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ApplicationfortheadmissionofinternationalcandidatestoundergraduatecoursesinAcademicYear2016
2017

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Pleasecheckyourapplicationbeforesubmission.TheOfficeofAdmissionscannotbeheldresponsiblefortheaccuracyofyourapplication.

Asyouareonasecuresite,andforsecurityreasons,pleasenotethatyouareonlygiven30minutestocompletetheapplicationform.Youwillbeloggedoutifyoutakemore
thantheallocatedtime.

Ifyouwouldliketoprovidedetailsinthe"OutstandingAchievements"section,youarestronglyencouragedtopretypeyourtextusingatexteditorandthencopyitovertothe
allocatedboxintheform.

PersonalParticulars
ContactInformation
AcademicQualifications
University/TertiaryEducation
OutstandingAchievements
ChoiceofCourses
EmploymentHistory

8.
9.
10.
11.
12.
13.
14.

DisabilitiesandSpecialNeeds
NextofKinInformation
PersonalIdentificationNumber
ApplicationFee
FinancialAid
OtherInformation
Declaration

1.
2.
3..
4.
5.
6..
7.

Fieldsthataremarkedwith*aremandatory.

1. PersonalParticulars
>

FullName*

GivenName/FirstName*

FamilyName/LastName/
Surname*

DateofBirth*

Gender*

Citizenship*

PassportNumber

MaritalStatus*

Race/EthnicGroup*

Religion*

Theapplicationformconsistsofthefollowingsections.Pleasecompleteallsections.

(TobefilledinbynonSingaporeCitizen.IfyouareaMalaysian,pleaseenteryour12digit
MalaysianI/Cnumber)

Block/HouseNo.*

(e.g.APTBLK42)

StreetName/BuildingName*

UnitNo.

State/City

(Youdonotneedtofillin"Singapore"hereif
youareprovidingaSingaporeaddress)

PostalCode
Email*

AlternateEmail

Home
Telephone*

(Incompletepostaladdresswillresultinnondeliveryofletter/ssentoutbyNational
UniversityofSingapore)

(Pleaseensureyouremailaddresswillbein
useforatleastanother12months)
(Pleaseensureyouralternateemailis
differentfromtheabove)

Area

Number

Handphone
Country

3. AcademicQualifications

(e.g.#1234)

Country

NextSection

(dd/mm/yyyyeg.08/02/1989)

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/

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/

PostalAddress*

Country*

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Note:ClickhereforguideonhowtokeyinFamilyName

NextSection

Note:ClickhereforguideonhowtokeyinGivenName

2. ContactInformation

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(TypeinyourfullnameinthesamesequenceasprintedonyourPassport,BirthCertificate,orIdentificationcard)

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Area

Number

(Pleasedonotfillincountry&areacodesforSingapore
numberforthe'number'field,pleasedonotputhyphenor
leavespaceinbetweennumbers,eg.Contactnumbershould
bekeyedinas12345678)
(Pleasedonotfillincountry&areacodesforSingapore
numberforthe'number'field,pleasedonotputhyphenor
leavespaceinbetweennumbers,eg.Contactnumbershould
bekeyedinas12345678)

SecondaryEducation
NameofSecondarySchool

City/Country

From

Examination

Year
Taken

Subjects

Marks/Grade
Obtained

MaximumMarks/Grade
Possible

Theaboveinformationisrequiredtoascertainthatyousatisfyspecificcourseprerequisites.Youmaynothaveoffered
someofthesesubjectsthereforeinformationisnotcompulsory.Pleaseleavethespaceblankifyouhavenottakenthe
abovesubjects.

HighSchoolEducation
Pleaseensurethatyourhighschoolmonthandyearisnotthesameasyoursecondaryschool.
Country

Province/city

YearTaken

a)Ihavecompletedthehighschoolfinalexamination

b)Iwillbecompletingthehighschoolfinalexaminationafter1March

2016

Pleaseselectthegroupthatyoubelongto

Ifyouhaveselected(b),pleaseindicatethemonththatyouractualresultswillbe
available

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Pleaseensurethattheinformationyouenterisaccurateasyouradmissionoutcomewillbeadversely
affectedbyinaccurateinformation.

