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You have entered a secured s

Application for the admission of international candidates to undergraduate courses in Academic Year 2016-2017

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 th

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

4. University/Tertiary Education 11. Application Fee

5. Outstanding Achievements 12. Financial Aid

6.. Choice of Courses 13. Other Informat ion

7. Employment History 14. Declaration

Fields that are marked with * are mandatory.

1. Personal ParticularsBack to Top Next Sect

>

Full Name *

(Type in your full name in the same sequence as printed on your Passport, Birth Certificate, or Identification card)

Given Name/ First Name *

Note: Click here for guide on how to key in Given Name

Family Name/ Last Name/Surname *

Note: Click here for guide on how to key in Family Name

Date of Birth * / / (dd / mm / yyyy eg. 08 / 02 / 1989) Gender *

Citizenship *

Passport Number (To be filled in by non-Singapore Citizen. If you are a Malaysian, please enter your 12-digitMalaysian I/C number)

Marital Status*

Race / Ethnic Group*

Religion*

2. Contact InformationBack to Top Next Secti

Postal Address * (Incomplete postal address will result in non-delivery of letter/s sent out by National

University of Singapore)

Block/HouseNo. * (e.g. APT BLK 42)

Street Name/Building Name * Unit No. (e.g. #12-34)

State/City

(You do not need to fill in "Singapore" here if you are providing a Singapore address)

Country *

Postal Code

Email * (Please ensure your email address will be in-use for at least another 12 months)

Alternate Email (Please ensure your alternate email isdifferent from the above)

Home

Telephone*

(Please do not fill in country & area codes for Singaporenumber; for the 'number' field, please do not put hyphen or leave space in-between numbers, eg. Contact number shouldbe keyed in as 12345678)

Country Area Number

Handphone (Please do not fill in country & area codes for Singaporenumber; for the 'number' field, please do not put hyphen or leave space in-between numbers, eg. Contact number shouldbe keyed in as 12345678)

Country Area Number

3. Academic QualificationsBack to Top Next Secti

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Secondary Education

Name of Secondary School City/Country From To

Examination Year

Taken

Subjects

Marks / Grade

Obtained

Maximum Marks / Grade

Possible

English

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

Please ensure that your high school month and year is not the same as your secondary school.

Name of High School Country Province/city From To

Examination AMERICAN HIGH SCHOOL DIPLOMA Year Taken

Please select the group that you belong to

a) I have completed the high school final examination

b) I will be completing the high school final examination after 1 March

If you have selected (b), please indicate the month that your actual results will be

available 2016

Please ensure that the information you enter is accurate as your admission outcome will be adversely

affected by inaccurate information.

Examination Results

Subject MarksObtained

Maximum Marks

Additional Information

Please provide, if available

Date Taken Marks / Grade Obtained

IELTS (Please input the

score for Academic

testing only)

(Please enter

Overall band

component score only)

(Please enter

Writing component

score only)

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(Please enter

Reading componentscore only)

TOEFL Paper Internet

EL1119

MUET

SAT

Critical Reading

Math

Writing / Evidence-Based Reading

and Writing

SAT Subject Tests

Subject

ACT Composite Score

Advanced Placement

(AP)

Subject

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. University/Tertiary EducationBack to Top Next Secti

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), SingaporeUniversity 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.

Are you a current / former student of any other university or tertiary institutions?

Yes No

If you have chosen YES to the above question, please provide your academic results as follows

University Course

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Year Subject Marks / Grade Obtained Maximum Marks /

Grade Possible

GPA

5. Outstanding AchievementsBack to Top Next Secti

Admission to NUS is highly competitive. While good examination results enhance your chances of gaining admission, NUS also seeks suitable candidates with other outstandin

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.

