INTERNATIONAL STUDENT APPLICATION FORM (Nov 2023)
INTERNATIONAL STUDENT APPLICATION FORM (Nov 2023)
recent passport-
sized photograph
here
Important Note:
• This application form is applicable to international students only.
• Incomplete applications will not be processed. Please complete all information requested on the application
form.
• A non-refundable application fee of S$490.50 (inclusive of 9% GST) must be made payable to “MDIS Pte Ltd”.
• All supporting documentation should be attached to your application.
Confidentiality Clause:
MDIS is committed in maintaining the confidentiality of personal information and undertakes not to divulge any
of the applicants’ personal information to any third party without the prior consent of the applicants.
1. PERSONAL DETAILS
Have you studied at MDIS before? ¨ YES ¨ NO
Name (as per Passport)
2. PROGRAMME SELECTION
Programme:
I Eain Hnin Sat Naing , understand and give / do not give consent to MDIS for providing my parents /
guardian information related to my academic results, attendance, conduct and any relevant matters during my studies
at MDIS. I request you to copy all official correspondence from MDIS to my parents /guardian upon request, via the
details noted below:
+959897805761
SMS:__________________ +959897805761
Phone: ___________________ [email protected]
Email: ____________________________________
I, the undersigned, hereby affirm to the authenticity of the information provided on this application form.
I acknowledge that (MDIS staff/Agent) has explained
the above details to me and I understand that any false or misleading information may result in denial of admissionary
expulsion from MDIS. I declare that I have read the instructions on this application form and all the information provided
is complete and correct.
I declare that I have read the terms & conditions on this application form and I hereby authorise the Institute to conduct
authenticity verification from the awarding organisation(s) of my declared academic qualifications. I understand that the
final acceptance into the course is subject to the approval of the Student's Pass application from the Immigration &
Checkpoints Authority of Singapore (ICA) and meeting the admission requirements of the course.
I consent to the collection, use and disclosing of my personal data by MDIS for the purpose of processing my application
for study, administration and funding purposes (where applicable), subject to the provisions of the Personal Data
Protection Act (PDPA) in Singapore.
Were you issued a Training Work Permit by Ministry of Manpower (MOM) before?
oYes oNo
Eain
Signature of Applicant Signature of MDIS Representative and/or Agent
6. INFORMATION REQUIRED FOR ONLINE APPLICATION FOR A STUDENT PASS (for eForms 16)
NOTE:
1) All fields with *are mandatory (compulsory). Any empty fields will be deemed as NIL/ NA
2) Strictly use only English characters to avoid errors when submitting online
3) Strictly use only BLOCK LETTERS
4) Please note that your signature in this form MUST BE the same as your passport signature.
5) The Institute shall not be responsible should the application be rejected due to the omission of certain
information by you.
WARNING
IT IS AN OFFENCE UNDER THE IMMIGRATION ACT TO MAKE ANY FALSE STATEMENT, REPRESENTATION
OR DECLARATION IN CONNECTION WITH THIS APPLICATION
Full Name in BLOCK LETTERS (Underline Surname) * Alias, if any Birth Certificate No.*
EAIN HNIN SAT NAING
Race* Religion* Sex* Date of Birth (DD/MM/YYYY) *
BURMESE BUDDHIST FEMALE 02/12/2002
Expiry Date of Occupation (If student, put FULL TIME STUDENT) Marital Status *
Employment/Dependant’s Pass
FULL TIME STUDENT
if any (DD/MM/YYYY) Single/Married/Divorce/Widowed
Type of Travel Document Held Serial No. of Travel Document Held Issue Date of Travel Document
MI207265 (DD/MM/YYYY)
INTERNATIONAL PASSPORT
09/11/2023
Country of Issue of Travel Place of Issue of Travel Document Expiry Date of Travel Document
Document MOHA, TAUNGGYI (DD/MM/YYYY)
MYANMAR 08/11/2028
Parents’ AND/OR Step-Parents’ Residential Status:
List countries in which applicant has resided for one year or more during the last five years: *
Period of Stay
Country Address From To
(DD/MM/YYYY) (DD/MM/YYYY)
Antecedent*
Have you ever been refused entry into or deported from any country, including Singapore? YES / NO
Have you ever been convicted in a court of law in any country, including Singapore? YES / NO
Have you ever been prohibited from entering Singapore? YES / NO
Have you ever entered Singapore using a different Passport or Name? YES / NO
If any of the answer it “YES”, please furnish details:
I undertake not to misuse controlled drugs or to take part in any political or other activities during my stay in
Singapore which would make me an undesirable or prohibited immigrant under the Immigration Act.