ExaminationResults

Marks
Obtained

MaximumMarks

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Subject

AdditionalInformation

Pleaseprovide,ifavailable

IELTS(Pleaseinputthe
scoreforAcademic
testingonly)

DateTaken

To

Examination AMERICANHIGHSCHOOLDIPLOMA

From

NameofHighSchool

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English

To

Marks/GradeObtained

(Pleaseenter
Overallband
componentscoreonly)

(Pleaseenter
Writingcomponent
scoreonly)

(Pleaseenter
Readingcomponent
scoreonly)

TOEFL

EL1119

MUET

Internet

CriticalReading

Math

Writing/EvidenceBasedReading
andWriting

SATSubjectTests

Subject

ACTCompositeScore

AdvancedPlacement
(AP)

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Subject

SAT

Paper

StudentswhoareofferingtheIndianStandard12qualificationmayfillintheirIIT/AIEEE(ifapplicable)below:
AIEEERank

StateRank

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CountryRank

IITRank

StateRank
CountryRank

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4. University/TertiaryEducation

Areyouacurrent/former(regardlessofwhetheryouhaveorhavenotgraduated)studentoftheNationalUniversityof
Singapore(NUS),NanyangTechnologicalUniversity(NTU),SingaporeManagementUniversity(SMU),Singapore
UniversityofTechnology&Design(SUTD),SingaporeInstituteofTechnology(SIT),SIMUniversity(UNISIM)and/orany
othertertiaryinstitutions(exceptpolytechnicsinSingapore)?

(Pleaseclickhereformoreinformation)

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
categoryof"TransferApplicants",andyouwouldhavetoapplyunderthiscategoryofapplication.Moredetailscanbe
foundat:http://www.nus.edu.sg/oam/apply/transfer/admissionreq/BYAadmission.html.

2. YoumayliketonotethatanyfalsedeclarationtothissectionmayrenderthisapplicationinvalidandNUSmayatits
discretionwithdrawanyofferofadmissionmadetoyouonthebasisoffalsedeclaration.

Areyouacurrent/formerstudentofanyotheruniversityortertiaryinstitutions?

Yes

No

IfyouhavechosenYEStotheabovequestion,pleaseprovideyouracademicresultsasfollows
University

Course

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Year

Subject

Marks/GradeObtained MaximumMarks/
GradePossible

GPA

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5. OutstandingAchievements

AdmissiontoNUSishighlycompetitive.Whilegoodexaminationresultsenhanceyourchancesofgainingadmission,NUSalsoseekssuitablecandidateswithotheroutstanding
academic/nonacademicachievements.Thissectionprovidesanopportunityforyoutolistyourotherachievements.
Youmaychoosenottofillinthissectionifyoudonothaveanysuchachievement.
Thelistbelowaresomeactivitiesthatwemaytakeintoconsideration.

Activity1

Levelofachievement

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YoushouldespeciallyindicateachievementsintheInternationalScienceOlympiadscompetitions.Youmayleaveitblankifyouhavenotparticipatedinanyoftheindicated
Olympiads.

Subject*

Level

From*

To*

Nameofcontactperson(ifavailable)

Positionofcontactperson

Telephonenumber

Faxnumber

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Pleaseprovideotherrelevantdetailsunder"Activity2and3".
Top student awards achieved in the country, national team sportsmen and exceptional rank in top university entrance examinations generally are helpful in this section.
Participationinactivitiesandachievementsatintraschool,houseorclasslevel(egbeststudent,mostcourteous,science/arts/culturalprojects)donot,usually,haveastrong
bearingontheoutcomeofyourapplication.
Youmayalsoelaborateonyourinvolvementandachievementsintheseactivitiesinanessayinthissection.
Youmustsubmittherelevantrecordstosupporttheinformationyouhaveprovided.

