Application for Joint Minor Programme AY2014/2015
between the National University of Singapore and the
University of Toronto
Name of Joint Minor: Environmental Chemistry
Sem 2
Name of
Student as in
NRIC:
Student
Matriculation
No.:
Primary Major:
NUS Email:
Hand Phone:
Citizenship:
Home Phone:
Gender:
Declaration of applicant
Fill in the blanks:
1. My CAP as of this date is __________________.
2. Tick the appropriate box:
a) I have read and passed all the prerequisite modules for the UofT courses; or,
b) I will have read and passed all the prerequisite modules before I begin the UofT
courses.
3. In addition to this application form, I have provided a full Curriculum Vitae.
Declaration of Applicant
I declare that all the information I have furnished in this form is true.
___________________________________________
Signature
___________________________________ __
Date:
For Official Use Only:
Remarks:
Checked by:
Received On: