Admission to Undergraduate Programmes (Full-Time)

Admission to Undergraduate Programmes (Full-Time)
Admission to Undergraduate Programmes (Full-Time)
Application Form for students with Vietnam High School Qualification
Office of Admissions and Financial Aid
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IMPORTANT: Please do not print or download the blank application form. Submit the application on-line and only
one electronic application form can be submitted. Duplicate applications will not be processed. Please note
that this form has to be completed in English.
You will be provided with an Application Number if the on-line submission is successful. If you are not given
an Application Number, please submit your application again.
Sample.
Do not attempt
to apply using
this form
* Required information is marked in PURPLE
Personal Particulars
Name (as shown in passport or ID)
MISS
Passport/Identity Card No(eg. E1234567. Please do not type
any additional words (eg. passport, etc) beside the number)
B0321893
Permanent Home Address
NGUYEN THU ANH
(Please provide your complete address and break your address into lines 1, 2 & 3, use abbreviation
where possible and leave only one spacing between each word. Do not exceed 150 characters including
spaces in total.)
(eg. TAN AH PEK JOHN)
Postal Address
(if different from permanent address)
For Singapore Address, please provide your address here:
Block/House No:
For Foreign Address, please provide address here:
Address
(Line 1)
Address
(Line 2)
Address
(Line 3)
State/
Province
Postal
Code/Zip
Postal Code:
Address
(Line 1)
Address
WARD 14
(Line 2)
Address
PHU NHUAN DIST
(Line 3)
State/
Province
HO CHI MINH
Postal
Code/
Zip
Vietnam
Home
Phone
84
E-mail1
-
For Foreign Address, please provide address here:
168 DANG VAN NGU ST
Country
Fax
#
- 8
Country
Contact
Phone
- 9876543
Country code - Area code - Local Number
-
-
Fax
Country code - Area code - Local Number
-
-
Country code - Area code - Local Number
-
-
Country code - Area code - Local Number
E-mail2
nguyenthuanh@hotmail.com
(if any)
(Please provide a valid email address as your application outcome will be notified through email. If you do not have an email account, please choose
and apply for one at http://email.about.com/od/freeemailreviews/tp/free_email.htm)
Date of Birth
Citizenship
31-DEC-1991
(DD-MON-YYYY, e.g. 28-SEP-1989)
Vietnamese
Gender
Specify if others
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FEMALE
Are you a Singapore
Permanent Resident?
NO
Admission to Undergraduate Programmes (Full-Time)
Country of Birth
Vietnam
Specify if others
Religion
Free Thinker
Mobile/Handphone
84
- 956999888
Country code - Mobile Number
Particulars of Parents
Father
Mother
Name
NGUYEN HAI LONG
HO MY HANH
Occupation
ENGINEER
DOCTOR
Office Address (if available)
Sample.
Do not attempt
to apply using
this form
Office Telephone (if
available)
84
- 4
- 9876542
Country code - Area code - Local Number
-
-
Country code - Area code - Local Number
Choice of Programme (To provide at least first choice. Do not repeat choices). Click here to find out more on
programmes available and check on the Minimum Subject Requirements.
First Choice
Biological Sciences
Second Choice
Chemistry & Biological Chemistry
Third Choice
Chemical & Biomolecular Engineering
Fourth Choice
Economics
Fifth Choice
Materials Engineering
Note:
1. Students who are offered Engineering programme will be streamed into either Civil, Electrical & Electronic, Mechanical or Environmental Engineering in
the second year of study on the basis of their first year university results and competition.
2. Applicants interested in the double degree programmes offered under Engineering & Economics are allowed to choose no more than 2 from the 11
programmes available.
3. If you choose Art, Design & Media as one of your choices, please take note of the additional supporting documents that you need to submit within 2
weeks after receiving the invitation for faculty test.
4. Please note that Arts (Education) and Science (Education) are teachers' training programmes. Successful applicants will be bonded to serve the
Singapore Ministry of Education for 4 years.
5. Please note that some of the lessons related to Biomedical Sciences programme are conducted in Chinese. To apply for the programme, you need to have
at least a pass in Chinese at Junior High School level. This programme is not applicable to Chinese nationals.
Financial Status
I intend to request for Tuition Grant assistance and I will be paying the Subsidised Tuition Fee. I understand that I will need to work for any
Singapore registered companies for 3 years after graduation under this scheme.
I do not intend to apply for Tuition Grant assistance, I will be paying Non-Subsidised Tuition Fee. I understand that I will not be eligible to
apply for Tuition Grant, Tuition Fee Loan and NTU Study Loan for the whole duration of study in NTU should I be admitted under the Non-Subsidised
Tuition Fee Scheme. In addition, I am required to produce a S$30,000 Banker's Guarantee if I am admitted.