Activity2

Levelofachievement

Nameofactivity/organisation/employer*

Level

NotApplicable

PositionHeld

From*

To*

Nameofcontactperson(ifavailable)

Positionofcontactperson

Telephonenumber

Faxnumber

Activity3

Levelofachievement

Nameofactivity/organisation/employer*

Level

NotApplicable

PositionHeld

From*

To*

Nameofcontactperson(ifavailable)

Positionofcontactperson

Telephonenumber

Faxnumber

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Essay

Thissectionisanopportunityforyoutoelaborateontheinformationyouhaveprovidedearlier.Youmaydiscussaspecialtalent,apersonalexperienceoranactivitythatyou
havebeeninvolvedinthatisrelevanttothecourseyouareapplyingforadmission.

2000

Asyouressayislimitedtoonly2000characters(includingpunctuationsandspace),dopresentyourideasinafocusedandthoughtfulmanner.

charsremaining

ExemptionsandScholarships

Universityadmittedtoandcourse
HighSchoolexaminationsexemptedfrom

NameofScholarshipattained

Year

Nameofcontactperson(ifavailable)

Positionofcontactperson

Telephonenumber

Faxnumber

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Applicantswhohavebeenexemptedfromhighschoolgraduationexaminationsorhavebeenawardedafullscholarship
toauniversity,mayprovidedetailsinthissection.Ifnotapplicable,youmayleaveitblank.

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6. ChoiceofCourses

TherewillbeTWOpartsinthissection:(a)and(b).

In(a),pleasetellusyourchoiceofSingleDegreecoursesinorderofyourpreference.Youmustcomplete(a)beforeyou
proceedto(b)toindicateyourinterestintheDouble/ConcurrentDegreeprogrammes.
Youneedtocomplete(b)onlyifyouareinterestedinthedouble/concurrentdegreeprogrammes.

a)SingleDegreeCourses

Stateyourchoiceofcourseinorderofpreference.Wewillconsideryourchoiceintheorderthatyouhaveindicated.Forexample,if
youdonotqualifyforyourfirstchoice,wewillconsideryouforyoursecondchoiceandsoforth,atnodisadvantage.Youmaychoose
fewer than 5 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.

1stChoice*

3rdChoice
4thChoice
2ndChoice

5thChoice

Note:Foreachchoice,thereisaDropDownMenucomprisingallsingledegreecourseswhichNUSoffers
ApplicationfortheMusiccourseshouldbefiledseparately.PleaserefertotheYongSiewTohConservatoryofMusic(NUS)website
athttp://music.nus.edu.sg
StudentsmustindicateDentistryastheirfirstorsecondchoiceiftheywishtobeconsideredforadmissiontothiscourse.
StudentsmustindicateMedicineastheirfirstorsecondchoiceiftheywishtobeconsideredforadmissiontothiscourse.
StudentsmustindicateNursingastheirfirst,secondorthirdchoiceiftheywishtobeconsideredforadmissiontothiscourse.
StudentsmustindicateArchitectureastheirfirst,secondorthirdchoiceiftheywishtobeconsideredforadmissiontothiscourse.
StudentsmustindicateIndustrialDesignastheirfirst,secondorthirdchoiceiftheywishtobeconsideredforadmissiontothis

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course.
StudentsmustindicateLawastheirfirstorsecondchoiceiftheywishtobeconsideredforadmissiontothiscourse.Forapplicants
whowishtoapplyfortheGraduateLLBprogramme,pleaseoptfor"Law(3yearLawforuniversitygraduates)".Youmusthave
completedorarecompletingyourdegreebyendJune2016andareabletoenrollinAY20162017.Pleaserefertowebsiteat
http://www.nus.edu.sg/oam/apply/international/interviews/BYAinterviews.htmlfortheRefereeReportForm.
b)Double/ConcurrentDegreeProgrammes
Pleasefillinthissectionifyouareinterestedinadouble/concurrentdegreeprogramme.
Notethat:

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1. Ifyouwishtoapplyforadouble/concurrentdegreeprogrammes,youmustincludeatleastoneofthefaculties/schoolsoffering
thedoubledegreeprogrammeasoneofyourchoicesin(a).
2. Thefaculties/schoolsofferingdirectadmissiontodouble/concurrentdegreeprogrammesareArts&SocialSciences(for
Economics),LawandScience(forLifeSciences).
3. TobeconsideredfortheBusinessAdministration&Law,BusinessAdministration(Accountancy)&Law,Economics&Law,orLaw
&LifeSciences,doubledegreeprogrammes,youmusthavelistedLawasyourfirstorsecondchoiceintheselectionofasingle
degreecoursein(a).Formoreinformation,pleaseclickhere.
4. TobeconsideredforNUSSciencesPoDoubleDegreeProgramme,youmusthavelistedArts&SocialSciences(NUS)andArts
(SciencesPo)asyourfirstorsecondchoiceofdoubledegreeprogramme.Additionallyyouarerequiredtoreadcarefullyits
applicationprocedures,includingtheapplicationwindow,athttp://www.usp.nus.edu.sg/nussciencespo/info/apply.html.
Youwillbeevaluatedforadmissiontoadouble/concurrentdegreeprogrammeifyouaresuccessfulingainingadmissionintoafaculty
/schoolthatoffersoneofthedouble/concurrentdegreeprogrammes.

Somedoubledegreeprogrammesrequireaselectioninterview.Onlyshortlistedcandidateswillbeinformedtoattendtheinterview(s)for
thedoubledegreeprogrammes.YoumaybeshortlistedforoneormoreinterviewsifyouindicatemorethanonechoiceforyourDouble
DegreeProgrammeoptions.PleasenotethatDoubleDegreeProgrammesarehighlycompetitive.

1stChoice

2ndChoice

3rdChoice

4thChoice

Ifyouareinterestedinmorethanonedouble/concurrentdegreeprogramme,pleaseselecttheprogrammesinorderofpreference.

Note:Foreachchoice,thereisaDropDownMenucomprising:

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7. EmploymentHistory

Arts&SocialSciences(NUS)andArts(SciencesPo)
BusinessAdministration&Law
BusinessAdministration(Accountancy)&Law
EconomicsandLaw
LawandMasterinPublicPolicy
LawandLifeSciences

Pleaseindicateonlyifyouhaveatleastoneyearoffulltimeworkexperience.

NameofCompany
Position

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8. DisabilitiesandSpecialNeeds

Haveyouhadordoyouhaveanycommunicablediseases,mentalillness,colourblindness,and/ordisabilities(includingbutnotlimitedtochronicillnesses,
visualorotherphysicalconstraintsorlimitations)whichmayormaynotcauseyoutorequirespecialassistanceorfacilitieswhilestudyingattheUniversity?
*
Yes

No

Ifyes,pleaseprovidedetailsbelowandsubmitmedicaldocumentsand/orothersupportingdocuments.
Medicalconditions

Pleaseprovidemoredetailsonyourmedicalconditioninthebox

Medicalcondition1:

250

charsremaining

250

charsremaining

250

charsremaining

Medicalcondition2:

Medicalcondition3:

Ifyourequireanyformofspecialassistanceand/orfacilitiesifadmittedtotheUniversity,pleaseprovidedetailsbelow.

1000

charsremaining

Note:ThisinformationwillenabletheUniversitytodevelopacompleteprofileofanapplicantanddeterminewhetherhe/shemightneedadditionalresources
inhis/herstudies.TheUniversitydoesnot,however,guaranteetheprovisionofspecialaid(financialorotherwise)toanystudent.

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9. NextofKinInformation

NextSection

Pleaseprovideacontactpersonincaseofanemergency.

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NameofNextofKin/
Guardian*

RelationshipwithApplicant*
Occupation*
Telephone*
Country

Area

Number

Country

Area

Number

Handphone/Pager

(country&areacodesarerequiredonlyfornonSingapore
number)

10.PersonalIdentificationNumber
EnteranAdmissionPIN(8alphanumericcharacters)
(casesensitive)*
ReenteryourAdmissionPIN(8alphanumericcharacters)
(casesensitive)*

(country&areacodesarerequiredonlyfornonSingapore
number)

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(8alphanumericcharacterse.g.gwWg254x)

PleasekeepyourPINconfidential.YourPINisimportantandyouwillneedittoaccessthefollowingonlinefacilitiesrelatedto
thisapplication.

