Document 6566481

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Application for the admission of International Baccalaureate Diploma holders to undergraduate courses in
Academic Year 2015-2016
Please check your application before submission. The Office of Admissions cannot be held responsible for the accuracy
of your application.
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 be logged out if you take
more than the allocated time.
If you would like to provide details in the "Outstanding Achievements" section, you are strongly encouraged to pre-type your text using a text editor and then copy it over to
the allocated box in the form.
The application form consists of the following sections. Please complete all sections.
1. Personal Particulars
8.
Disabilities and Special Needs
2. Contact Information
9.
Next-of-Kin Information
3.. Academic Qualifications
10.
Personal Identification Number (PIN)
4. University/Tertiary Education
11.
Application Fee
5. Outstanding Achievements
12.
Financial Aid
6.. Choice of Courses
13.
Other Information
7. National Service(NS)
14.
Declaration
1. Personal
Particulars
Full Name *
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Fields that are marked with * are mandatory.
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(e.g. TAN KOK LENG)
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(full name as printed on your NRIC/passport/Birth Certificate)
Given Name *
(e.g. KOK LENG)
Note: Click here for guide on how to key in Given Name
Family Name *
(E.g. TAN)
Note: Click here for guide on how to key in Family Name
Date of Birth *
Citizenship *
/
Singapore Permanent Resident
NRIC number/FIN
Passport Number
Marital Status*
Race / Ethnic Group*
Religion*
2. Contact
Information
Postal Address *
/
(dd / mm / yyyy
eg. 08 / 02 / 1989)
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Gender *
Yes
No (Please do not select ‘Yes’ if you are a Singapore Citizen.)
S
(To be filled in by non-Singapore Citizen. If you are a Malaysian, please enter your 12-digit Malaysian I/C
number)
Block/HouseNo. *
(e.g. APT BLK 42)
Street Name/Building Name *
Unit No.
State/City
(You do not need to fill in "Singapore" here if you are providing a
Singapore address)
(e.g. #12-34)
Country *
Postal Code
(Please ensure your email address will be in-use for at least
another 12 months)
Email *
(Please ensure your alternate email is different from the above)
Alternate Email
Home
Telephone*
Country
Area
Number
(Please do not fill in country & area codes for Singapore number; for the
'number' field, please do not put hyphen or leave space in-between numbers,
eg. Contact number should be keyed in as 12345678)
Country
Area
Number
(Please do not fill in country & area codes for Singapore number; for the
'number' field, please do not put hyphen or leave space in-between numbers,
eg. Contact number should be keyed in as 12345678)
Handphone
3. Academic Qualifications
Secondary Education / Integrated Programme (for Singapore Schools)
Name of Secondary School
Country
From
To
Examination
Year
Taken
Subjects (taken at Year 10 / Integrated Programme Year 4 / GCE Marks / Grade
'O' Level)
Obtained
Maximum Marks /
Grade Possible
English
Additional Mathematics
Physics
Higher Mother Tongue
The above information is required to ascertain that you satisfy specific course pre-requisites. You may not have offered
some of these subjects therefore information is not compulsory. Please leave the space blank if you have not taken the
above subjects.
High School Education*
Name of High School
Country
From
To
Please select one of the following:
IB World School located in Singapore
IB World School located outside Singapore
International Baccalaureate Diploma
Year Taken
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Examination
E
If you had taken IB diploma programme examination in 2013 or earlier, please select the activities that you are currently/have been engaged
in. (Applicable only to those who have graduated)
Please ensure that the information you enter is accurate as your admission outcome will be adversely
affected by inaccurate information.
Please indicate type of results submitted
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My IBDP examination session is taken in
Actual
Predicted / Forecast *
*Note that an outcome will be known only after we receive your actual IB Diploma results.
If you are applying with forecast results, please choose N grade for TOK and EE.
Examination Results
Level
Subject
Grade
EE/TOK points
Extended Essay
Theory of Knowledge
Additional Information
Please provide, if available
Date Taken
IELTS (Please input the
score for Academic
testing only)
Marks / Grade Obtained
(Please enter
Overall band
component score only)
(Please enter
Writing component
score only)
(Please enter
Reading component
score only)
TOEFL
Paper
Internet
EL1119
MUET
SAT
Critical Reading
Math
Writing
SAT Subject Tests
Subject
ACT Composite Score
Advanced Placement
(AP)
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Subject
4. University/Tertiary Education
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Are you a current / former (regardless of whether you have or have not graduated) student of the National University
of Singapore (NUS), Nanyang Technological University (NTU), Singapore Management University (SMU), Singapore
University of Technology & Design (SUTD), Singapore Institute of Technology (SIT), SIM University (UNISIM) and/or
any other tertiary institutions (except polytechnics in Singapore)?
(Please click here for more information)
Yes
No
Note:
1. If your answer to the above question is 'Yes', please DO NOT use this form. Instead, you would belong to the
category of "Transfer Applicants", and you would have to apply under this category of application. More details can
be found at: http://www.nus.edu.sg/oam/apply/transfer/admissionreq/BYA-admission.html.
2. You may like to note that any false declaration to this section may render this application invalid and NUS may at
its discretion withdraw any offer of admission made to you on the basis of false declaration.
5. Outstanding Achievements
This section is an opportunity for you to list the activities that you have been involved in besides your academic work.
A list of activities that we may take into consideration is provided below. Please provide relevant details. If you wish to include particulars of referees, you should
seek their consent before listing them. Please also inform them that the University might contact them for clarification.
You should indicate your achievements in the International Olympiad (Biology, Chemistry, Mathematics, Physics and Informatics) competitions under 'Activity 1'.
You should leave it blank if you have not participated in any of the indicated Olympiads.
You may wish to provide other relevant details under 'Activity 2 and 3'.
You should also include a personal statement in the space provided in this section. The statement could elaborate on the achievements in the activities you had
participated and how they relate to your interest in for the course of study you have chosen.
Do note that information declared in this section may be used in the selection of freshmen awards and scholarships and for admission to NUS under the
Discretionary Admissions Scheme.
It is therefore important that you complete this section carefully.
Activity 1*
Level of achievement
Name of activity/ organisation/employer*
Level
Position Held
From*
To*
Name of contact person (if available)
Position of contact person
Telephone number
Fax number
You may wish to provide other relevant details under 'Activity 2 and 3'. You may also wish to elaborate on your involvement and achievements in these activities
in an essay in this section. You must submit the relevant records/supporting documents for the information you provided.
Activity 2*
Level of achievement
Name of activity/ organisation/employer*
Level of activity
Not Applicable
School level of activity
Not Applicable
Position Held
From*
To*
Name of contact person (if available)
Position of contact person
Telephone number
Fax number
Activity 3*
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Level of achievement
Level of acitivity
Not Applicable
School level of activity
Not Applicable
Position Held
From*
To*
Name of contact person (if available)
Telephone number
Fax number
Essay
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Position of contact person
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Name of activity/ organisation/employer*
This section is an opportunity for you to elaborate on the information you have provided earlier. You may discuss a special talent, a personal experience or an
activity that you have been involved in that is relevant to the course you are applying for admission.
As your essay is limited to only 2000 characters, do present your ideas in a focused and thoughtful manner.
2000
chars remaining
6. Choice of Courses
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There will be TWO parts in this section: (a) and (b).
In (a), please tell us your choice of Single Degree courses in order of your preference. You must complete (a) before you proceed to (b) to indicate your interest
in the Double/Concurrent Degree programmes/Specialisation.
You need to complete (b) only if you are interested in the double/concurrent degree programmes.
a) Single Degree Courses
State your choice of course in order of preference. We will consider your choice in the order that you have indicated. For example, if you do not qualify for your first
choice, we will consider you for your second choice and so forth, at no disadvantage. You may choose fewer than 8 choices but do not repeat the choices. For the latest
update on courses, please refer to http://www.nus.edu.sg/oam/courses/course.html.
1st
Choice
5th
Choice
*
2nd
Choice
3rd
Choice
4th
Choice
z
z
z
6th
Choice
7th
Choice
8th
Choice
Note: For each choice, there is a Drop-Down-Menu comprising all single-degree courses which NUS offers
Application for the Music course should be filed separately. Please refer to the Yong Siew Toh Conservatory of Music (NUS) website at http://music.nus.edu.sg
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
z
z
z
z
z
z
Students must indicate Dentistry as their first or second choice if they wish to be considered for admission to this course.
Students must indicate Medicine as their first or second choice if they wish to be considered for admission to this course.
Students must indicate Nursing as their first, second or third choice if they wish to be considered for admission to this course.
Students must indicate Architecture as their first, second or third choice if they wish to be considered for admission to this course.
Students must indicate Industrial Design as their first, second or third choice if they wish to be considered for admission to this course.
Students must indicate Law as their first or second choice if they wish to be considered for admission to this course. The only exception granted is where students
place Law as their third choice with Medicine and Dentistry as their first two choices.
b) Double/Concurrent Degree Programmes/Specialisation
Please fill in this section if you are interested in a double/concurrent degree programme.
Note that:
1. If you wish to apply for a double/concurrent degree programmes, you must include at least one of the faculties/schools offering the double/concurrent degree
programme as one of your choices in (a).
2. The faculties / schools offering direct admission to double / concurrent degree programmes are Arts & Social Sciences (for Economics and Communications & New
Media), Business, Computing, Engineering (except Engineering Science course), Law and Science (for Mathematics/Applied Mathematics and Life Sciences).
3. To be considered for the Business Administration & Law, Business Administration(Accountancy) & 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 click here.
