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Application for the admission of international candidates to undergraduate courses in Academic Year 2012-2013
Please check your application before submission. The Office of Admissions cannot be held responsible for the accuracy of your application.
As you are on a secure site, and for security reasons, please note that you are only given 30 minutes to complete the application form. You will be logged out if you take more than the allocated time. If you would like to provide details in the "Exceptional talents and achievements" section, you are strongly encouraged to pre-type your text using a text editor and then copy it over to the allocated box in the form. The application form consists of the following sections. Please complete all sections. Disabilities and Special Needs 1. Personal Particulars 8. Next-of-Kin Information 2. Contact Information 9. Personal Identification Number 3.. Academic Qualifications 10. Application Fee 4. University/Tertiary Education 11. Financial Aid 5. Exceptional talents and achievements 12. Choice of Courses Other Information 6.. 13. Employment History Declaration 7. 14. Fields that are marked with * are mandatory.
7944731a266958

1. Personal Particulars
Full Name *
Deepak Arun P

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(Type in your full name in the same sequence as printed on your passport, Birth Certificate, or identification card)

Given Name/ First Name *

Deepak Arun
Note: Click here here for guide on how to key in Given Name

Family Name/ Last Name/ Surname * Date of Birth * Gender * Citizenship * Passport Number Marital Status*

Pradeep
Note: Click here here for guide on how to key in Family Name

26

12

1994
(dd / mm / yyyy eg. 08 / 02 / 1989)

MALE INDIAN G8020222 SINGLE N

>

(To be filled in by non-Singapore Citizen. If you are a Malaysian, please enter your 12-digit M

Race / Ethnic Group* Religion*

INDIAN HINDU

2. Contact Information
Postal Address * Block/HouseNo. Street Name/Building Name State/City Country * Postal Code Email * Alternate Email Home Telephone* Handphone / Pager
Country Area Number

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XVI/537 Angel Road/Moon drops Kerala/Kochi INDIA 683106 deepakarun1994@rediffmail.com larunaben@hotmail.com

(e.g. APT BLK 42)

Unit No.

(You do not need to fill in "Singapore" here if you are providing a Singapore ad

(Please ensure your email address will be in-use for at least another 12 month

91
Country

484
Area

2625183
Number

(Please do not fill in country & area codes for Singapore number; for the 'n do not put hyphen or leave space in-between numbers, An eg. Contact nu keyed in as 12345678)

(Please do not fill in country & area codes for Singapore number; for the 'n do not put hyphen or leave space in-between numbers, An eg. Contact nu keyed in as 12345678)

3. Academic Qualifications
Secondary Education Name of Secondary School
Daw n International School Phoenix Public School

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City/Country
Kochi/India Thrissur/India

From
JUN JUN 2007 2009

To
JUN MAR 2010 2010 2010

Examination

EDEXCEL/ LONDON 'O' LEVEL

Year Taken

Subjects

Marks / Grade Obtained

9991 B

Maximum Marks / Grade Possible

A*

English
9993

Additional Mathematics

Physics

9994

A*

The above information is required to ascertain that you satisfy specific course pre-requisites. You may not have offere some of these subjects therefore information is not compulsory. Please leave the space blank if you have not taken th above subjects. High School Education

Name of High School

Country

Province/city

From
JUN

To
MAR 2012

Daw n International School

INDIA

Kochi 2010

Examination

EDEXCEL/ LONDON 'A' LEVEL

Year Taken

2012

Please indicate type of results submitted Actual Most recent school examination results If you are not submitting actual results, indicate the month that your actual results will be available 2012
2012

Please ensure that the information you enter is accurate as your admission outcome will be adversely affected by inaccurate information. Examination Results Subject
ENGLISH PHYSICS BIOLOGY CHEMISTRY MATHEMATICS FURTHER MATHEMATICS

Level
A/Principle A/Principle A/Principle A/Principle A/Principle AO/AS

Grade
B C B B B B

Additional Information Please provide, if available Date Taken IELTS TOEFL EL1119 MUET
EL1119 MUET IELTS