I undertake to comply with the provisions of the Immigration Act and any regulations made thereunder or any
statutory modification or re-enactment thereof for the time being in force in Singapore.
I undertake not to indulge in any activities which are inconsistent with the purpose for which the Student Pass has
been issued.
I further undertake not to be engaged in any form of employment or in any business, profession or occupation in
Singapore whether paid or unpaid, without a valid work pass issued under the Employment of Foreign Manpower
Act (Cap. 91A).
I am aware that overstaying or working illegally in Singapore is a serious offence and on conviction, the penalties
may include mandatory imprisonment and caring.
I understand that if the Controller of Immigration is satisfied that I or any member of my family breaches this
undertaking or becomes an undesirable or prohibited immigrant, he will cancel my immigration pass and the passes
of the members of my family, and we may be required to leave Singapore within 24 hours of such cancellation.
I give my consent for your department to obtain and verify information from or with any source, as you deem
appropriate for the assessment of my application for immigration facilities.
I have read and agreed to the declaration, and I authorized the Management Development Institute of Singapore
(MDIS) to submit the application for student pass online on my behalf.
Use this checklist to ensure that you have included all relevant documents before submitting your
application.
1) An application fee of S$490.50 (non-refundable) made payable to "MDIS Pte Ltd".
The payment of the registration fee can be paid via the following options:
i) Demand draft (DD) made to 'MDIS Pte Ltd'
ii) Telegraphic Transfer (TT) made to the following account:
2) The Application form must enclose the following documents which are required for processing the
student's pass application. Please tick boxes as appropriate.
3) All completed documents must reach MDIS at least 8 weeks (2 months) before course commencement.
If there is any late submission, MDIS will not submit the application to ICA. For Students’ Passes that are
rejected by ICA, the general processing time for appeal takes about 4 weeks (1 month).
Modes of Payment
Payments can be made by cash, NETS (with maximum of S$2,000.00 per transaction per day), VISA,
MasterCard, AMEX, Telegraphic Transfer or Cheque. For cheque payment, please indicate the details of
the programme applied for and your personal particulars onthe back of the cheque.
Cheques must be crossed and made payable to "MDIS Pte Ltd". The student's name, passport number and
course title should be written on the reverse of the cheque.
A cooling-off period of seven (7) working days is applicable for a maximum refund from the date when the
contract was signed. The above refund policy also applies to company-sponsored students.
All refunds shall be made within seven (7) working days from receipt of the student’s request.
Withdrawal Policy
Request for programme withdrawal must be made in writing. A written notice of withdrawal from the
programme (“Withdrawal Form”) must be delivered to the Student Services Centre (SSC) at MDIS Campus,
501 Stirling Road, Singapore 148951.
All discounts/rebates/waiver that the student was entitled to shall be forfeited and all outstanding fees have
to be paid prior to withdrawal. This includes all non-tuition fees (inclusive of GST) that were waived at point
of signing PEI Contract.
MDIS Pte Ltd shall, within three (3) working days of receipt of the withdrawal form, send the student an
acknowledgement of their request to their email address.
MDIS Pte Ltd will process and inform the student of the outcome in writing within a time frame of not more
than four (4) weeks from receipt of the student’s request (for cases with no refund).
Transfer Policy
If a student who has been accepted by MDIS Pte Ltd decides to transfer to another course before or after
course commencement, a written notice of transfer must be given to the Student Services Centre (SSC) at
MDIS Campus, 501 Stirling Road, Singapore 148951.
If a request for transfer is made before commencement of class, the course fees paid shall be transferred
to the new course. Any excess payment will be refunded to the student within seven (7) working days from
the date that the student requests to change the course.
If a request for transfer is made after commencement of class:
• The student shall be advised by the respective Student Coordinator to make payment of any outstanding
fees before theinstitute processes his/her transfer request.
• All requests for transfer to a different course within MDIS Pte Ltd or downgrading of academic course
must be submittedin writing and supported with an application fee of S$100.00 (excluding GST) for the
first change of programme.
• Any further change of programme by the same student, an application fee of S$250.00 (excluding GST)
shall be charged and is non-refundable regardless of the application outcome.
• Any excess payment will be refunded to the student within seven (7) working days from the date of the
student requests to change the course.
