CHINESE UNIVERSITY STUDY AWARD The Chinese University Study Award (CUSA) is set up to encourage more NUS students to go on exchange to the C9 League of Universities in China. This is a merit-based award. Successful applicants can look forward to receiving CUSA valued at S$3,000. The list of C9 League of SEP partner universities in China include: Fudan University Shanghai Harbin Institute of Technology, Heilongjiang Nanjing University, Jiangsu Peking University, Beijing. Shanghai Jiaotong University, Shanghai Tsinghua University, Beijing Xi’an Jiaotong University, Shaanxi Zhejiang University, Zhejiang Open to Singaporeans and Singaporean PRs. Nominated by your home faculty for SEP to one of the C9 Terms and Conditions: League of Universities listed above. Have a strong interest in Chinese culture and history. Candidates are shortlisted based on academic merits This award must not be concurrently held with other exchange award. Applicants are required to submit the completed application Application Procedure and Deadline: form and relevant supporting documents if nominated for 3rd Storey, Unit 03-03 Shaw Foundation Alumni House 11 Kent Ridge Drive, Singapore 119244 SEP to one of the C9 League of Universities listed above. The application will close on 31 March 2016. Chinese University Study Award Application Form A. PERSONAL PARTICULARS Full Name Gender Date of Birth Nationality Mobile phone No. Home Tel. No. NUS Matric No. NUS Email Address Faculty & Major/Department Home Address Nominated for SEP to : Fudan University, please indicate semester of exchange : _____________________ Harbin Institute of Technology, please indicate semester of exchange : ___________ Nanjing University, please indicate semester of exchange : ____________________ Peking University, please indicate semester of exchange : _____________________ Shanghai Jiaotong University, please indicate semester of exchange : ____________ Tsinghua University, please indicate semester of exchange : ___________________ Xi’an Jiaotong University, please indicate semester of exchange : _______________ Zhejiang University, please indicate semester of exchange : ____________________ B. ACADEMIC INFORMATION Year of Study in NUS 3rd Storey, Unit 03-03 Shaw Foundation Alumni House 11 Kent Ridge Drive, Singapore 119244 CAP in Sem 1 CAP in Sem 2 C. OTHER SCHOLARSHIPS/AWARDS RECEIVED Name of Scholarship/Award D. Value of Award LEADERSHIP ROLES IN STUDENTS’ SOCIETIES/EVENTS Time Period E. Awarding Agency Activity Position held Please provide a short write-up on why you would like to go on SEP to China 3rd Storey, Unit 03-03 Shaw Foundation Alumni House 11 Kent Ridge Drive, Singapore 119244 F. Please provide a short write-up on the key takeaways you hope to gain from your SEP in China and how you can encourage more SEP students to China. Terms & Conditions 1. 2. 3. By completing this application form, I hereby give consent to NUS to collect, use, disclose and/or process my personal data hereby provided to partner universities, organizations, foreign regulatory and governmental authorities and sponsors for the purpose of my application for relevant programme(s) and/or financial aid, and subsequent related activities. This award must not be concurrently held with another exchange award. Award recipients are expected to assist in the promotion of SEP China by participating in China related talks, networking sessions and sharing of SEP experiences at various platforms. Please submit completed application form and the unofficial transcript to NUS International Relations Office (IRO) to Ms May Yee by 31 March 2016. Submitted by Received by _______________________ Name of Student Date: ____________________________ Name of IRO Officer Date: 3rd Storey, Unit 03-03 Shaw Foundation Alumni House 11 Kent Ridge Drive, Singapore 119244