Marks / Grade Obtained

Paper

Computer

Internet

Reasoning Test (SAT I) Critical Reading / Verbal

VV

Math Writing Subject Test (SAT II) Subject

MM WR

ACT Composite Score

ACT

Advanced Placement (AP) Subject

Students who are offering the Indian Standard 12 qualification may fill in their IIT/AIEEE (if applicable) below:
AIEEE_S 2012 AIEEE 01

State Rank

AIEEE Rank

Country Rank
IIT_S 2012 IIT 01

State Rank

IIT Rank

Country Rank

4. University/Tertiary Education

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Are you a current / former (regardless of whether you have or have not graduated) student of the National University Singapore (NUS), Nanyang Technological University (NTU), Singapore Management University (SMU) and/or any othe tertiary institutions (except polytechnics in Singapore)?
(Please click here for more information)

Yes

No

Are you a current / former student of any other university or tertiary institutions? Yes No

If you have chosen YES to the above question, please provide your academic results as follows

University Year Subject

Course Marks / Grade Obtained Maximum Marks GPA / Grade Possible

5. Exceptional talents and achievements

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Admission to NUS is highly competitive. While good examination results enhance your chances of gaining admission, NUS also seeks suitable candidates with other outstanding academic/nonacademic achievements. This section provides an opportunity for you to list your other achievements. You may choose not to fill in this section if you do not have any such achievement. The list below are some activities that we may take into consideration. You should especially indicate achievements in the International Science Olympiads competitions. You may leave it blank if you have not participated in any of the indicated Olympiads.

Activity 1* Level of achievement Subject* Level From* To* Name of contact person (if available) Position of contact person Telephone number Fax number

Medal w inner at International Olympiads (Biology, Chemistry, Informatics, Mathematics or Physics) Gold Medal Mathematics International JUN JUN 2008 2009

Please provide other relevant details under "Activity 2 and 3". Top student awards achieved in the country, national team sportsmen and exceptional rank in top university entrance examinations generally are helpful in this section. Participation in activities and achievements at intra school, house or class level (eg best student, most courteous, science/arts/cultural projects) do not, usually, have a strong bearing on the outcome of your application. You may also elaborate on your involvement and achievements in these activities in an essay in this section. You must submit the relevant records to support the information you have provided. Activity 2* Level of achievement Name of activity/ organisation/empl oyer* Level Position Held From* To* Name of contact person (if available) Position of contact person Telephone number Fax number
Medal w inner at International Olympiads (Biology, Chemistry, Informatics, Mathematics or Physics) Honourable Mention International Maths Olympiad International Not Applicable JUN JUN 2010 2011

Activity 3* Level of achievement Name of activity/ organisation/empl oyer* Level Position Held From* To* Name of contact person (if available) Position of contact person Telephone number Fax number Essay

Others Gold Medal National Science Olympiad(NSO National Not Applicable JUN JUN 2007 2011

This section is an opportunity for you to elaborate on the information you have provided earlier. You may discuss a special talent, a personal experience or an activity that you have been involved in that is relevant to the course you are applying for admission. As your essay is limited to only 2000 characters (including punctuations and space), do present your ideas in a focused and thoughtful manner.
Extensive participation in national and international examinations such as: Talent Search Institute Maths Olympiad(2011)- All India Rank= 85 Global Mathematics Talent Search(2006) All India Rank =157 2nd International Mathematics Olympiad(IMO) International Rank =3725 4th IMO International Rank =3930

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Exemptions and Scholarships

Applicants who have been exempted from high school graduation examinations or have been awarded a full scholarsh to a university, may provide details in this section. If not applicable, you may leave it blank. University admitted to and course High School examinations exempted from Name of Scholarship attained Year Name of contact person (if available)

