Admission to Undergraduate Programmes (Full-Time) Admission to Undergraduate Programmes (Full-Time) Application Form for students with Vietnam High School Qualification Office of Admissions and Financial Aid Close IMPORTANT: Please do not print or download the blank application form. Submit the application on-line and only one electronic application form can be submitted. Duplicate applications will not be processed. Please note that this form has to be completed in English. You will be provided with an Application Number if the on-line submission is successful. If you are not given an Application Number, please submit your application again. Sample. Do not attempt to apply using this form * Required information is marked in PURPLE Personal Particulars Name (as shown in passport or ID) MISS Passport/Identity Card No(eg. E1234567. Please do not type any additional words (eg. passport, etc) beside the number) B0321893 Permanent Home Address NGUYEN THU ANH (Please provide your complete address and break your address into lines 1, 2 & 3, use abbreviation where possible and leave only one spacing between each word. Do not exceed 150 characters including spaces in total.) (eg. TAN AH PEK JOHN) Postal Address (if different from permanent address) For Singapore Address, please provide your address here: Block/House No: For Foreign Address, please provide address here: Address (Line 1) Address (Line 2) Address (Line 3) State/ Province Postal Code/Zip Postal Code: Address (Line 1) Address WARD 14 (Line 2) Address PHU NHUAN DIST (Line 3) State/ Province HO CHI MINH Postal Code/ Zip Vietnam Home Phone 84 E-mail1 - For Foreign Address, please provide address here: 168 DANG VAN NGU ST Country Fax # - 8 Country Contact Phone - 9876543 Country code - Area code - Local Number - - Fax Country code - Area code - Local Number - - Country code - Area code - Local Number - - Country code - Area code - Local Number E-mail2 nguyenthuanh@hotmail.com (if any) (Please provide a valid email address as your application outcome will be notified through email. If you do not have an email account, please choose and apply for one at http://email.about.com/od/freeemailreviews/tp/free_email.htm) Date of Birth Citizenship 31-DEC-1991 (DD-MON-YYYY, e.g. 28-SEP-1989) Vietnamese Gender Specify if others https://wis.ntu.edu.sg/pls/webexe/adm_fore_appl.form (1 of 5) [28/09/2008 12:10:12 PM] FEMALE Are you a Singapore Permanent Resident? NO Admission to Undergraduate Programmes (Full-Time) Country of Birth Vietnam Specify if others Religion Free Thinker Mobile/Handphone 84 - 956999888 Country code - Mobile Number Particulars of Parents Father Mother Name NGUYEN HAI LONG HO MY HANH Occupation ENGINEER DOCTOR Office Address (if available) Sample. Do not attempt to apply using this form Office Telephone (if available) 84 - 4 - 9876542 Country code - Area code - Local Number - - Country code - Area code - Local Number Choice of Programme (To provide at least first choice. Do not repeat choices). Click here to find out more on programmes available and check on the Minimum Subject Requirements. First Choice Biological Sciences Second Choice Chemistry & Biological Chemistry Third Choice Chemical & Biomolecular Engineering Fourth Choice Economics Fifth Choice Materials Engineering Note: 1. Students who are offered Engineering programme will be streamed into either Civil, Electrical & Electronic, Mechanical or Environmental Engineering in the second year of study on the basis of their first year university results and competition. 2. Applicants interested in the double degree programmes offered under Engineering & Economics are allowed to choose no more than 2 from the 11 programmes available. 3. If you choose Art, Design & Media as one of your choices, please take note of the additional supporting documents that you need to submit within 2 weeks after receiving the invitation for faculty test. 4. Please note that Arts (Education) and Science (Education) are teachers' training programmes. Successful applicants will be bonded to serve the Singapore Ministry of Education for 4 years. 5. Please note that some of the lessons related to Biomedical Sciences programme are conducted in Chinese. To apply for the programme, you need to have at least a pass in Chinese at Junior High School level. This programme is not applicable to Chinese nationals. Financial Status I intend to request for Tuition Grant assistance and I will be paying the Subsidised Tuition Fee. I understand that I will need to work for any Singapore registered companies for 3 years after graduation under this scheme. I do not intend to apply for Tuition Grant assistance, I will be paying Non-Subsidised Tuition Fee. I understand that I will not be eligible to apply for Tuition Grant, Tuition Fee Loan and NTU Study Loan for the whole duration of study in NTU should I be admitted under the Non-Subsidised Tuition Fee Scheme. In addition, I am required to produce a S$30,000 Banker's Guarantee if I am admitted. Educational Qualifications Please indicate your academic status: -> Still studying or just completed high school and awaiting for results https://wis.ntu.edu.sg/pls/webexe/adm_fore_appl.form (2 of 5) [28/09/2008 12:10:12 PM] Admission to Undergraduate Programmes (Full-Time) Still studying or just completed high school and awaiting for results . The results will be available in JUN 2009 Name of High School If the name of your high school is not found above, please provide here MON-YYYY eg.OCT-2008 Ho Chi Minh, Pho Thong Nang Khieu (Gifted High Sch) School Name: Address Sample. Do not attempt to apply using this form High School