
Industrial Chemicals, Gases 02-0307
Paints, Pharmaceuticals, Chemical Product 02-0308 Finance, Insurance, Real Estate and
Petroleum Refineries and Petroleum Products 02-0309 Business Services
Rubber and Plastic Products 02-0310 Finance Institutions 02-0801
Earthenware and Glass Products 02-0311 Insurance 02-0802
Structural Cement and Concrete Products 02-0312 Real Estate and Housing Development 02-0803
Iron and Steel, Tin Smelting 02-0313 Legal Services 02-0804
Fabricated Metal Products, Machinery 02-0314 Accounting, Auditing / Data Processing
Electrical and Electronic Products (including Services 02-0805
computers) 02-0315 Engineering, Architectural / Technical Services 02-0806
Transport Equipment (Shipbuilding / Repairing, Advertising Services / Employment Agencies 02-0807
Marine Engineering / Offshore Rigs, Motor Medical, Dental 02-0808
Vehicles, Motor Cycles, Bicycles & Aircrafts) 02-0316 Management Consultants 02-0809
Instrumentation Equipment, Photographic & Optical
Goods 02-0317 Public and Private Bodies
Other Manufacturing Industries 02-0399 Government Ministries 02-0901
Statutory Boards 02-0902
Electricity, Gas & Water Associations 02-0903
Gas Manufacture and Distribution 02-0401 Professional Bodies 02-0904
Educational Bodies 02-0905
Armed Forces 02-0906