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Application Form for AY14-15

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    SINGAPORE SCHOLARSHIP

    ADMINISTRATIVE INSTRUCTIONS TO APPLICANTS

    1. The application form must be completed in English.

    2. Certified English translations of supporting documents (i.e. certificates,testimonials and transcripts) must be submitted for documents that are not in English.

    3. The application form and supporting documents must be of A4 sizeand printed on1 side only.

    4. The application form must be duly completed and endorsed by the Ministry ofForeign Affairs or the relevant agency responsible for the Singapore Scholarship Award inyour country. (The list of relevant agencies is available athttp://www.scp.gov.sg/content/scp/scholarships/singapore_scholarship.html#tabs-4)

    5. Four copies of the application formand four copies of supporting documentsmust be submitted to the Singapore Embassy/High Commission/Consulate-General inyour country throughthe relevant agency responsible for administering the award of theSingapore Scholarship in your country (Annex A).

    6. Applicants should fulfil the eligibility criteria in Annex B. Applications from Bruneiand Malaysia must reach the Singapore Embassy/High Commission by 4 April 2014.

    7. The Singapore Scholarship covers full tuition fees, a return economy class airfarebetween the Scholars home country and Singapore when commencing and uponsuccessful completion of the undergraduate course. It includes a living allowance ofabout S$4,300 per academic year to help cover meals, transport, textbooks and coursematerials. Accommodation expenses based on the room rates at eachuniversity/designated hostel will also be covered.

    8. For more information on the Singapore Scholarship, please refer to our website:http://www.mfa.gov.sg/scp or contact the Singapore Embassy/HighCommission/Consulate-General in your country. You may also write to:

    Singapore ScholarshipTechnical Cooperation Directorate

    Ministry of Foreign AffairsTanglinSingapore 248163Tel: (65) 6379 8000Fax: (65) 6479 3357Email: [email protected]

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    SINGAPORE SCHOLARSHIP

    APPLICATION FOR ACADEMIC YEAR 2014/2015

    Postal Address

    Country State/Province City/Town

    Postal Address(Street,House/Block,Unit, etc)

    Postal Code

    CountryCode

    AreaCode

    NumberCountryCode

    AreaCode

    Number

    Tel No. Mobile

    Primary EmailSecondaryEmail

    Parent / Guardian / Next of Kin

    Name Relationship

    EmailAddress

    ContactNumber

    CountryCode

    AreaCode

    Number

    Do you have a family friend/ relative in Singapore? Yes / No If Yes, please give details:

    Name: Relationship:

    Contact Number:

    Email Address:

    Circle accordingly

    1. PERSONAL PARTICULARSSalutation

    Mr. / Ms

    Full name (as in passport)

    Family Name Given Name

    Country of BirthCitizenship

    Date of Birth (dd/mm/yyyy)Passport /IdentificationNumber

    Gender Male / Female

    Marital Status Single / Married

    Ethnic Group Religion

    Please attach arecent

    photograph ofyourself here

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    2. PARTICULARS OF FAMILY MEMBERS

    Full Name MaritalStatus

    Citizenship Relationship Date ofBirth

    Occupation(if deceased,state so)

    Name and AddreEmployer

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    3. COURSES AVAILABLENUS Code NTU Code SMU Code

    Arts & Social Sciences 01 Accountancy 21 Accountancy 41

    Biomedical Engineering 41 Accountancy and Business 21A Business Management 42

    Business Administration 07 Aerospace Engineering 47 Economics 43

    Business Administration withAccounting

    32 Art, Design & Media 08Information SystemsManagement

    44

    Business Analytics 37 Business 22 Social Science 45

    Chemical Engineering 12 Business & Computing 17

    Civil Engineering 42C Biological Sciences 29

    Computer Engineering(jointly by Engineering andSchool of Computing)

    48Biological Sciences withPsychology Major

    29A

    Computing (ComputerScience)

    56 Bioengineering 30

    Computing (InformationSystems)

    57Chemistry & BiologicalChemistry

    46

    Engineering Science 47Chemical & BiomolecularEngineering

    31

    Environmental Engineering 18 Chinese 37Environmental Studies 34 Civil Engineering 94C

    Industrial & SystemsEngineering

    45I Computer Engineering 23

    Industrial Design 20 Computer Science 33

    Material Science &Engineering

    46M Communication Studies 28

    Mechanical Engineering 44M Economics 35

    Pharmacy 15Electrical & ElectronicEngineering

    94E

    Project & FacilitiesManagement

    30 English 36

    Real Estate 31 Environmental Engineering 34Science 02 History 38A

    Linguistics and MultilingualStudies

    36A

    Maritime Studies 32

    Materials Engineering 25

    Mechanical Engineering 94M

    Physics / Applied Physics 48

    Physics with MathematicalSciences Major

    48A

    Mathematics and Economics 42

    Mathematical Sciences 49Psychology 38

    Psychology Major with 2n

    Majorin Biological Science

    38B

    Public Policy & Global Affairs 39A

    Sociology 39

    Sports Science & Management 26

    Candidates who are applying for the 'Art, Design & Media' course at NTU, it is compulsory to submit the following together with

    the application form:a) A portfolio b) Creative film, photo sequence, sound pieces c) A personal statement d) Three drawingsFor specific submission instructions, please visithttp://www.adm.ntu.edu.sg/ProspectiveADM/UndergraduateProgrammes/ApplicationProcedures/Pages/ApplicationProcedures.aspx

    The 'Chinese' course at NTU is only open to international applicants who have obtained a good pass in GCE O Level Chinese

    or HSK Advance Level.