Records Grade 10 Exam Year 2006/2007 Subjects Physics Grade 11 Exam Year 2007/2008 (eg 2005/2006) Marks Obtained (eg 2006/2007) Subjects Marks Obtained 8.0 Physics 8.5 Mathematics 8.5 Mathematics 8.5 Chemistry 9.0 Chemistry 9.1 Literature - Vietnamese 7.7 Literature - Vietnamese 8.0 Biology 8.2 Biology 7.9 8.5 English 8.2 English You must supply certified photocopies of all certificates, transcripts or school reports showing grades awarded. Additional Education Information (if any). Please list any other courses attended after high school. (e.g. Jan 2004 - Dec 2005, Diploma in Computer Science, Informatics Computer School, Singapore). Students who are studying/have attended programs in university, please indicate Cumulative CAP/GPA obtained (e.g. Monash University (Malaysia Campus), Cumulative CAP/GPA - marks obtained / maximum marks). Your information must not be more than 200 words. Number of words typed 0 English Language Proficiency (Please enter the scores that are applicable to you) The following information will be used for exemption of Qualifying English Test if you are admitted. Please leave blank if not taken or test result is not yet available or already expired (IELTS and TOEFL results are only valid for 2 years from the date of the test). For results available after application, please submit result slip for updating after your admission is confirmed. TOEFL SAT 1 IELTS Year Taken Score Month-Year (MON-YYYY, e.g. Jun-2007) Date (DD-MON-YYYY, e.g. 01-Feb-2007) Outstanding Achievement https://wis.ntu.edu.sg/pls/webexe/adm_fore_appl.form (3 of 5) [28/09/2008 12:10:12 PM] Verbal Math Band Writing Essay (eg. 6, 7, 8) Admission to Undergraduate Programmes (Full-Time) Please list down outstanding achievements including medalist in International Science Olympiad competitions, represented country in international competition in the area of the Arts or Sports, in training team for International Olympiad Competitions. Please provide details (not more than 200 words). Number of words typed 0 NTU University Entrance Examination Sample. Do not attempt to apply using this form The Entrance Examination is scheduled in February 2009. If you are shortlisted to sit for an Entrance Examination, please indicate your preferred examination venue : HCMC Please note that the preferred venue is tentative. The university will divert you to the closest venue should there be changes. Have you previously taken the NTU University Entrance Examination? No Application History Have you applied to NTU previously? No Current Academic Status in Singapore Are you currently studying in or applying for in a School, Polytechnic or University in Singapore? No Disabilities and Special Needs Have you had or do you have any communicable diseases, mental illness, colour blindness, and/or disabilities (including but not limited to chronic illnesses, visual or other physical constraints or limitations) which may or may not cause you to require special assistance or facilities while studying at the University? Yes Please provide details below and attach the relevant medical documents Colour blindness - green/red deficiency. (Please limit your description to 200 characters including spaces) Note: This information will enable the University to develop a complete profile of an applicant and determine whether he/she might need additional resources in his/her studies. The University, however, does not guarantee the provision of special aid (financial or otherwise) to any student. Criminal Offence Have you ever been convicted by a Court or Law of any country? No Additional Information If you have any siblings or relatives who have studied or are studying in NTU, please provide details below: Name Relationship NGUYEN TUAN KIET BROTHER https://wis.ntu.edu.sg/pls/webexe/adm_fore_appl.form (4 of 5) [28/09/2008 12:10:12 PM] Programme Study Year/ Graduated Year CIVIL ENGINEERING 2007 Admission to Undergraduate Programmes (Full-Time) How did you learn about the Nanyang Technological University? You may tick more than one box ✔ Internet Agent/Education Centre School Counsellor ✔ Advertisement-newspaper Advertisement-Studylink ✔ Presentation by NTU Representative Education Exhibition ✔ Sibling/friend/relative graduated/studying at the University Posters/brochures in school Sibling/friend/relative working/residing/studying in Singapore Study tour/tour to Singapore Sibling/friend/relative applying/applied to NTU Sample. Do not attempt to apply using this form Others. Please specify Declaration I hereby declare that the information provided in this application is correct. I authorise the University to obtain official records, if necessary, from any educational institution attended by me. I understand that any provision of inaccurate or false information or omission of information will render this application invalid and that, if admitted on the basis of such information, I can be required to withdraw from NTU or liable to prosecution in a court of law. Password Creation Please provide your preferred password. The length of your password must be between 8 to 20 characters. You may use numbers, alphabets and symbols. The password is case-sensitive, i.e. if you have used a Capital Letter, e.g. 'A', you cannot enter 'a' in small case when logging in. You are reminded to remember your password and keep it confidential. STudyaboard4m (enter your 8 to 20 characters password here) IMPORTANT: INCOMPLETE APPLICATION WILL NOT BE PROCESSED Next Copyright © 2001-2008 Nanyang Technological University All Rights Reserved https://wis.ntu.edu.sg/pls/webexe/adm_fore_appl.form (5 of 5) [28/09/2008 12:10:12 PM] Close