Acceptance Form

For Non-Graduating Students

(For Academic Year 2010/2011, Semester 2)

PARTICULARS
Full Name (as in Passport)

: _______________________________________________

Identity Card/Passport Number

: _______________________________________________

Home University

: _______________________________________________

Mailing Address

: _______________________________________________
_______________________________________________
_______________________________________________

Note: Please ensure that the mailing address provided above is complete and accurate. You
may make the amendments (if any) on the form. Please refrain from providing a P.O. Box
address as we will not be able to send express mail, if necessary.

ACCEPTANCE
I *
accept/
do not accept this Offer of Admission to NUS Non-Graduating Programme.
* Please tick in the relevant box
or delete as appropriate.

Date: _______________

Signature: _____________________