    #Detailed descriptions of each course are available in the admission prospectus enclosed in the Singapore Scholarship brochure. Updated

    descriptions are available from the universities' websites: NTU: http://www.ntu.edu.sg/admissionsNUS: http://www.nus.edu.sg/ admissions/undergrad, SMU: http://www.smu.edu.sg

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    INSTRUCTIONS: STATE CLEARLY THE COURSE YOU WISH TO STUDY IN ORDER OF PREFERENCE

    CHOICES UNIVERSITY COURSE CODE

    FIRST

    SECOND

    THIRD

    FOURTH

    FIFTH

    4. EDUCATIONAL QUALIFICATIONS

    Educational Record: Please give us all details of secondary/high school, Polytechnic, University education which youhave completed or are currently pursuing. Certified copies of all certificates, transcripts or school reports showing gradesawarded must be attached. All applicants are to submit your high school graduation results (or most recent highschool results if you have not graduated).

    Examples of course / programme: GCE A levels, STPM, UEC, Standard XII, SMU UAN, High School Certificate, ThaiMathayom, Tertiary Entrance Exam, International Baccalaureate or others

    Secondary / High School / University(Name of School / Location)

    Course / Programme From (Year) To (Year)

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    4a. High School Examination Results

    You may not have been offered some of these subjects in your school therefore information is not compulsory.Please leave the space blank if you have not taken any of the subjects below.

    Subject Marks / Grade Obtained

    English LanguageMathematics

    Mathematics (A)

    Mathematics (AO)

    Physics

    Chemistry

    Biology

    Geography

    History

    Chinese Language

    Economics

    AccountingBusiness Studies

    Computing / Information Technology

    Sociology

    Literature

    Civic Education

    Art and Culture

    Other subjects not listed above Marks / Grade Obtained

    Additional Information

    Please provide, if available. Otherwise, please leave the space blank if you have not taken any of the tests below.

    Description Marks / Grade Obtained

    IELTS

    TOEFLMUET

    EL1119

    SAT(Verbal/Critical Reading Score)

    SAT(Writing Score)

    SAT(Math Score)

    SAT(Reasoning Score, if applicable)

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    4b. University / Tertiary Institution

    Please skip this section if you are not currently studying in any university or tertiary institutions.Please leave the space blank if not applicable.

    Semester Year Subject Marks / Grade Obtained GPA

    Semester Year Subject Marks / Grade Obtained GPA

    Semester Year Subject Marks / Grade Obtained GPA

    Semester Year Subject Marks / Grade Obtained GPA

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    5. ACADEMIC AND OTHER AWARDS

    Please indicate awards (e.g. honours, distinctions, book prizes, and scholarships) won in the last 3 years.Please list in chronological order. Documentary evidence is to be submitted together with the hard copyapplication form.

    Year Awarded Type of Award (For scholarships, please indicate tenure and value of award)

    6. CO-CURRICULAR ACTIVITIES AND ACHIEVEMENTS

    Please indicate your co-curricular activities and achievements e.g. sports or other activities, in which youassumed leadership positions, and community/voluntary services. Documentary evidence is to be submittedtogether with the hard copy application form.

    From (Year) To (Year) Brief Description of Activities Position Held / Award

    7. WORK EXPERIENCE

    Please indicate only if you have at least three months of full time work experience. Documentary evidence is to besubmitted together with the hard copy application form.

    From (Year) To (Year) Name of Organisation Job Title

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    8. ESSAY

    In a separate attachment, write (to be typed-written) a short essay on a subject of personal importance to you(300-500 words). You may choose any topic. Examples include: an event which has influenced you; why youwant to choose an Engineering career; or a family member/friend/person who had a significant influence onyou. Please note that the essay is an important part of your Scholarship application.

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    9. DECLARATION

    Have you ever been convicted by a Court of Law of any country? Yes / No If yes, please give brief details:

    I hereby declare that the information provided in this application is correct. I authorise the relevant authoritiesto obtain my official records, if necessary, from any educational institution attended by me.

    I am medically fit and free from any medical problem which may impair my ability to attend to my studies inSingapore;

    I understand that any provision of inaccurate or false information or omission of information will render thisapplication invalid and that, if admitted on the basis of such information, I can be required to withdraw fromthe Scholarship.

    Signature: ______________________________ Date:_______________(Please note that unsigned applications will be rejected)

    Circle accordingly

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    10. OFFICIAL DECLARATION(to be completed by the nominating government)

    The ____________________________________________________________________________________( Name of Department/ Ministry)

    nominates_____________________________________________________________________ on behalf of( Name of student)

    ___________________________________ for the Singapore Scholarship Award (Academic Year 2014/2015).(Country)

    _________________________________________(Name)

    ____________________________________________(Designation)

    _________ - ___________ - _____________________(Ctry Code) (Area code) (Office TelephoneNo.)

    __________________________________________(Signature and Ministrys stamp)

    __________________________________________(Address of Department/Ministry)

    _________ - ___________ - ___________________(Ctry Code) (Area code) (Office FaxNo.)

    Please note:

    This application form must be duly completed and endorsed by the Ministry of Foreign Affairs or therelevant agency responsible for the Singapore Scholarship Award in yourcountry (Annex A). Please attachrelevant supporting documents, which are to be submitted with the form. INCOMPLETE AND/ORUNENDORSED FORMS CANNOT BE PROCESSED.

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    Annex A

    Brunei Darussalam

    Technical Assistance Division

    Ministry Foreign Affairs and TradeJalan SubokBandar Seri BegawanBrunei DarussalamTel: 673-2261177Fax: 673-2230903

    Cambodia

    HE Mr Yuok NgoySecretary of State

    (in charge of Youth and Sport Cultural Relations and Scholarships Department)Ministry of EducationYouth & SportKingdom of CambodiaMobile: (855) 23 724 874Fax: (855) 23 217 250Email: [email protected]: www.moeys.gov.kh

    Indonesia

    Ibu Enda WulandariBureau of Foreign Co-operationMinistry of National EducationGedung C, Lantai 6Jl Jend. SudirmanSenayan, JakartaTel: 6221- 5795 3083Fax: 6221- 574 6395

    Lao People's Democratic Republic

    Ms Chanthavone PhandamnongDirector GeneralDepartment of External RelationsMinistry of EducationLanexang AvenueP.O. Box 067Vientiane Capital, Lao PDRTel: 856-21-212120 or 856-21-216005Email: [email protected]

    Malaysia

    Respective schools of the applicants

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    Myanmar

    U Tun Tun NaingDirector-GeneralForeign Economic Relations DepartmentMinistry of National Planning and Economic DevelopmentBuilding No. (1)Nay Pyi TawRepublic of the Union of MyanmarTel: 95-067407342Fax: 95-067407027

    Philippines

    Ms Karol TravinoEmbassy of the Republic of Singapore505 Rizal Drive Fort Bonifacio, Taguig CityRepublic of the PhilippinesTel: 632-856 9922 loc 104

    Thailand

    Ms Komutee YamolananForeign Relation OfficerBureau of International CooperationOffice of the Permanent SecretaryMinistry of EducationRatchadamnoen Nok AvenueDusitBangkok 10300

    Tel: 02-281 6370 ext 115Fax: 02-281 0953Email: [email protected]

    Vietnam

    Dr Nguyen Xuan VangDirector GeneralVietnam International Education DevelopmentMinistry of Education and TrainingSocialist Republic of Vietnam

    21 Le Thanh Tong StreetHanoi, VietnamTel: 84-4-3933 5795Fax: 84-4-3933 5491

    . . . . .

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    Annex B

    Eligibility Criteria for the Singapore Scholarship

    The Singapore Scholarship is awarded on the basis of academic merit and open competition.Citizens of ASEAN member countries (excluding Singapore) are eligible to apply for the SingaporeScholarship.

    Candidates must have an outstanding academic record, a good command of English and meet theentry requirements for NTU, NUS and SMU. The basic academic requirements specific tocandidates from each ASEAN country are outlined below:

    Brunei Darussalam

    completed General Certificate of Education Advanced Level with a pass in English and 3other A level subjects within the last 3 years

    Cambodia

    currently undergoing 1st year or 2nd year of undergraduate studies in a Cambodian

    university

    Indonesia

    currently undergoing 1st year of undergraduate studies in an Indonesian university

    passed the Indonesia SMU Ujian Akhir Nasional (UAN) with good academic results withinthe last 3 years;

    Grade 12 students taking Indonesian SMU UAN in following year

    Lao People's Democratic Republic

    currently undergoing 1st year or 2nd year of undergraduate studies in a Laotian university

    Malaysia

    completed any of the following examinations within the last 3 years:

    (i) Sijil Tinggi Persekolahan Malaysia (STPM)(ii) General Certificate of Education Advanced Level with a pass in English and 4 other 'A' level

    subjects(iii) Unified Examination Certification (UEC)

    Myanmar

    currently undergoing 1st year or 2nd year of undergraduate studies in a Myanmar university

    Philippines

    currently undergoing 1st year or 2nd year of undergraduate studies in a Filipino university

    Thailand

    passed the Thai Mathayom 6 examinations with good results

    Vietnam

    currently undergoing 1st year or 2nd year of undergraduate studies in a Vietnameseuniversity

    Grade 12 students taking Vietnam Graduation High School exams in the following year

    . . . . .


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