Educational Qualifications
Please indicate your academic status:
-> Still studying or just completed high school and awaiting for results
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Admission to Undergraduate Programmes (Full-Time)
Still studying or just completed high school and awaiting for results . The results will be available in JUN 2009
Name of
High
School
If the name
of your
high
school is
not found
above,
please
provide
here
MON-YYYY eg.OCT-2008
Ho Chi Minh, Pho Thong Nang Khieu (Gifted High Sch)
School
Name:
Address
Sample.
Do not attempt
to apply using
this form
High School Records
Grade 10 Exam Year 2006/2007
Subjects
Physics
Grade 11 Exam Year 2007/2008
(eg 2005/2006)
Marks Obtained
(eg 2006/2007)
Subjects
Marks Obtained
8.0
Physics
8.5
Mathematics
8.5
Mathematics
8.5
Chemistry
9.0
Chemistry
9.1
Literature - Vietnamese
7.7
Literature - Vietnamese
8.0
Biology
8.2
Biology
7.9
8.5
English
8.2
English
You must supply certified photocopies of all certificates, transcripts or school reports showing grades awarded.
Additional Education Information (if any).
Please list any other courses attended after high school. (e.g. Jan 2004 - Dec 2005, Diploma in Computer Science, Informatics Computer School, Singapore).
Students who are studying/have attended programs in university, please indicate Cumulative CAP/GPA obtained (e.g. Monash University (Malaysia
Campus), Cumulative CAP/GPA - marks obtained / maximum marks).
Your information must not be more than 200 words.
Number of words typed 0
English Language Proficiency (Please enter the scores that are applicable to you)
The following information will be used for exemption of Qualifying English Test if you are admitted. Please leave blank if not taken or test result is not
yet available or already expired (IELTS and TOEFL results are only valid for 2 years from the date of the test). For results available after
application, please submit result slip for updating after your admission is confirmed.
TOEFL
SAT 1
IELTS
Year Taken
Score
Month-Year
(MON-YYYY, e.g. Jun-2007)
Date
(DD-MON-YYYY, e.g. 01-Feb-2007)
Outstanding Achievement
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Verbal
Math
Band
Writing
Essay
(eg. 6, 7, 8)
Admission to Undergraduate Programmes (Full-Time)
Please list down outstanding achievements including medalist in International Science Olympiad competitions, represented country in
international competition in the area of the Arts or Sports, in training team for International Olympiad Competitions.
Please provide details (not more than 200 words).
Number of words typed 0
NTU University Entrance Examination
Sample.
Do not attempt
to apply using
this form
The Entrance Examination is scheduled in February 2009. If you are shortlisted to sit for an Entrance Examination, please indicate your
preferred examination venue : HCMC
Please note that the preferred venue is tentative. The university will divert you to the closest venue should there be changes.
Have you previously taken the NTU University Entrance Examination? No
Application History
Have you applied to NTU previously?
No
Current Academic Status in Singapore
Are you currently studying in or applying for in a School, Polytechnic or University in Singapore? No
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
Please provide details below and attach the relevant medical documents
Colour blindness - green/red deficiency.
(Please limit your description to 200 characters including spaces)
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, however, does not guarantee the provision of special aid (financial or otherwise) to any student.
Criminal Offence
Have you ever been convicted by a Court or Law of any country? No
Additional Information
If you have any siblings or relatives who have studied or are studying in NTU, please provide details below:
Name
Relationship
NGUYEN TUAN KIET
BROTHER
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Programme
Study Year/
Graduated Year
CIVIL ENGINEERING
2007
Admission to Undergraduate Programmes (Full-Time)
How did you learn about the Nanyang Technological University?
You may tick more than one box
✔
Internet
Agent/Education Centre
School Counsellor
✔
Advertisement-newspaper
Advertisement-Studylink
✔
Presentation by NTU Representative
Education Exhibition
✔
Sibling/friend/relative graduated/studying at the University
Posters/brochures in school
Sibling/friend/relative working/residing/studying in Singapore
Study tour/tour to Singapore
Sibling/friend/relative applying/applied to NTU
Sample.
Do not attempt
to apply using
this form
Others. Please specify
Declaration
I hereby declare that the information provided in this application is correct. I authorise the University to obtain official records, if necessary, from
any educational institution attended by me.
I understand that any provision of inaccurate or false information or omission of information will render this application invalid and that, if admitted on
the basis of such information, I can be required to withdraw from NTU or liable to prosecution in a court of law.
Password Creation
Please provide your preferred password. The length of your password must be between 8 to 20 characters. You may use numbers, alphabets
and symbols. The password is case-sensitive, i.e. if you have used a Capital Letter, e.g. 'A', you cannot enter 'a' in small case when logging in. You
are reminded to remember your password and keep it confidential.
STudyaboard4m
(enter your 8 to 20 characters password here)
IMPORTANT: INCOMPLETE APPLICATION WILL NOT BE PROCESSED
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