Category D Online Application Form - This application form is free of charge

Application for the admission of international candidates to undergraduate courses

in academic year 2011-2012
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. Other Information
4. Exceptional talents and achievements 11. Admission PIN
5. Exemptions and Scholarships 12. Application Fee
6. Choice of Courses 13. Financial Aid
7. Employment History 14. Declaration

Fields that are marked with * are mandatory.

1. Personal Particulars Back to Top Next Section

Full Name *
(Type in your full name in the same sequence as it appears in your passport, birth certificate or identification card)
Surname/ Last/ Family

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Name *
Note: Click here for guide on how to key in Family Name
First/ Given Name *
Note: Click here for guide on how to key in Given Name
Date of Birth *

Gender *
/ / (dd / mm / yyyy
pleg. 08 / 02 / 1982)

Citizenship *
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Passport Number
(leave blank if unavailable; if you are a Malaysian, please enter your Malaysian I/C number)

Marital Status *
Race / Ethnic Group *
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Religion *

2. Contact Information Back to Top Next Section

Postal Address * (Do not enter semi-colons, i.e. ';')

Province/State*

Country *
Postal Code/ ZIP

Email *
(please ensure this email is in use for the next 12 months)
Alternate Email
(please ensure this email is in use for the next 12 months)
Home (country & area codes are required only for non-Singapore number)
Telephone
Country area number
Handphone / Pager (country & area codes are required only for non-Singapore number)
Country area number

3. Academic Qualifications Back to Top Next Section

Secondary Name of Secondary School City / Country From To

Education

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Examination Year Taken

Subject Marks / Grade Maximum Marks /

Obtained Grade Possible
English

Mathematics

Additional Mathematics

Physics

The above information is required to ascertain that you satisfy certain 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 Full Name of High school Country Province/ City From To

School
Education
*
Please key in the full name of your high school as per reflected in your school transcript.

Examination Year Taken 2011

2011

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application. Any error will affect
Please ensure that your high school examination results are filled in accurately as this information is used to process your ap
your admission status

Please indicate type of results submitted

Actual
pl
Most recent school examination results
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(Note that an outcome will be made known only after we receive your actual results. These results should reach us
latest by 6 June 2011.)
If you are not submitting actual results, indicate the date that your actual results will be available 2011

Subject Marks / Grades Obtained Maximum Marks / Grade

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Possible

University / Are you a former or current student of National University of Singapore, Nanyang Technological Yes No
Tertiary University, Singapore Management University or any of the Polytechnics in Singapore?
Education *
Are you a former or current student of any other university or tertiary institutions? Yes No

Additional Please provide, if available.

Results

Date Taken Marks / Grade

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Obtained
IELTS

TOEFL Paper Computer Internet

EL1119
MUET (Aggregate score e.g 240)
Reasoning
Test (SAT I)
Critical Reading / Verbal

Math

Writing

Subject
Tests(SAT II)
Subject

AMERICAN HISTORY AND SOCIAL STUDIES

AMERICAN HISTORY AND SOCIAL STUDIES

AMERICAN HISTORY AND SOCIAL STUDIES

ACT
Composite
Score
Advanced
Placement (AP)

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Subject

ART HISTORY pl 1

ART HISTORY 1

ART HISTORY 1

ART HISTORY 1
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ART HISTORY 1

ART HISTORY 1

ART HISTORY 1

ART HISTORY 1
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ART HISTORY 1

ART HISTORY 1

Students who are offering the Indian Standard 12 qualification may fill in their IIT/ AIEEE (if applicable)
below:
AIEEE Rank State Rank

Country Rank
IIT Rank State Rank

Country Rank

4. Exceptional talents and achievements Back to Top Next Section

Admission to NUS is highly competitive. While good examination results enhance your chances of gaining admission, NUS also seeks suitable candidates with other
outstanding academic/non-academic achievements. This section provides an opportunity for you to list your other achievements. You may choose not to fill in this section
if you do not have any such achievement. The list below are some activities that we may take into consideration.

You should especially indicate achievements in the International Science Olympiads competitions. You may leave it blank if you have not participated in any of the
indicated Olympiads.

Achievement for International Olympiad

Level of achievement

Subject Notapplicable
Not applicable

Level Not
Notapplicable
applicable

From

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To

Name of contact person (if available)

Position of contact person

Telephone number

Fax number

Please provide other relevant details under "Activity 2 and 3". Top student awards achieved in the country, national team sportsmen and exceptional rank in top university
entrance examinations generally are helpful in this section. Participation in activities and achievements at intra school, house or class level (eg best student, most
courteous, science/arts/cultural projects) do not, usually, have a strong bearing on the outcome of your application. You may also elaborate on your involvement and
achievements in these activities in an essay in this section. You must submit the relevant records to support the information you have provided.

Activity 2

Level of achievement Not

Notapplicable
applicable

Name of activity / organisation / employer

Level Notapplicable
Not applicable

Position Held Not

Notapplicable
applicable

From

To

Name of contact person (if available)

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Position of contact person

Telephone number pl
Fax number

Activity 3
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Level of achievement Notapplicable
Not applicable

Name of activity / organisation / employer

Level
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Notapplicable
Not applicable

Position Held Not

Notapplicable
applicable

From

To

Name of contact person (if available)

Position of contact person

Telephone number

Fax number

This section is an opportunity for you to elaborate on the information you have provided earlier. You may wish to discuss a special talent, a personal experience or an
activity that you have been involved in that is relevant to the course(s) that you are applying for admission.