Position of contact person Telephone number Fax number

6. Choice of Courses
There will be TWO parts in this section: (a) and (b).

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In (a), please tell us your choice of Single Degree courses in order of your preference. You must complete (a) b proceed to (b) to indicate your interest in the Double/Concurrent Degree programmes. You need to complete (b) only if you are interested in the double/concurrent degree programmes. a) Single Degree Courses

State your choice of course in order of preference. We will consider your choice in the order that you have indicated you do not qualify for your first choice, we will consider you for your second choice and so forth, at no disadvantage. Y fewer than 5 choices but do not repeat the choices. For the latest update on courses, please refer to http://www.nus.edu.sg/oam/courses/course.html.
1st Choice* 2nd Choice 3rd Choice 4th Choice

MECHANICAL ENGINEERING CIVIL ENGINEERING BIOENGINEERING CHEMICAL ENGINEERING

5th Choice

ELECTRICAL ENGINEERING NA NA NA

Note: For each choice, there is a Drop-Down-Menu comprising all single-degree courses which NUS offers Application for the Music course should be filed separately. Please refer to the Yong Siew Toh Conservatory of website at http://music.nus.edu.sg Students reading common Engineering will be streamed at the end of Year 1 to Bioengineering, Chemical Engi Engineering, Computer Engineering, Electrical Engineering, Environmental Engineering, Industrial & Systems E Mechanical Engineering or Materials Science & Engineering Students must indicate Dentistry as their first or second choice if they wish to be considered for admission to Students must indicate Medicine as their first or second choice if they wish to be considered for admission to t For applicants who wish to apply for the Graduate LLB programme, please opt for "Law (3-year Law for univer You must have completed or are completing your degree by end July 2012 and are able to enroll in AY2012-2 to website at http://www.nus.edu.sg/oam/apply/interview.htm for the Referee Report Form.

b) Double/Concurrent Degree Programmes Please fill in this section if you are interested in a double/concurrent degree programme.

Note that:

1. If you wish to apply for a double/concurrent degree programmes, you must include at least one of the facultie the double degree programme as one of your choices in (a). 2. The faculties / schools offering direct admission to double/concurrent degree programmes are Arts & Social Sc Economics), Law and Science (for Life Sciences). 3. To be considered for the Business Administration & Law, Business Administration(Accountancy) & Law, Econom Law & Life Sciences, double degree programmes, you must have listed Law as your first or second choice in th single degree course in (a). For more information, please click here.

You will be evaluated for admission to a double/concurrent degree programme if you are successful in gaining admissi /school that offers one of the double/concurrent degree programmes.

Some double degree programmes require a selection interview. Only shortlisted candidates will be informed to attend for the double degree programmes. You may be shortlisted for one or more interviews if you indicate more than one c Double Degree Programme options. Please note that Double Degree Programmes are highly competitive.

If you are interested in more than one double/concurrent degree programme, please select the programmes in order
1st Choice 2nd Choice 3rd Choice 4th Choice

Note: For each choice, there is a Drop-Down-Menu comprising:

Business Administration & Law Business Administration (Accountancy) & Law Economics and Law Law and Master in Public Policy Law and Life Sciences

7. Employment History
Name of Company Position

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Please indicate only if you have at least one year of full time work experience. From To

8. Disabilities and Special Needs

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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? Yes No

If yes, please provide all relevant information on a separate sheet of paper (and attach the relevant medical documents).

Note: This information will enable the University to develop a complete profile of an applicant and to determine whether he/she might need additional resources in his/her studies. The University does not, however, guarantee t provision of special aid (financial or otherwise) to any student.

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9. Next-of-Kin Information
Please provide a contact person in case of an emergency. Name of Next-of-Kin / Guardian * Relationship with Applicant* Occupation * Telephone * Handphone / Pager
Country Area Number

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Mdm MOTHER

L Aruna Ben

Scientific Offic 91
Country

484
Area

2625183
Number

(country & area codes are required only for non-Singapore number)

(country & area codes are required only for non-Singapore number)

10.Personal Identification Number

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Enter an Admission PIN (8 alpha-numeric characters) (case sensitive)* Re-enter your Admission PIN (8 alpha-numeric characters) (case sensitive)* Please keep your PIN confidential. Your PIN is important and you will need it to access the following online facilities related to this application.

