INSTITUTE OF SYSTEMS SCIENCE
Master of Technology
Dear Applicant
Please complete the form as accurately and as clearly as possible. No space should be left blank. Kindly use “N/A” for information
not applicable. Please note that information not clearly stated/submitted will result in an incomplete form which will not be
processed.
Please upload your completed form to: https://inetapps.nus.edu.sg/GDA2/Home.aspx.
Name : (As shown on your NRIC and underline surname.)
OTHER INFORMATION
List computer-related training programmes/short courses attended.
Organised by
Name of Course
List any scholarships, prizes or awards received :
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NATIONAL UNIVERSITY OF SINGAPORE  INSTITUTE OF SYSTEMS SCIENCE
Date (mm/yy)
Duration
List your previous work appointments.
From
To
Employer
(mm/yy)
(mm/yy)
(Name & Address)
Position Held
Nature of Work
Years of Use
Date Last Used
Describe below your computer experience.
Computer
Operating System(s)
Languages
(mm/yy)
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NATIONAL UNIVERSITY OF SINGAPORE  INSTITUTE OF SYSTEMS SCIENCE
Describe your job experiences and projects undertaken during the last 5 years. Highlight your use, if any, of analysis & design
methods, project management techniques, quality assurance and CASE tools.
State your professional objectives for pursuing the Masters course and describe your plans after completing this course.
Describe the three most significant achievements in your career to date.
(1)
(2)
(3)
Have you ever had, or are you suffering from any of the following? (Please tick  appropriate box)

Communicable disease?
 Yes
 No

Mental illness?
 Yes
 No

Colour blindness?
 Yes
 No

Disabilities (including but not limited to chronic illness, visual or other physical constraints or limitations)?
 Yes  No
If you answer “yes” to any of the above, please give details:
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NATIONAL UNIVERSITY OF SINGAPORE  INSTITUTE OF SYSTEMS SCIENCE
COMPANY INFORMATION & SUPPORT (for part-time applicants only)
Company Name :
Contact Tel No. :
(Name of current employer)
Company Address :
Contact Fax No. :
Do you expect to be in full time employment while attending the Masters? (Please tick  appropriate box)
 Yes
 No
If No, please give details of your expected employment
COMPANY CERTIFICATION (for part-time applicants only)
(If you require permission from your employer to take time off to attend the Masters course, please arrange for the following to be completed.)
Candidates are required to attend 80 days of classes that will be taken on either week days, Saturdays or evenings (including
examinations). They are also required to undertake the equivalent of 40 days of project work in their OWN TIME. Day time classes
are conducted from 9.00 am to 5.00 pm.

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I hereby support this application and confirm that the company will grant the applicant the necessary time off for
attending classes and examinations.
Signature of Company Official
Company Stamp
Name & Designation
Date
NATIONAL UNIVERSITY OF SINGAPORE  INSTITUTE OF SYSTEMS SCIENCE