SPAN Registration Form
Dear Alums,
Welcome to the Scholars Programme Alumni Network (SPAN). We would like to keep in touch with you as
you move on to new endeavours. Please assist us by completing this form and send it back to us by email at
span@nus.edu.sg, or dropping it off at the USP General Office. Thank you.
* Mandatory Fields (Enter "N.A." or "0" if you do not have values for mandatory fields)
++ (Your NRIC/Passport No. will be your login ID)
Section A: Contact Information
Date of Registration :
Status*: (Pls select one)
Title*:
Name*:
NRIC/Passport No*++:
Matriculation No.*:
Date Of Birth*:
USP Student
Mr.
Ms.
(Day)
Exchange Programme Student
Dr.
(Month)
Others, pls specify:
(Year)
Gender:
Religion:
Ethnicity:
Telephone (Home) No.*:
Mobile Phone No.*:
Fax No.:
Email Address 1*:
Email Address 2:
Citizenship:
Country you are in now:
Home Address:
Mailing Address*:
(If different from home address)
Best means to contact me*:
(You can circle more than one)
Do you want to subscribe to our
updates via email?
Last updated: 20 November 2014
Email
Snail Mail
Yes
Mobile Phone
Telephone
No
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You may fill in section B & C later if you do not have the information now. You can update your
information later by logon to your SPAN account.
Section B: Graduation Information And Continuing Education*
Undergraduate Home Faculty:
Degree Attained:
Matriculation Year:
Year of Graduation:
Any plans to higher degree? (If yes, Type of
Higher Degree?)
Yes
No
Interested to apply for scholarships?
Yes
No
Type of Higher Degree:
Which Institution do you plan to join after
graduation?
Which Field of Study?
Pursuing Continuing Education on Scholarship
(Please state scholarship):
Year of Award/s:
Section C: Employment Information*
Current Employment Status:
Employed
Self-Employed
Not Employed
Company’s Name:
Company’s Website:
Department:
Designation:
Telephone (Work) No:
Job Industry:
Job Sector:
Job Type
Government
Contract
Full Time
Private
Part Time
Temporary
Annual Salary:
Professional Affiliations:
(Membership of societies, association, etc.)
Professional Interests:
(Areas of professional expertise and
interests.)
Section D: Option to reveal your Information to Others
May USP reveal your contact information to prospective employers?
Yes
No
May USP reveal your contact information to future students who are
interested in your field?
Yes
No
Last updated: 20 November 2014
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Section E: Other Information
Personal Interests / Hobbies:
Contact Person Name and Tel No.:
(Can you provide the name and contact
number of the person whom we can
contact if we lost contact with you.)
Other Information:
(Anything else you would like to share
with the members.)
Section F: Feedback for Us
What / Who prompted you to
register?
(You can select more than one.)
Friends
Newsletter
SPAN Web
Email
On own
Accord
USP
Others, pls specify:
What kind of alumni
programmes / activities would
you be interested to participate?
(You can select more than one.)
Seminars
Social GetTogether
Talks (Scholarships,
Graduate Opportunities, HR,
Employment-Related etc.)
Personal
Development
Courses
Global Programme
Activities
Others, pls specify:
What kind of activities /
programmes would you be
interested to organise, or help to
organise? (Please specify):
Other feedback and/or
suggestion/s:
Last updated: 20 November 2014
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Personal Data Protection Act (PDPA) Notice:
The National University of Singapore (“NUS”) recognises the importance of the personal data that you entrust to us; it is
our responsibility to properly manage, protect and process your personal data. Common examples of personal data
could include names, identification numbers, contact information, photographs and video images. The NUS, via its
University Scholars Programme (“USP”), manages and administers your registration with Scholars Programme Alumni
Network (“SPAN”), USP will necessarily need to collect, use, disclose and/or process certain personal data or personal
information from you.
By registering for SPAN, you agree and consent to your personal data being collected, used, processed and disclosed in
accordance with the Personal Data Protection Act 2012 and all subsidiary legislation related thereto for the following
purposes:

Administering and/or managing your registration as an alumni and administering and/or managing your
subsequent relationship with USP-NUS (including the mailing of correspondence to you which could involve the
disclosure of certain personal data about you to bring about delivery of the same, as well as on the external
cover of envelopes / mail packages);

Engaging you as an alum of USP-NUS, which includes but is not limited to notification on USP-NUS and
alumni-related initiatives and activities, invitation to NUS and alumni-related events, updating of alumni
information, invitation to participate in alumni surveys and sending of communication collaterals;

Responding to any enquiries by you;

Carrying out market related, evaluative or similar research and analysis for USP-NUS’ operational, strategy and
policy planning purposes;

Garnering philanthropic support for USP-NUS and its community;

Inviting you to participate in publicity materials, feature stories, events, research and other engagement
activities relating to academic support and your successful completion of USP-NUS;

Supporting USP-NUS functions including, but not restricted to, the teaching and personal and professional
development of students of USP-NUS;

Sharing your information with students for purposes of recruitment, internship, industrial attachment and job
placement;

Sending you materials relating to USP-NUS via postal mail and/or electronic mail

Sharing your personal data for the purposes of NUS’ participation in university-ranking exercises; and/or

Taking of photographs and/or videos (whether by NUS staff or third party photographers and/or videographers)
during events or seminars organised by USP-NUS for publicity purposes (including in NUS’ publicity and
communications materials).
Your personal data 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 your personal data for NUS, for one or more
of the above Purposes. For the avoidance of doubt, in the event that Singapore personal data protection law permits an
organization such as NUS to collect, use or discloses the Applicant’s personal data without the Applicant’s consent, such
permission granted by the law shall continue to apply.
If you have any questions relating to NUS’s collection, use and disclosure of your personal data, you may contact the
Data Protection Officer at dpo@nus.edu.sg or call 6776 2835 or such other person as NUS may designate, from time to
time, whether by informing you through any letter, circular, notice or email.
By submitting this registration, I acknowledge that I have carefully read and fully understand the above
contents and hereby give my consent as set out above.
-----Thank you  -----
Last updated: 20 November 2014
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