Uploadingofsupportingdocuments
Onlinestatusenquiry
OnlinereplytoNUS'offerofadmission
Onlineappeal
EPaymentviaCreditCard

11.ApplicationFee

AnonrefundableapplicationfeeofSGD20ispayable.Pleaseselectoneofthefollowingmodesofpayment

Bankdraft/chequemadepayableto'NationalUniversityofSingapore'

NETSattheOfficeofAdmissions,NUS

*Paymentmustbemadebytheapplicationclosingdate.Applicationswithoutfullpaymentwillnotbeprocessed.

12.FinancialAid

NUSoffersFinancialAidschemessuchasloans,bursariesandworkstudyopportunitiesinordertohelpfinanciallyneedy
studentsmeettheirstudyexpensesinNUS.

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Credit card (Visa and MasterCard only. Payment can be made immediately via the web link located at the
acknowledgementpageaftersubmittingyourapplication.)

DoyouintendtoapplyforFinancialAidofferedbyNUStosupportyourstudiesinNUS?*

Yes

No

13.OtherInformation

Haveyoueverbeenconvictedofanoffencebyacourtoflaworamilitarycourt(courtmartial)inanycountryorare
thereanycourtproceedingspendingagainstyouanywhereinrespectofanyoffence?

Areyoucurrently,orhaveyoueverbeen,chargedwithorsubjecttodisciplinaryactionforanytypeof
misconduct,scholasticorotherwise,atanyeducationalinstitution?

Areyoucurrently,orhaveyoueverbeen,underinvestigationorsubjecttoenquiryinrespectofany
misconduct,scholasticorotherwise,atanyeducationalinstitution?

IfyouranswertoalltheabovequestionsisNo,pleaseclickNobelow.*

Or

No

IfyouranswertoanyoralloftheabovequestionsisYes,pleaseclickYesbelowandalsoprovideafullstatement
oftherelevantinformationintheboxbelowand/oronaseparatesheetofpaper(andattachtherelevant

documents).

Yes

100

chars

remaining

14.Declaration

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Iherebydeclarethatallinformationprovidedbymeinconnectionwiththisapplicationistrue,accurateandcomplete.I
understandthatanyinaccurate,incompleteorfalseinformationgivenoranyomissionofinformationrequiredshall
renderthisapplicationinvalidandNUSmayatitsdiscretionwithdrawanyofferofacceptancemadetomeonthebasisof
suchinformationor,ifalreadyadmitted,Imaybeliabletodisciplinaryaction,whichmayresultinmyexpulsionfrom
NUS.AndIherebyauthoriseNUStoobtainandverifyanypartoftheinformationgivenbymefromorwithanysource
(suchasMinistryofEducation),asitdeemsappropriate.

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Ideclareandwarrantthatforanypersonaldataofotherindividualsdisclosedbymeinconnectionwiththisapplication,I
have,priortodisclosingsuchpersonaldatatoNUS,obtainedtheappropriateconsentfromtheindividualswhosepersonal
dataarebeingdisclosed,topermitNUStocollect,useanddisclosesuchpersonaldataforpurposesrelatedtothis
application,assetoutfullyinthePersonalDataNotice&Consent.

IagreethatallsuchinformationprovidedbymeinconnectionwiththisapplicationmaybedisclosedtoauthorisedNUS
personnelorthirdpartiesonaneedtoknowbasisforpurposesrelatedtothisapplication,assetoutfullyinthePersonal
DataNotice&Consent.Thirdpartiesinclude(i)theMinistryofEducation,othergovernmentagenciesorstatutorybodies
ornongovernmentagenciesauthorisedtocarryoutspecificGovernmentservicesordutiesand(ii)personsor
organisationsprovidingstudentswithfinancialaid.

IhavereadandagreetothetermsandconditionscontainedinthePersonalDataNotice&Consent.

Iagreetoreceivemarketing,advertisingandpromotionalinformationfromNUSviapostalmail,electronicmail,SMSor
MMSand/orfax.

Yes
No

Iagreetoreceivemarketing,advertisingandpromotionalinformationfromNUSatmytelephonenumberprovidedabove
viavoicecall/phonecall.
Yes

No

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