Student is required to sign a revised contract for the new course enrolled.
MDIS Pte Ltd will process and inform the student of the outcome in writing within a time frame of not more
than four (4) weeks from receipt of the student’s request (for cases with no refund).
Course Deferment
All requests for course deferment must be made in writing and supported with application fees of S$100.00
(excluding GST) which is non-refundable regardless of the application outcome. Students should send their
requests for deferment one (1) month prior to the commencement of the term that the student is deferring. All
requests must be supported with documentary evidence.
Students who do not meet the following deferment criteria will be advised on the possible rejection of their
deferment request.
Should the deferment request be rejected, the student may be required to re-module or be withdrawn from
the course.
Application submitted after the commencement of the term will be subjected to approval and additional fees
may apply.
Students are allowed to defer up to a maximum period of one (1) year, failing which he/ she may be deemed
to have withdrawn from the course and would have to re-apply as a new applicant if he/she wishes to
register on the course again. The refund policy will be applicable.
Students must settle all outstanding / overdue payment prior to the application of deferment. All subsequent
instalments would follow the payment schedule of the new class the student is resuming in.
Deferment can be extended to another one (1) year with valid reasons, subject to approval.
International students who are approved for deferment will be required to cancel their student passes as
required by ICA.
Approval for deferment is the sole discretion of MDIS Pte Ltd. The institute will assess and inform the student
of the outcome in writing within a time frame of not more than four (4) weeks from receipt of the student’s
request.
FPS serves to protect the international and local students in the event that a PEI is unable to continue operating
due to insolvency, and/or closure, as well as if a PEI is unable to pay a judgement sum due to a student.
MDIS Pte Ltd has appointed LONPAC Insurance Bhd to be the FPS providers for our students. The insurance
coverage will be for the entire course fee and any course fees arising from an extension of the study period
longer than the initially planned study period (if applicable).
Certificate of Insurance
To view the Insurance Certificate, please log on to the MDIS Website https://www.mdis.edu.sg/current-
students-private-education-act-edutrust-certification-scheme
Medical Insurance
MDIS Pte Ltd has in place a group medical insurance scheme by EQ Insurance Company Ltd for all its
students (except those students specifically allowed to opt-out under the EduTrust certification scheme). The
fee payable for medical insurance is indicated in the fee schedule of the student contract.
This medical insurance scheme shall provide a basic annual coverage up to $20,000 per student in the 4
bedded ward in Singapore government and restructured hospitals and up to an overall maximum limit per
policy year, with 24 hours coverage in Singapore.
For more information on the Private Education Act, please log on to the following
website: https://sso.agc.gov.sg/Act/PEA2009
Claim
The insurance claim procedure can be found in the EQ Insurance Company Ltd website:
https://www.eqinsurance.com.sg/Product/eq-hospital-surgical
All students are required to sign the Standard PEI-Student Contract upon enrolment before making any
course fees payment.
9. PRE-COURSE COUNSELLING
We thank you for your interest in applying to MDIS Pte Ltd.
Before starting an application, it is the responsibility of our staff and/or authorised agent to provide the
following information:
• School details
MDIS has a range of services and facilities to enhance student experience; MDIS’s facilities include the
fashion and mass communications studios; computer, engineering and life science laboratories; a
hospitality training centre, the resource hub and sport facilities like the gymnasium. Other student
support services include the Career Assistance Unit and MDIS Experience Workshops.
• Course details
Course information includes admission requirements, English language proficiency, course modules
and outlines, course duration, total payable fee throughout the course duration, types of certification
awarded at the end of the course, and job prospects after graduation. The course learning outcomes
are set to match the aspirations and interests of a prospective student.
• Medical Insurance
Information can be found in this application form (page 14).
• Relevant Singapore laws such as Immigration and Checkpoints Authority of Singapore (ICA) and
Ministry of Manpower (MOM) International students must attain a minimum of 90% attendance on a
monthly basis. Students must not engage in thefollowing activities:
o Attend classes without a valid Student’s Pass.
o Any form of employment or in any business, profession or occupation in Singapore whether paid
or unpaid.
o Misuse controlled drugs or to take part in any political or other activities during the stay in or out
of Singapore.
o Involve in any criminal offences in Singapore.
For more information, please visit the Ministry of Health website (www.moh.gov.sg).
I hereby acknowledge that I have received a pre-course counselling from MDIS staff/authorised agent and
I fully understand the terms and conditions and my rights.
Date: