ApplicationFormForAY11-12_Indon

8/3/2019 ApplicationFormForAY11-12_Indon

1/9

SINGAPORE SCHOLARSHIP

INSTRUCTIONS TO APPLICANTS

1. Applications need to comply with the following requirements:

(i) The application form is to be completed in English.

(ii) Certified English translations of supporting documents (i.e. certificates,testimonials and transcripts) must be submitted for documents that are not inEnglish.

(iii) For Indonesian applicants, candidates must at least complete Final Year of SeniorHigh School with excellent academic records. Incomplete result transcripts will berejected.

(iv) The application form and supporting documents must be of A4 size and printed on

1 side only.

(v) The application form must be duly completed and endorsed by the Ministry ofForeign Affairs or the relevant agency responsible for the Singapore ScholarshipAward in your country (please refer to the url:'https://app.scp.gov.sg/scholarapply.asp' for list of the relevant agencies)

(vi) 4 copies of the application form and 4 copies of supporting documents mustbe submitted to the Singapore Embassy, High Commission or Consulate-General inyour country through the relevant agency responsible for the SingaporeScholarship Award in your country.

2. All applications must reach the Singapore Embassy, High Commission orConsulate-General in your country by 20 December 2010. Applicationsreceived after this date will not be considered.

3. Candidates from Malaysia & Brunei can submit their applications after theirrespective results for the General Certificate of Education Advanced Leveland Sijil Tinggi Persekolahan Malaysia (STPM) are released in March 2011.

4. The Singapore Scholarship covers full tuition fees, return economy classairfare between the Scholars home country and Singapore whencommencing the bridging/undergraduate course and upon successfulcompletion of the undergraduate course, a living allowance of S$4,300 peracademic year (covering meals, transport, textbooks and course materialsduring academic semester) and a separate full accommodation allowanceduring academic semester based on the different room rates at eachuniversity or designated hostel.


2/9

5. For more information on the Singapore Scholarship, please check ourwebsite: http://www.scp.gov.sg or contact the Singapore Embassy, HighCommission or Consulate-General in your country. You may also write in to:

The Singapore ScholarshipTechnical Cooperation Directorate

Ministry of Foreign AffairsTanglinSingapore 248163Tel No: (65) 6379 8000Fax No: (65) 6479 3357Email: [email protected]


3/9

SINGAPORE SCHOLARSHIP*

APPLICATION FOR ACADEMIC YEAR2011/2012

1. PERSONAL PARTICULARS (Please use BLOCK letters)Name (Please underline surname) :

Identification No.: Citizenship:

Date of Birth ( dd/mm/yyyy ): Country of Birth:

Religion: Ethnicity:

Marital Status: Single / Married/ Divorced / Widowed#

Gender : Male / Female#

Postal Address:

Telephone No: ______ - ______ - _______________(country code) (area code) (tel no.)

Mobile No: ______ - ______ - _______________(country code) (area code) (tel no.)

Fax No: _______ - ______ - _____________(country code) (area code) (fax no.)

E-mail address (if any):

(Candidates are strongly advised to provide either a fax no. or an email address to facilitate correspondence)

Name of Parent/ Guardian/ Next of Kin#:

Relationship: Occupation/ Designation:

Address:

Contact Number:

Do you have a family friend/ relative in Singapore? Yes / No#

If Yes, please give details:

Name: Relationship:

Address:

Contact Number:

# Circle accordingly

* The Singapore Scholarship covers full tuition fees, return economy class airfare between the Scholars home country and Singapore whencommencing the bridging/undergraduate course and upon successful completion of the undergraduate course, a living allowance of S$4,300 peracademic year (covering meals, transport, textbooks and course materials) and a separate full accommodation allowance based on the differentroom rates at each university or designated hostel. Page 1 of 7

Please attach arecent

photograph ofyourself here


4/9

2. PARTICULARS OF PARENTS, BROTHERS AND SISTERS

Full Name (BLOCKLETTERS)

MaritalStatus

Citizenship Relationship Date ofBirth

Occupation(if deceased,state so)

Name and AddreEmployer


5/9

3. COURSES AVAILABLE*NUS NTU SMU

Arts & Social Sciences 01Art, Design & Media #

08 Accountancy 41

Bioengineering 41 Business & Computing 17 Business Management 42

Business Administration 07 Mathematics & Economics 42 Economics 43

Business Administration withAccounting

32 Accountancy 21 Information Systems Management 44

Chemical Engineering 12 Accountancy and Business 21A Social Science 45

Civil Engineering 42C Business 22

Computer Engineering(jointly by Engineering andSchool of Computing)

48 Computer Engineering 23

Computing 13 Materials Engineering 25

Electrical Engineering 43E Sports Science & Management 26

Engineering (Common) 14 Communication Studies 28

Engineering Science 47 Biological Sciences 29

Environmental Engineering 18 Bioengineering 30

Industrial & SystemsEngineering 45I

Chemical & BiomolecularEngineering

31

Industrial Design 20 Maritime Studies 32

Material Science &Engineering

46M Computer Science 33

Mechanical Engineering 44M Environmental Engineering 34

Pharmacy 15 Economics 35

Project & FacilitiesManagement

30 English 36

Real Estate 31 Chinese 37

Science 02 Psychology 38

Sociology 39

Chemistry & Biological Chemistry 46

Aerospace Engineering 47

Physics & Applied Physics 48

Physics & Mathematical ScienceManagement

48A

Mathematical Sciences 49

Civil Engineering 94C

Electrical & ElectronicEngineering

94E

Mechanical Engineering 94M# Candidates applying for NTU 'Art, Design & Media' course are required to submit 4 items:

(i) A 3 minute movie with a personal explanation/performance demonstrating why you should be admitted into the Bachelor of Fine Arts(BFA) course. The movie format should be a region-free DVD, or a QuickTime or MediaPlayer file on a CD-ROM. Movies longer than 3minute will not be reviewed.

