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9 I lu1'1J1~1> :;~ b~ l n/u1:; ?l ~rib -ii' 1 iii n'tl-1 (-ii' tJ?l Ju b u'WnT1~1er~nti't!') ~~?1 lu~ 'tl'ru ~~u161~~fl 1 u1 (?lm'W~~:;bb~~ 1 ' ~~) m~ai'!::~'VI~ m1?ie:iui'i'vi b~e:in~?iii'fl1fim ll'W~?lvi mrurn~~u m1 b?l'W lzje:i b-ii'1?i lufovi'W~:ou161~~fl 1 u1bb61:; 'U q 'U 'I ~ hJ? '1~'Uf111?1 l'Ul'l1lJl'W-b 1611~~~'U161~~fl 1 u1n1Vl'WV1 hJ11mrulvi 1 ~:; hli1m1b?l'W lzj l~bb Vl'W~11eJ~ ~1P11 Pit1at1 ~ ~ 'W''W6~1~u1:;bviP1 ?iu. 1vi1. olvb\vc;? cfbetb ~ ! mmm SINGAPORE SCHOLARSHIP APPLICATION FOR ACADEMIC YEAR 201512016 1 .. PERSONAL Salutation Mr. I Ms* Full name (as in passport) Family Name Given Name Country of Birth Citizenship Passport I Date of Birth (dd/mm/yyyy) Identification Number Gender Male I Female * Marital Status Single I Married* Ethnic Group Religion Postal Address Country State/Province Cityffown Postal Address (Street, Postal Code House/Block, Unit, etc) Country Area Number Country Area Code Code Code Code Tel No.

10 Mobile Primary Email Secondary Email Parent I Guardian I Next of Kin Name Relationship Country Area Email Contact Code Code Address Number Do you have a family friend/ relative in Singapore? If Yes, please give details: Yes/ No* Please attach a recent photograph of yourself here Number Number Name: _____ _ Relationship:. _____ _ Contact Number: -----------------------------~ Email Address: _____ _ * Circle accordingly 2. PARTICULARS OF PARENTS Full Name Marital Citizenship Relationship Date of Occupation Name and Address of Home Address Status Birth {if deceased, Employer state so) 3. COURSES AVAILABLE" NUS 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 with 32 Art, Design & Media ** 08 Information Systems 44 Accountina Management Business Analytics 37 Business 22 Social Science 45 Chemical Engineering 12 Business & Computing 17 Civil Engineering 42C Biological Sciences 29 Computer Engineering Biological Sciences with Gointly by Engineering and 48 29A School of Computing} Psychology Major Computing {Computer 56 Bioengineering 30 Science)}