Online status enquiry Online reply to NUS' offer of admission Online appeal E-Payment via Credit Card

11.Application Fee

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A non-refundable application fee of SGD20 is payable. Please select one of the following modes of payment Credit card (Visa and MasterCard only. Payment can be made immediately via the web link located at the acknowledgement page after submitting your application.) Bank draft/cheque made payable to 'National University of Singapore' NETS at the Office of Admissions, NUS * Payment must be made by the application closing date. Applications without full payment will not be processed.

12.Financial Aid

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NUS offers Financial Aid schemes such as loans, bursaries and work-study opportunities in order to help financially needy students meet their study expenses in NUS. Do you intend to apply for Financial Aid offered by NUS to support your studies in NUS? Yes No

13.Other Information

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Have you ever been convicted of an offence by a court of law or a military court (court martial) in any country or are there any court proceedings pending against you anywhere in respect of any offence? Are you currently, or have you ever been, charged with or subject to disciplinary action for any type of misconduct scholastic or otherwise, at any educational institution? Are you currently, or have you ever been, under investigation or subject to enquiry in respect of any misconduct, scholastic or otherwise, at any educational institution? If your answer to any or all of the above questions is No, please click No below. No Or

If your answer to any or all of the above questions is Yes, please click Yes below and also provide a full statement of the relevant information in the box below and/or on a separate sheet of paper (and attach the releva documents). Yes

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14.Declaration

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I hereby declare that all information provided by me in connection with this application is true, accurate and complete. I understand that any inaccurate, incomplete or false information given or any omission of informatio required shall render this application invalid and NUS may at its discretion withdraw any offer of acceptance made to me on the basis of such information or, if already admitted, I may be liable to disciplinary action, which may result in my expulsion from NUS. And I hereby authorise NUS to obtain and verify any part of the information given by me from or with any source, as it deems appropriate.

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Extensive participation in national and international examinations such as: Talent Search Institute Maths Olympiad(2011)- All India Rank= 85 Global Mathematics Talent Search(2006) All India Rank =157 2nd International Mathematics Olympiad(IMO) International Rank =3725 4th IMO International Rank =3930 6th National Cyber Olympiad (NCO) All India Rank=9919 8th NCO- All India Rank=2512 9th NCO All India Rank =94(preliminary), 150 (final round) 10th National Science Olympiad (NSO)- All India Rank=3928(preliminary),845(final round) 11th NSO - All India Rank = 3668(preliminary), 775(final round) 12th NSO - All India Rank=972 13th NSO All India Rank =5407 Progressive Curriculum Management(PCM 2006)- National level grade= C1 MaRRS International Spelling Bee- District level (2007 and 2008) National Level Science Talent Search Examination(NSTSE 2009) All India Rank =1132 Unified Cyber Olympiad(2009)- All India Rank= 155 Participated in: All Kerala Association of ISC schools( 2004 and 2005) K.C.P(P&I) Scholarship(2004) Power Horse International Spelling Bee(2005) Bharat Vikas Parishad, junior category, state level Young world All India quiz(2008 and 2009) Swadeshi Science Talent quiz Has participated in extra curricular activities and won prizes in: Light, classical and western music Instrumental music ( keyboard) Poetry and story writing essay writing recitation extempore elocution declamation Pencil drawing space and math quiz puzzle competition memory test Participation and medals in sports activites: Cricket Soccer

Sprint Long jump Table tennis Awards and Proficiencies at school level: Proficiency award (four times) for academic brilliance Perfect attendance award Ideal student award School All rounder award Has learnt classical music(Carnatic) for 11 years and have performed at various concerts. Fluent and efficient in five languages: English, Hindi, Tamil and Malayalam. Knowledge in French.