Activity 1

Level of achievement

Subject*

Level

From*

To*

Name of contact person (if available)

Position of contact person

Telephone num ber

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 sectio

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 stron

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

Name of activity/ organisation/employer*

Level Not Applicable

Position Held

From*

To*

Name of contact person (if available)

Position of contact person

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Telephone num ber

Fax number

Activity 3

Level of achievement

Name of activity/ organisation/employer*

Level Not Applicable

Position Held

From*

To*

Name of contact person (if available)

Position of contact person

Telephone num ber

Fax number

Essay

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 yo

have been involved in that is relevant to the course you are applying for admission.

As your essay is limited to only 2000 characters (including punctuations and space), do present your ideas in a focused and thoughtful manner.

2000 chars remaining

Exemptions and Scholarships

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

Fax number

6. Choice of CoursesBack to Top Next Secti

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 youproceed to (b) to indicate your interest in the Double/Concurrent Degree programmes.

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 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 .

1st Choice* 5th Choice 2nd Choice 3rd Choice 4th 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.sgStudents 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

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course.

Students must indicate Law as their first or second choice if they wish to be considered for admission to this course. For applicants

who wish to apply for the Graduate LLB programme, please opt for "Law (3-year Law for university graduates)". You must have

completed or are completing your degree by end June 2016 and are able to enroll in AY2016-2017. Please refer to website at

http://www.nus.edu.sg/oam/apply/international/interviews/BYA-interviews.html for the Referee Report Form.

b) Double/Concurrent Degree Programmes

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 facult ies/schools offeringthe double 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), Law and Science (for Life Sciences).3. To be considered for the Business Administration & Law, Business Administrat ion(Accountan cy) & Law, Economics & Law, or Law

& Life Sciences, double degree programmes, you must have listed Law as your first or second choice in the selection of a singledegree course in (a). For more information, please click here.

4. To be considered for NUS-Sciences Po Double Degree Programme, you mu st have listed Arts & Social Sciences (NUS) and Arts

(Sciences Po) as your first or second choice of double degree programme. Additionally you are required to read carefully its

application procedures, including the application window, at http://www.usp.nus.edu.sg/nus-sciencespo/info/apply.html.

You will be evaluated for admission to a double/concurrent degree programme if you are successful in gaining admission into a faculty

/school t hat offers one of th e double/concurrent degree programmes.

Some double degree programmes require a selection interview. Only shortlisted candidates will be informed to attend the interview(s) for

the double degree programmes. You may be shortlisted 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.

If you are interested in more than one double/concurrent degree programme, please select the programmes in order of preference.

1st Choice

2nd Choice

3rd Choice

4th Choice

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

Arts & Social Sciences (NUS) and Arts (Sciences Po)

Business Administration & Law

Business Administration (Accountancy) & Law

Economics and LawLaw and Master in Public Policy

Law and Life Sciences

7. Employment HistoryBack to Top Next Secti

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 NeedsBack to Top Next Secti

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 con dit ion s Please prov ide m ore det ails on you r m edical con dit ion in t he box

Medical condition 1:

250 chars remaining

Medical condition 2:

250 chars remaining

Medical condition 3:

250 chars remaining

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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 InformationBack to Top Next Secti

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-Singaporenumber)

Country Area Number

Handphone / Pager (country & area codes are required only for non-Singaporenumber)

Country Area Number

10.Personal Identification NumberBack to Top Next Secti

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

(8 alpha-numeric characters e.g. gwWg254x)

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.

Uploading of supporting documents

Online status enquiryOnline reply to NUS' offer of admission

Online appeal

E-Payment via Credit Card

11.Application FeeBack to Top Next Secti

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

Credit card (Visa and MasterCard 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 the application closing date. Applications without full payment will not be processed.

12.Financial AidBack to Top Next Secti

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 InformationBack to Top Next Secti

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

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documents).

Yes

100 chars

remaining

14.Declaration Back to T

I hereby declare that all information provided by me in connection with this application is true, accurate and complete. Iunderstand 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 personaldata 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 orMMS 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.

Yes No

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