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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.
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
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
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)
84 - 9814151617
Religion Free Thinker Mobile/Handphone
Country code - Mobile Number
Particulars of Parents
Father Mother
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
Province/State
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
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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
this form
You must supply certified photocopies of all certificates, transcripts or school reports showing grades awarded.
Nov 2008 till now, Hanoi University of Technology,Electrical & Telecomm Engrg, CGPA - 4.5/5.0.
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
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.
Sample.
Number of words typed 0
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.
to apply using
Application History
this form
Are you currently studying in or applying for in a School, Polytechnic or University in Singapore? No
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
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
Sample.
✔
Study tour/tour to Singapore ✔
Sibling/friend/relative applying/applied to NTU
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.
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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.
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