For CET Diploma & Post Diploma 1Updated Jun 2015 COURSE APPLICATION CHECKLIST Thank you for applying to our courses online. Please attach this checklist together with your supporting documentstoCETAcademy(bypostorCETAcademydropbox)withinoneweekoftheonline application.Yourcourseapplicationisdeemedcompleteonlyuponsubmissionofallrequired supportingdocumentslistedinthecoursechecklist.Pleasenotethatonlycompletedapplication accompanied by $10 non-refundable application fee will be evaluated for admission. PERSONAL PARTICULARS Name: ___________________________________________________________________________(As per NRIC/ passport, underline your family name) NRIC/ FIN No./ WP: _______________________ Applicant ID: ______________________________ (Issued upon successful application) Telephone No.: ____________________________ Email: __________________________________ COURSE (please tick only ONE Course) Part-time DiplomaAdvanced Diploma Business Practice Administration & Management (DBPAM) Intl Supply Chain Management (DBPSC) Tourism Management (DBPTM) Engineering Aerospace (DEAS) Building Services & Fire Safety (DEBF) Electrical (DEE) Electronics (DEEC) Marine (DEMOT) Mechanical (DEM) Mechatronics (DEMH) Early Childhood Education Early Childhood Care & Education Teaching (DECET) Early Childhood Education Early Childhood Intervention (Special Needs) (ADESN) Health Science (2016 Intake only) Critical Care Nursing (ADCRN) Nursing (Chronic Disease Mgt) (ADNCD) Perioperative Nursing (ADPON) Applied Science Medical & Pharmaceutical Tech (ADMPT) Information and Digital TechnologiesEnterprise Business Analytics (ADEBA) Diploma (Conversion)Specialist Diploma Engineering Marine & Offshore Technology (DCMOT) Facility Management (DCFM) Information and Digital TechnologiesDigital Media Design (DCDMD) Engineering Marine Production (SDMRP) Health Science (2016 Intake only) Palliative Care Nursing (SDPCN) Information and Digital TechnologiesConsumer & Performance Analytics (SDCPA) IT Network Systems (SDITS) For CET Diploma & Post Diploma 2Updated Jun 2015 APPLICATION FEE - $10 (Non-refundable) Please attach receipt/ cheque to this checklist and put a to indicate the payment mode: NETS E-NETS Cheque (Cheque No.____________________) ACCESS TO MOE or GOVERNMENT GRANT YesNoIs this your first MOE or government funded part-time Diploma / Post-Diploma programme? COMPULSORY DOCUMENTS CHECKLIST (via Online or Hardcopy) Pleaseensure the following documents are submitted to CET forthe processing ofyourapplication. Please put a against the items that are submitted to CET. OnlineHardcopy Copy of front & back of your NRIC/ Employment Pass/ Work Permit/ Passport 1 passport-sized photograph Copiesofrelevantacademic/educationalcertificates(Notarialtranslationfor certificates not in English) ForEarlyChildhoodEducationcourseapplicants,pleaseproduceGCEO LevelEnglish/IELTSresultsandPhotocopyofLetterofNotificationof Categories of Teachers from MCYS/ MSF /MOE (where applicable) Documentsofemploymentrecordsandcurriculumvitae/resumestating employment history, job titles and job description of all employment For company sponsored applicants only - Company Sponsorship Declaration Form* is duly completed and attached. (Hardcopy only)*CompanySponsorshipDeclarationFormcanbedownloadedfromourCourseApplication Guide Webpage OTHER SUPPORTING DOCUMENTS FOR RECOGNITION OF PRIOR LEARNING (RPL) (for more information about RPL, please refer to CET website) YesNoI have also submitted supporting documents to seek exemptions from part of the curriculum upon gaining admission to the course: State here: I declare that the information in this checklist and any sheets attached hereto are true and I have not wilfully suppressed any material fact. I accept that if any information given by me in this document is any way false or incorrect, I may be removed from the course and have to pay the full course fees to Ngee Ann Polytechnic. Signature: __________________________________ Date: _________________________________ Completed application form must be submitted by hand or by post to: CET Academy (CET) Ngee Ann Polytechnic Block 56 #01-04 535 Clementi Road Singapore 599489