Application status: Pending online submission
Printed on: 21 Oct 2023 / 14:51:42
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Graduate Programme Admission Application Form
Things to Note before Printing this Application Form for Hardcopy Submission
The current online application status is “Pending online submission”, therefore, this DRAFT
application form cannot be used for hardcopy submission to the faculty/school.
Please complete your online submission and print the application form ONLY when the
application status is shown as “Submitted Online”.
APPLICATION DETAILS
2023431606
Course
Full Time
Preference
1
Faculty
NUS Business School
Department
Dean's Office (Biz)
Programme Name
Master of Business Administration
Description
AF
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Application Number
Academic Year
2024/2025
Semester
1
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Specialisation / Area of
Study
SELF SUPPORT
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Finance
PERSONAL PARTICULARS
Title
Family Name
Given Name
Full Name
YEN, TZU-CHUN
Gender
Date of Birth
13/01/1998
Place of Birth
Marital Status
Race
Religion
Citizenship
Singapore Permanent
Resident?
No
NRIC No
Pass Type
Application No.: 2023431606
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Application status: Pending online submission
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Foreign Identification
Number (FIN)
Passport Number
NUS Alumni (graduated
from NUS or one of its
five predecessor
institutions with an
undergraduate or
postgraduate degree or
graduate diploma)?
No
CONTACT
Personal
linus1391@gmail.com
Email
Alternate Email
Primary Phone Number
Primary Phone Type
Alternate Phone Number
Alternate Phone Type
Address
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Country
AF
Postal Code
Skype ID
ACADEMIC QUALIFICATIONS
D
AWARDS/PRIZES
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No Record(s) found
No Record(s) found
SOURCE OF INFORMATION
No Record(s) found
OTHER INFORMATION
No Record(s) found
TEST DETAILS
No Record(s) found
LANGUAGES
No Record(s) found
WORK EXPERIENCE
No Record(s) found
ESSAY
No.
Question
Application No.: 2023431606
Answer
Page 2 of 6
Application status: Pending online submission
1
How have people, events, and/or
situations in your life influenced who
you are today? (250 words)
2
How do you plan to spend your time
on The NUS MBA to transform
yourself personally & professionally?
Briefly describe your experience to
date, and how this and The NUS MBA
can help you achieve your mid and
long term career goals. (350 words)
3
OPTIONAL: Is there any additional
information relevant to your application
that you’d like to share with the
Admissions Committee? (200 words)
4
RE-APPLICANTS ONLY : Please
provide an update on any new aspects
of your professional, international,
academic or personal profile that
would not have been included in your
previous application. Please also
explain your motivation for re-applying
to NUS. (300 words)
Printed on: 21 Oct 2023 / 14:51:43
QUESTIONNAIRE
Answer
1
SCHOLARSHIP APPLICATION:
1.Please indicate “Yes” if you intend to
apply for a scholarship, or “N/A” if you
don’t.
2
FOR SCHOLARSHIP APPLICANTS
ONLY: You may indicate your interest
for more than one Scholarship, though
only one will be awarded to each
successful candidate. Please indicate
the type of Scholarship(s) you are
applying for, and describe your fit for
the Scholarship(s). Please also briefly
share how you plan to “pay it forward”
as a student and alum of the
programme (250 words).
3
FOR PART-TIME APPLICANTS
ONLY: Please indicate here if you
intend to request for a GMAT/GRE/EA
waiver. Please note that conditional
waivers are considered only for
exceptional candidates with 10 years
or more of work experience.
4
For Part-Time applicants submitting
Executive Assessment, please provide
your total EA score here. Please
ensure that you meet the minimum
requirement of 5 years of work
experience.
5
If you haven’t provided your test
score(s), please indicate type of test
and booked test date here in this
format: Name of Test, Booked Test
Date.
6
Please provide us with the link to your
LinkedIn profile.
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Question
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No.
REFEREES
No Record(s) found
DECLARATION
No.
Question
Application No.: 2023431606
Answer
Comments
Page 3 of 6
Application status: Pending online submission
Are you currently, or have you ever been
under investigation, charged with or subject to
disciplinary action or enquiry for any
misconduct, scholastic or otherwise, at any
educational institution?