4. To be considered for the Mathematics/Applied Mathematics & Computing (Computer Science) double degree programme, you must have listed Science and/or
Computing (Computer Science) as one of your choices in (a).
5. To be considered for the Computing (Computer Science) & Master of Entertainment Technology (Carnegie Mellon University) double degree programme, you must
have listed Computing (Computer Science) as one of your choices in (a).
6. To be considered for the Computing (Computer Science with Specialisation in Computational Biology) & Scientiae Magister in Computer Science-Computational Biology
track (Brown University) concurrent degree programme, you must have listed Computing (Computer Science) as one of your choices in (a).
7. To be considered for the Computing (Computer Science) & Grad Scientiae Magistri (Scientia Computatoria) (Brown University) concurrent degree programme, you
must have listed Computing (Computer Science) as one of your choices in (a).
8. To be considered for the Computing (Information Systems) and Master of Science (Management) (NUS) concurrent degree programme, you must have listed
Computing (Information Systems) as one of your choices in (a).
You will be evaluated for admission to a double/concurrent degree programme if you are successful in gaining admission into a faculty /school that offers one of the
double/concurrent degree programmes.
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Some double/concurrent degree programmes require a selection interview. Only shortlisted candidates will be informed to attend the interview(s) for the double/concurrent
degree programmes. You may be shortlisted for one or more interviews if you indicate more than one choice for your Double/Concurrent Degree Programme options. Please
note that Double/Concurrent Degree Programmes are highly competitive.
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If you are interested in more than one double/concurrent degree programme, please select the programmes in order of preference.
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1st
Choice
2nd
Choice
3rd
Choice
4th
Choice
7. National Service(NS) in Singapore [applicable to Singapore Citizens and Singapore
Permanent Residents only]
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Please click here for more information on NS Status before completing this section.
Please choose "Not 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 "Not Applicable", "Registered" or "Exempted", you are required to indicate your
NS date.
National Service
Status *
Enlistment Date
(Not applicable if your NS status is "NA" or "EXEMPTED" or "Registered".)
ORD/Disruption Date
If you are exempted from National Service, you are required to submit the necessary documents (endorsed by MINDEF) to Office of Admissions. Please click here
for more information on submission of supporting documents.
8. Disabilities and Special Needs
Have you had or do you have any communicable diseases, mental illness, colour blindness, and/or disabilities
(including but not limited to chronic illnesses, visual or other physical constraints or limitations) which may or may
not cause you to require special assistance or facilities while studying at the University? *
Yes
No
If yes, please provide details below and submit medical documents and/or other supporting documents.
Medical conditions
Please provide more details on your medical condition in the box
Medical condition 1:
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chars remaining
Medical condition 2:
Medical condition 3:
250
chars remaining
If you require any form of special assistance and/or facilities if admitted to the University, please provide details
below.
1000
chars remaining
Note: 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.
9. Next-of-Kin Information
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Please provide a contact person in case of an emergency.
Name of Next-of-Kin /
Guardian *
Relationship with Applicant*
Occupation *
Telephone *
(country & area codes are required only for non-Singapore number)
Country
Area
Number
Country
Area
E
(country & area codes are required only for non-Singapore number)
Handphone / Pager
Number
10.Personal Identification Number (PIN)
(eg ABCD1234)
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Create an Admission PIN (8 alpha-numeric characters)
(case sensitive)*
Re-enter your Admission PIN (8 alpha-numeric characters)
(case sensitive)*
Please keep your PIN confidential. Your PIN is important and you will need it to access the following online facilities
related to this application.
z
z
z
z
z
z
Uploading of supporting documents
Updating of choice of courses before 21 February 2015
Updating of contact information before 21 February 2015
Online status enquiry
Online reply to NUS' offer of admission
Online appeal
E-Payment via Credit Card
11.Application Fee
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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
* Payment must be made by 21 February 2015. Applications without full payment will not be processed.
12.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? *
Yes
No
13.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?
Are you currently, or have you ever been, charged with or subject to disciplinary action for any type of
misconduct, scholastic or otherwise, at any educational institution?
Are you currently, or have you ever been, under investigation or subject to enquiry in respect of any
misconduct, scholastic or otherwise, at any educational institution?
If your answer to all the above questions is ‘No’, please click ‘No’ below. *
No
Or
If your answer to any or all of the above questions is ‘Yes’, please click ‘Yes’ below and also 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).
Yes
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chars remaining
14.Declaration
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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 Notice & Consent.
I agree that all such information provided by me in connection with this application may be disclosed to authorised 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 Notice & 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 Notice & Consent.
I agree to receive marketing, advertising and promotional information from NUS via postal mail, electronic mail, SMS
or MMS and/or fax.
Yes
No
I agree to receive marketing, advertising and promotional information from NUS at my telephone number provided
above via voice call / phone call.
E
No
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