As there is a space limit of 2,000 characters for your input in this section, you are encouraged to present your thoughts clearly.

5. Exemptions and Scholarships Back to Top Next Section

Applicants, who have been exempted from high school graduation examinations or have been awarded a full scholarship to a university, may provide details in this

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section. If not applicable, you may leave it blank.

University admitted to and course

High School examinations exempted from

Name of Scholarship attained

Year

Name of contact person (if available)

Position of contact person

Telephone number

Fax number

6. Choice of Courses Back to Top Next Section

In this section, there will be TWO parts: (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 degree programmes.
You need to complete (b) only if you are interested in the double degree programmes. Please note that:

1. If you wish to apply for a double degree programme, you must include at least one of the faculties offering the double degree
programme as one of your choices in (a).

2. The faculties offering direct admission to double degree programmes are Arts & Social Sciences (for Economics), Business

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Administration, Engineering (except Engineering Science course) and Law.

3. To be considered for the Business Administration/Law or Economics/Law double degree programme, 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.
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You will be evaluated for admission to a double degree programme if you are successful in gaining admission into a faculty that
offers one of the double degree programmes.
Only shortlisted candidates will be informed to attend the interview(s) for the double degree programmes. You may be shortlisted
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for one or more interviews if you indicate more than one choice for your Double Degree Programme options. Please note that
Double Degree Programmes are highly competitive.

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
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example, if you do not qualify for your first choice, we will consider you for your second choice and so forth, at no disadvantage.
disadvant You
may choose fewer than 5 choices but do not repeat the choices. For the latest update on courses, please click here. For course and
subject prerequisites, please click here.

First Choice *
ARCHITECTURE
Second Choice
ARCHITECTURE
Third Choice
ARCHITECTURE
Fourth Choice
ARCHITECTURE
Fifth Choice
ARCHITECTURE

Note: For each choice, there is a Drop-Down-Menu comprising all single-degree courses which NUS offers
For applicants who wish to apply for the Graduate LL.B. Programme, please opt for ‘Law (3-year Law for University
Graduates)’. You must have completed or are completing your degree by end July 2011 and are able to enroll in AY2011-
12. Please refer to the website at [Link] for the Referee Report Form.
Application for the Music course should be filed separately. Please refer to the Yong Siew Toh Conservatory of Music
(NUS) website at [Link]
Students reading common Engineering will be streamed at the end of Year 1 to Bioengineering, Chemical Engineering,
Civil Engineering, Computer Engineering, Electrical Engineering, Environmental Engineering, Industrial & Systems Science
Engineering, Mechanical Engineering or Materials Science & Engineering

b) Double Degree Programmes

Please fill in this section if you are interested in a double degree programme.
If you are interested in more than one double degree programme, please select the programmes in order of preference.

First Choice
BUSINESS ADMINISTRATION AND LAW
Second Choice
BUSINESS ADMINISTRATION AND LAW
Third Choice
BUSINESS ADMINISTRATION AND LAW

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Fourth Choice
BUSINESS ADMINISTRATION AND LAW

Note: For each choice, there is a Drop-Down-Menu comprising:

Business Administration and Law

Business Administration (Accountancy) and Law
Economics and Law
Law and Master of Public Policy
Law and Life Sciences

7. Employment History Back to Top Next Section

Please indicate only if you have at least one year of full time work experience.

Name of Company Position From To

8. Disabilities and Special Needs Back to Top Next Section

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

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If yes, please provide all relevant information on a separate sheet of paper (and attach the relevant medical documents). Note: This
information will enable the University to develop a complete profile of an applicant and to 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.
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9. Next-of-Kin Information Back to Top Next Section
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Please provide a contact 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)
Countryarea number

Handphone / Pager (country & area codes are required only for non-Singapore number)
Countryarea number

[Link] Information Back to Top Next Section

Have you been convicted of a criminal offence by a court of law in any country? (if yes, please submit document)*

Yes No

If yes, please provide details below and submit the relevant documents.

[Link] PIN Back to Top Next Section

Enter an Admission PIN (8 alpha-numeric characters) (case

sensitive)*
Re-enter your Admission PIN (8 alpha-numeric characters)
(case sensitive)*

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Please keep your PIN confidential. Your PIN is important and you will need it to access the following online facilities related to this
application.
Online status enquiry
Online reply to NUS' offer of admission
Online appeal

[Link] Fee Back to Top Next Section

A non-refundable application fee of SGD20 is payable. Please select one of the following modes of payment

Credit card (Visa and MasterCard only. Debit card cannot be used for this payment mode. Payment can be made at the
Acknowledgement Page after you have submitted your application.)
Bank draft made payable to 'National University of Singapore'
NETS at the Office of Admissions, NUS

[Link] Aid Back to Top Next Section

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

[Link] Back to Top

I. I declare that the information provided by me in connection with this application is true and complete.
II. I understand that any inaccurate or false information or omission of material information shall render this application invalid and
that, if admitted on the basis of such information, I may be expelled from NUS.
III. I understand that the provision of any inaccurate or false information may render me liable to prosecution in a court of law in
Singapore.

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Please check your application before submission. The Office of Admissions cannot be held responsible
for the accuracy of your application. pl
Verify Application
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