2
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?
3
By submitting this application, I acknowledge
and agree that I will be required to comply with
any Vaccination-Differentiated Safe
Management Measures (VDS) requirements,
that may be imposed by NUS from time to
time, in order to enter the campus, attend inperson components of the course or
participate in any on-campus activities. I
acknowledge and agree that, if I do not meet
any such VDS requirements, I may not be
allowed to enter the campus, attend in-person
components of the course or participate in any
on-campus activities and that alternative
learning arrangements may not be provided for
me.
4
Have you ever been arrested, charged in
court, put on probation or convicted of an
offence by a court of law or a military court
(court martial) in any country or jurisdiction,
suspended or expelled from an educataional
instituition or terminated from your employment
for any reason, or are there any court or
disciplinary proceedings pending against you
in any country or jurisdiction. If yes, please
explain below
5
Have you ever been convicted of any offence
by a court of law in any country or are there
any court proceedings pending against you
anywhere in respect of any offence?
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1
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• I declare that the information provided by me in connection with this application is true and
complete.
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• I understand that any inaccurate, incomplete or false information given or omission of material
information required shall render this application invalid and NUS may at its discretion withdraw
any offer of admission 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.
• I understand that the provision of any inaccurate or false information may render me liable to
prosecution in a court of law in Singapore.
• I understand that if I have been convicted of a criminal offence by a court of law of any country,
I must submit all relevant information together with this application.
• I hereby authorized NUS to obtain and verify any part of the information given by me from or
with any source, as it deems appropriate.
DECLARATION OF SUBSIDY
No.
Question
1
Have you received any Singapore government
fee subsidy or sponsorship from any
Singapore government agency for any
previous graduate studies, i.e. Graduate
Diploma, Master's and Doctorate
programmes?
2
Awarding institution (e.g. Nanyang
Technological University)
3
Programme (e.g. PhD, MSc, MA)
4
Funding (e.g. Singapore Ministry of Education,
Public Service Commission)
5
Period of Study From (MM/YYYY)
Application No.: 2023431606
Answer
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Application status: Pending online submission
6
Period of Study To (MM/YYYY)
7
Programme Status
8
Workload (Full-Time/Part-Time)
9
No. of Semester(s) which I had been given
subsidy
10
Maximum No. of Semester(s) the previous
programme was eligible for subsidy
11
No. of Semester(s) of remaining subsidy in the
previous programme
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NUS Personal Data Notice for Student Applicants
1. The National University of Singapore (“NUS”) manages and administers undergraduate and
post-graduate courses in NUS, including processing applications for the admission of candidates
to NUS (“Admission”). To manage and administer the undergraduate and post-graduate courses
in NUS, including the applications for Admission, NUS will necessarily need to collect, use,
disclose and/or process certain personal data or personal information about the individual that
has submitted an application for Admission (the “Applicant”).
(i) Such personal data will be collected, used, disclosed and/or processed by NUS for the
purpose(s) of:
(a) Processing the Applicant’s interest in and application(s) for Admission;
(b) Administering and/or managing the Applicant’s application(s) for Admission and
Enrolment;
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(c) Making of any offer(s) of acceptance to courses in NUS;
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(d) Administering and/or managing the Applicant’s relationship with NUS (including the
mailing of correspondence, statements or notices to the Applicant, which could involve the
disclosure of certain personal data about the Applicant to bring about delivery of the same, as
well as on the external cover of envelopes/ mail packages);
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(e) Carrying out due diligence or other screening activities (including background checks)
in accordance with legal or regulatory obligations or risk management procedures that may be
required by law or that may have been put in place by NUS, including the obtaining of references
and/or other information about the Applicant from the Applicant’s previous education institute(s);
(f) Responding to any enquiries by the Applicant;
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(g) Processing the Applicant’s application(s) for scholarships and/or financial aid as part of
the Admission process, and if successful, administering and/or managing the Applicant’s
scholarship and/or financial aid programmes, which may include use of personal data for direct
marketing purposes for development and fund raising activities and disclosure of personal data
to donors and/or external organisations for purposes of event invitations, surveys and/or publicity
of NUS’ financial aid programmes;
(h) Investigating fraud, misconduct, any unlawful action or omission relating to the
Applicant’s application for Admission, and whether or not there is any suspicions of the
aforementioned;
(i) Responding to requests for information from public agencies, ministries, statutory boards
or other similar authorities (including but not limited to the Ministry of Defence, Ministry of
Education and Ministry of Health) from time to time;
(j) Carrying out market related or similar research and analysis for NUS’ operational
strategy and policy planning purposes;
(ii) If consented to by the Applicant in the registration form and/or other methods of consent
notification, sending the Applicant marketing, advertising and promotional information, including
materials and information on undergraduate and post-graduate courses in NUS, residential
options and general student- related activities within NUS, as well as related talks, seminars
and/or events via postal mail, electronic mail, SMS or MMS, fax and/or voice calls; and
(iii) Such personal data of the Applicant will/may be disclosed by NUS to third party service
providers or agents (whether in Singapore or elsewhere in the world where such service
providers are sited) for one or more of the above Purposes, as such third party service providers
or agents, if engaged by NUS, would be processing the Applicant’s personal data for NUS, for
one or more of the above Purposes.
(iv)
The Applicant acknowledges and consents to
(a) NUS collecting, using, disclosing and/or processing the Applicant’s personal data for
the Purposes as described above; and
Application No.: 2023431606
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Application status: Pending online submission
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(b) NUS transferring the Applicant’s personal data out of Singapore to NUS’ third party
service providers or agents for the Purposes as described above.
2. NUS’ University Health Centre (“UHC”) uses GPConnect, a clinic management system and
an electronic medical records solution to manage its patients’ medical records. GPConnect,
owned by Integrated Health Information Systems Pte Ltd (“IHiS”), will be linked to the National
Electronic Health Records System (“NEHR”) which facilitates the processing and sharing of
patient data with healthcare providers in Singapore. NUS’ use of GPConnect will entail the
sharing of patient data to the NEHR.
If the Applicant chooses to proceed with the requisite pre-admission medical checkup at
UHC, the Applicant acknowledges and consents to all of the following:
(a) Allow NUS to collect, disclose, process and transfer the Applicant’s personal data
including all of the Applicant’s patient data obtained during the Applicant’s visits to UHC to
GPConnect for the purpose of managing the Applicant’s medical records;
(b) Allow IHiS, through GPConnect, to disclose, process, transfer and share the Applicant’s
personal and patient data to NEHR;
(c) Where such of the Applicant’s personal and medical data is disclosed, processed
and/or transferred by IHiS to NEHR,
a. to allow all institutions accessing the NEHR (including Ministry of Health (“MOH”),
MOH Holdings Pte Ltd (“MOHH”) and MOHH’s affiliates) to access, use, disclose and share the
Applicant’s said personal and patient data for the purposes of providing the Applicant with
healthcare services (including making medical referral and facilitating diagnosis); and
b. where MOH has given consent to such institutions mentioned at Clause 2(a) above,
to allow the Applicant’s personal and patient data to be used for approved research or such
other approved purposes;
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(d) Disclose and/or share the Applicant’s personal and patient data with institutions
connected to NEHR with other institutions.
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3. NUS’ University Health Centre (“UHC”) uses GPConnect, a clinic management system and
an electronic medical records solution to manage its patients’ medical records. GPConnect,
owned by Integrated Health Information Systems Pte Ltd (“IHiS”), will be linked to the National
Electronic Health Records System (“NEHR”) which facilitates the processing and sharing of
patient data with healthcare providers in Singapore. NUS’ use of GPConnect will entail the
sharing of patient data to the NEHR.
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4. NUS’ University Health Centre (“UHC”) uses GPConnect, a clinic management system and
an electronic medical records solution to manage its patients’ medical records. GPConnect,
owned by Integrated Health Information Systems Pte Ltd (“IHiS”), will be linked to the National
Electronic Health Records System (“NEHR”) which facilitates the processing and sharing of
patient data with healthcare providers in Singapore. NUS’ use of GPConnect will entail the
sharing of patient data to the NEHR.
_________________________________
_________________________________
Name and Signature of applicant
Date and Time
Application No.: 2023431606
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