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8 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.

9 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) Computing {Information 57 Chemistry & Biological 46 Svstems)}}

10 Chemistry Electrical Engineering 43E Chemical & Biomolecular 31 Enaineerina Engineering Science 47 Chinese** 37 Environmental Engineering 18 Civil Engineering 94C Environmental Studies 34 Computer Engineering 23 Industrial & Systems 451 Computer Science 33 Engineering Industrial Design 20 Communication Studies 28 Material Science & 46M Economics 35 Enaineerina Mechanical Engineering 44M Electrical & Electronic 94E Engineering Pharmacy 15 English 36 Project & Facilities 30 Environmental Earth Systems 43N Manaaement Science Real Estate 31 Environmental Engineering 34 Science 02 History 38A Linguistics and Multilingual 36A Studies Maritime Studies 32 Materials Engineering 25 Mechanical Engineering 94M Philosophy 40 Physics I Applied Physics 48 Physics with Mathematical 48A Sciences Major Mathematics and Economics 42 Mathematical Sciences 49 Psychology 38 Psychology Major with 2"0 Major 38B in Biological Science 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 appllcatlon form: a) A portfolio b) Creative film, photo sequence, sound pieces c) A personal statement d) Three drawings For specific submission instructions, please visit hll11 !