(ii) A short written composition in English of no more than 400 words as to why you are uniquely qualified to enter the BFA course.(iii) A portfolio or demo reel of personal artwork includes projects developed in secondary education. The portfolio should demonstrate

general artistic proficiency plus ability in the desired area of BFA expertise(i.e. animation, photography, design, etc)(iv) 'O' level or equivalent passes in Mathematics.All applicants will also be required to take a Faculty Test. Application deadline for all materials are at admission application closing date.

There is no exception.

*Detailed descriptions of each course are available in the admission prospectus enclosed in the Singapore Scholarship brochure. Updateddescriptions are available from the universities' websites: NTU: http://www.ntu.edu.sg/admissionsNUS: http://www.nus.edu.sg / admissions/undergrad, SMU: http://www.smu.edu.sg Page 3 of 7


6/9

INSTRUCTIONS: STATE CLEARLY THE COURSE YOU WISH TO STUDY IN ORDER OF PREFERENCE

CHOICES UNIVERSITY COURSE CODE

FIRST

SECOND

THIRD

FOURTH

FIFTH

4. EDUCATIONAL QUALIFICATIONS

Please indicate the course/programme you are currently studying

(GCE A levels, STPM, UEC, Standard XII, SMU UAN, High School Certificate, Thai Mathayom, Tertiary Entrance Exam,International Baccalaureate or others)

Grade obtained for English language :

SAT Reasoning Score(Ifapplicable) :

Verbal/Critical Reading: Maths: Writing: Total:

Educational Record: Please give us all details of secondary/high school, Polytechnic, University education which youhave completed or are currently pursuing. Certified copies of all certificates, transcripts or school reports showing gradesawarded must be attached.

High School/ University attended(Name of school / Location)

CourseYears Attended(e.g. 1994-1997)

Completed(Yes/No)

Page 4 of 7


7/9

5. ACADEMIC AND FINANCIAL AWARDS(eg. honours, distinctions, book prizes, scholarships) won in thelast 3 years. Please list in chronological order and submit copies of documentary evidence.

Year Type of Award (For scholarships, please indicate tenure and value of award)

6. CO-CURRICULAR ACTIVITIES (Please submit copies of documentary evidence)

Activities involved in School

Date/Duration Brief Description of Activities Office Held (e.g President, Secretary, etc.)

Sports at School (State / National Level)

Date Name of Sport Level (e.g. National or State, etc)

Other activities, in which you assumed leadership positions, and community/voluntary services

Date/Duration Brief Description of Activities Position Held

7. WORK EXPERIENCE

Job titles Name of organisation Dates employed

Page 5 of 7


8/9

8. ESSAY

In a separate attachment, write (to be typed written) a short essay on a subject of personal importance to you(300-500 words). You may choose any topic. Examples include: an event which has influenced you; why youwant to choose an Engineering career; or a family member/friend/person who had a significant influence onyou. Please note that the essay is an important part of your Scholarship application.

9. DECLARATION

Have you ever been convicted by a Court of Law of any country? Yes / No#

If yes, please give brief details:

I hereby declare that the information provided in this application is correct. I authorise theUniversities/Institutions to obtain official records, if necessary, from any educational institution attended byme.

I am medically fit and free from any medical problem which may impair my ability to attend to my studies inSingapore;

I understand that any provision of inaccurate or false information or omission of information will render thisapplication invalid and that, if admitted on the basis of such information, I can be required to withdraw fromthe Scholarship.

Signature: ______________________________ Date:_______________(Please note that unsigned applications will be rejected)

# Circle accordingly

Page 6 of 7


9/9

10. OFFICIAL DECLARATION(to be completed by the nominating government)

The ____________________________________________________________________________________( Name of Department/ Ministry)

nominates_____________________________________________________________________ on behalf of( Name of student)

___________________________________ for the Singapore Scholarship Award (Academic Year 2010/2011).(Country)

_________________________________________(Name)

____________________________________________(Designation)

_________ - ___________ - _____________________(Ctry Code) (Area code) (Office Telephone No.)

__________________________________________(Signature and Ministrys stamp)

__________________________________________(Address of Department/Ministry)

_________ - ___________ - ___________________(Ctry Code) (Area code) (Office Fax No.)

Please note:

This application form must be duly completed and endorsed by the Ministry of Foreign Affairs or therelevant agency responsible for the Singapore Scholarship Award in your country. Please attach relevantsupporting documents, which are to be submitted with the form. INCOMPLETE AND/OR UNENDORSEDFORMS CANNOT BE PROCESSED.

Page 7 of 7

Documents

ApplicationFormForAY11-12_Indon