Graduate Admission Application Form Printing Page 1 of 4

APPLICATION FOR ADMISSION TO GRADUATE PROGRAMMES

DO NOT STAPLE
BY COURSEWORK & DISSERTATION your photograph.
(RECEIVED ONLINE) Please PASTE a
passport-size
Academic Year 2010-2011
photograph

here.

(A) PROGRAMME APPLIED FOR

PROGRAMME CODE\NAME : APPLICATION NO. : C1005372

[99]MSC(LOGISTICS)

PROGRAMME TYPE : FULL-TIME ADMISSION DATE : 30-AUG-2010 ASGS : NO

BILL REFERENCE NO.* : 921005372141 DATE OF PAYMENT : 25-JAN-2010 [ATM Payment]

* The Bill Reference No. is only for payment of application fee via POSB/DBS ATM. For applicants who are not paying through this mode, please ignore this number.

(B) PERSONAL PARTICULARS

NAME (As in NRIC or passport) : KEVIN JOSEPH TITLE : Mr

SURNAME/FAMILY NAME : IGNATIUS GIVEN NAME : KEVIN JOSEPH

NRIC/Passport No. : G9248428 SEX : MALE

DATE OF BIRTH : 03-NOV-1986 AGE (As at 1.1.2010) : 23

CITIZENSHIP : Indian RELIGION : CHRISTIAN

For Non-Singaporean Only: For Non-Singaporean Only:

Are you a Singapore Permanent Resident? NO Are you holding an Employment Pass/Work Permit? NO
For non-SPR, opting for Service Obligation: YES If Yes, FIN No. :
Are you holding a Dependant Pass? NO

RACE : INDIAN MARITAL STATUS : SINGLE

FAX No. : EMAIL ADDRESS : kevinjoseph86@yahoo.co.in

HOME ADDRESS : MAILING ADDRESS :

NO;78 SIVAN KOVIL 5TH STREET NO;78 SIVAN KOVIL 5TH STREET
KUMARAN NAGAR EXT KUMARAN NAGAR EXT
VAYALUR ROAD VAYALUR ROAD
TRICHIRAPALLI -620017 TAMIL NADU INDIA TRICHIRAPALLI -620017 TAMIL NADU INDIA

TELEPHONE No.
(Home) (Office) +919840848032 (Pager/Handphone)

Check List
Applicants: Please check that the following documents are enclosed in the given order. Incomplete applications will not be processed.
c 1. Application Form
d
e
f
g c 2. Application Fee (cheque/bankdraft/receipt of payment by cash or NETS)
d
e
f
g
c 3. Passport-sized photographs (one affixed on application form, and one pasted on Acknowledgement Slip)
d
e
f
g
c 4. NRIC/Passport/Citizenship Certificate/Employment Pass/ Work Permit/Dependent Pass
d
e
f
g
c 5. Degree scroll/University transcripts or results slips/ TOEFL/GMAT g
d
e
f
g c 6. Documentary proof of present and previous employment
d
e
f
c 7. Any other relevant documents
d
e
f
g c 8. Acknowledgement Slip
d
e
f
g

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(C) EDUCATIONAL BACKGROUND

University (Undergraduate and Higher Degree)
From To Qualification Obtained
University/Country
(Year) (Year) (Include Honours if applicable)

2004 2008 SATHYABAMA UNIVERSITY / INDIA B. ENG. (MECHANICAL & PRODUCTION) [1ST CLASS
HONOURS]

Professional Qualifications/Membership
From To
Professional Board/Country Award/Status
(Year) (Year)

Programme(s) you are currently pursuing

Programme Institution Expected Completion Date

(D) WORK EXPERIENCE

From To Duration
Designation Company/Organisation
(dd/mm/yyyy) (dd/mm/yyyy) (Mth)
16-MAR-2009 31-JUL-2010 GRADUATE ENGINEER TRAINEE SESHASAYEE PAPER & BOARDS LTD 16

03-OCT-2008 24-FEB-2009 ENGINEER PRABHAKAR PRODUCTS 5

Total duration of working experience

since obtaining a Bachelor's degree (assume up to 31-Jul-2010) : 1 years 9 months

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Briefly describe your most recent work/job assignments, if any, relating to the programme you are applying for admission. You may also indicate any
research experience you may have or any paper(s) that you may have published over the last 5 years. A statement of support from your employer would
be useful. Use a separate sheet of paper if necessary.

Presently i am working as graduate engineer trainee in Seshasayee papers and boards ltd. I am put up in Soda Recovery plant and i am looking after plant
maintenance ,Fabrication works, Erection and Commissioning of projects with expertise in Material estimation, preparation of plans, tool and technologies, resource
management, vendor development. Now i am trained up in maintenance of Cooling towers, Evaporator, Recovery Boiler and Rotary Lime Kiln and gained more
knowledge in different kinds of technologies.

State why you wish to pursue this programme and how you would use the knowledge you gain from it in practice.

My life ambition is to study in a world class university , hence i have chosen Nanyang university to pursue my master degree programme. In the present globalisation
Logistics industry is one of the key service sectors and also critical to develop a manufacturing company as well as country's economy. Logistics gives effective and
efficient management for a manufacturing company and traders. I like Planning and Implementation which are important for a Logistician. At present i am doing
planning and implementation of projects in my company. As this course would be useful to enhance my career perspectives i chose this programme.

(E) PROGRAMME ENROLLED IN NTU

Have you been or are you currently enrolled as a higher degree student of NTU? No
# Candidature may be terminated if candidate found to be currently pursuing any other programme(s) of study either in NTU or in any other universities without the
prior approval of the University.

If yes, please provide details :

Programme enrolled :

Status :

(2) Are you an existing undergraduate of a Bachelor programme at NTU? NO

If yes, please provide details :

Programme Pursuing :

Expected Date of Graduate :

Please indicate one other university that you have applied to for higher degree programme by coursework.

University:
Country:

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(F) FEEDBACK
Where did you first learn about NTU and our graduate programmes? Friends / Family Members / Colleagues

(G) DECLARATION
1. I affirm that all statements made by me on this form are correct.
2. I understand that any inaccurate or false information (or omission of material information) will render my application invalid and that, if admitted on the basis
of such information, my candidature may be terminated by the University.
3. I understand that should I be unable to submit the required supporting documents and application fee (as stated in the instructions of the on-line form) by the
stipulated deadline, my application will be considered invalid and will not be processed.

Application Fee
Mode of payment (Please tick)

c
d
e
f
g * Cheque/Bankdraft No.__________________________

b
c
d
e
f
g DBS/POSB ATM

c
d
e
f
g Internet Payment(VISA/Master Card)

_________________________________ _________________________________
Signature of Applicant Date

* Note : Please ensure that your cheque/bankdraft is made payable to 'Nanyang Technological University' in Singapore dollars, with your name, address,
contact number and programme applied for written on the reverse side of the cheque/bankdraft. Cheques and bankdrafts that are not made payable to
'Nanyang Technological University' in Singapore dollars will not be accepted, and such applications will be deemed invalid and will not be processed. No
further notifications will be sent to these applicants.

Order of Preference for Programmes Applied:

First Choice: 99 - MSC(LOGISTICS)
Second Choice: 177 - MSC(SYSTEMS AND PROJECT MANAGEMENT)

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