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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

Sample.
an Application Number, please submit your application again.

* Required information is marked in PURPLE

Personal Particulars

Name (as shown in passport or ID) MR VU ANH HOA (eg. TAN AH PEK JOHN)

Do not attempt
Passport/Identity Card No(eg. E1234567. Please do not type
any additional words (eg. passport, etc) beside the number) B1512456

Permanent Home Address Postal Address


(Please provide your complete address and break your address into lines 1, 2 & 3, use abbreviation (if different from permanent address)
where possible and leave only one spacing between each word. Do not exceed 150 characters including
spaces in total.)
For Singapore Address, please provide your address here:

to apply using
Block/House No: # - Postal Code:
For Foreign Address, please provide address here: For Foreign Address, please provide address here:
Address Address
(Line 1)
61/101 (Line 1)
Address Address
THANH NHAN STREET
(Line 2) (Line 2)
Address Address
HAI BA TRUNG DISTRICT

this form
(Line 3) (Line 3)
State/ State/
HANOI
Province Province
Postal
Postal
Code/
Code/Zip
Zip
Country Vietnam Country

Home 84 - 4 - 8123456 Contact - -


Phone Country code - Area code - Local Number Phone Country code - Area code - Local Number

Fax - - Fax - -
Country code - Area code - Local Number Country code - Area code - Local Number

E-mail2
E-mail1 anhhoa@yahoo.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 01JAN-1989 Gender MALE


(DD-MON-YYYY, e.g. 28-SEP-1989)
Are you a Singapore NO
Citizenship Vietnamese Specify if others
Permanent Resident?

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Admission to Undergraduate Programmes (Full-Time)

Country of Birth Vietnam Specify if others

84 - 9814151617
Religion Free Thinker Mobile/Handphone
Country code - Mobile Number

Particulars of Parents

Father Mother

Name VU HOANG HAI NGUYEN THI HOA

Occupation TEACHER HOUSEWIFE

Office Address (if available)

Sample.
Office Telephone (if 84 - 4 - 8654321 - -
available) 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.

Do not attempt
First Choice Computer Science
Second Choice Computer Engineering
Third Choice Electrical & Electronic Engineering
Fourth Choice Mathematical Sciences
Fifth Choice Information Engineering & Media

to apply using
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.

this form
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:

-> Completed High School and currently a university student


Completed High School and currently a university student in:

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Admission to Undergraduate Programmes (Full-Time)

Name of University : Hanoi University of Technology


If the name of your university is not found above,
please provide here

Province/State

Course/Programme : ELECTRICAL & TELECOMMUNICATION ENGINEERING

Year of Study : 2ND YEAR (Eg. 1st Year)

Name of
High Hanoi, Amsterdam High School (Gifted)
School
If the name

Sample.
of your School
high Name:
school is
not found
above,
please
provide Address
here

Do not attempt
Results of Certificate of High School Graduation
Exam Year 2007 (eg 2007)
Subjects Marks Obtained

History 8.5

Physics 9.0

to apply using
English 8.5

Geography 9.0

Mathematics 9.0

Literature - Vietnamese 9.5

this form
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).

Nov 2008 till now, Hanoi University of Technology,Electrical & Telecomm Engrg, CGPA - 4.5/5.0.

Your information must not be more than 200 words.

Number of words typed 16

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 Year Taken Score

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Admission to Undergraduate Programmes (Full-Time)

Month-Year Essay
SAT 1 Verbal Math
(MON-YYYY, e.g. Jun-2007) (eg. 6, 7, 8)

Date
IELTS Band Writing
(DD-MON-YYYY, e.g. 01-Feb-2007)

Outstanding Achievement

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).

Sample.
Number of words typed 0

NTU University Entrance Examination

Do not attempt
The Entrance Examination is scheduled in February 2009. If you are shortlisted to sit for an Entrance Examination, please indicate your
preferred examination venue : HANOI

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

to apply using
Application History

Have you applied to NTU previously? No

Current Academic Status in Singapore

this form
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? No

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:

Study Year/
Programme
Name Relationship Graduated Year

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Admission to Undergraduate Programmes (Full-Time)

How did you learn about the Nanyang Technological University?

You may tick more than one box



Internet ✔
School Counsellor

Agent/Education Centre ✔
Presentation by NTU Representative

Advertisement-newspaper ✔
Education Exhibition

Advertisement-Studylink ✔
Sibling/friend/relative graduated/studying at the University

Posters/brochures in school ✔
Sibling/friend/relative working/residing/studying in Singapore

Sample.

Study tour/tour to Singapore ✔
Sibling/friend/relative applying/applied to NTU

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.

Do not attempt
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

to apply using
are reminded to remember your password and keep it confidential.

University2009 (enter your 8 to 20 characters password here)

IMPORTANT: INCOMPLETE APPLICATION WILL NOT BE PROCESSED

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All Rights Reserved

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