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Gdmasterv 7

This document is an application form for admission to graduate programmes at UniSIM University. It requests information such as the applicant's personal details, education history, employment history, references, and a statement of purpose. The applicant must also declare that the information provided is true and pay a non-refundable application fee along with submitting documents such as academic transcripts and identification documents.

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29 views

Gdmasterv 7

This document is an application form for admission to graduate programmes at UniSIM University. It requests information such as the applicant's personal details, education history, employment history, references, and a statement of purpose. The applicant must also declare that the information provided is true and pay a non-refundable application fee along with submitting documents such as academic transcripts and identification documents.

Uploaded by

api-3850953
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for Admission

Graduate Programme Recent


535A Clementi Road, Block 82 Level 6 Singapore 599490 Passport-sized
Tel: 6248 9211 Fax: 6463 5056 www.unisim.edu.sg photograph

1 Programme Application

Please check one programme only.


Technology Entrepreneurship Environmental Science

Open Source Software Management

2 Personal Information

(A) FULL NAME Mr/Ms/Mrs/Mdm/Dr* NRIC No (For Singapore)/Passport


No (For Foreigner):

In block letters and


underline surname
(B) ADDRESS Residential Address Telephone Contact
Residential

Mobile
E-mail Contact
Office

(C) NATIONALITY, Date of Birth (dd/mm/yyyy) Country of Birth Nationality


RACE, BIRTH

Age Marital Status Race

Residency Status
Singapore Citizen / Permanent Resident / Employment Pass* (circle or delete as appropriate)

3 Academic and Professional Qualification

(A) Educational Qualification

From(year) To(year) Institution / Country Qualification Course of Study

(B) Professional Qualification

From(year) To(year) Institution/ Country Qualification


4 Current Employment

Company Name:

Company Address: Postal Code

Position held:

Tel No: 6 Ext: Fax: 6

No. of years/months in this company: From: / Full-time Part-time

Job Function: Industry:

Application only for those applying to Technology Entrepreneurship

This information is needed for consideration of possible financial support from SPRING Singapore’s Advanced Management Programme.
Students from qualifying Small and Medium Enterprises who graduate with the Executive Master can enjoy up to 50% subsidy for their
programme fees.

Company’s latest financial year sales turnover:

Number of staff in company: Year of incorporation of company:

5 Previous Employment

In chronological order, beginning with your most recent past employment:


Period (mm/yyyy)
Name of Company Designation No. of Years/Months
From To
1)

2)

3)

4)

Total number of years/months of working experience: ____________ years months.

6 Referees

Name two referees who support your application:


1) Name: Contact Number:
Designation/Organisation: Email Contact:
2) Name: Contact Number:
Designation/Organisation: Email Contact:

7 Statement of Purpose

What is your purpose for enrolling in the programme? Please be concise in your statement (Use a separate sheet of paper if necessary).
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
8 Exclusive Financing Scheme

I am interested to know more about the following assisted financing scheme for the Graduate Programme.

Corporate Individual

9 Feedback

How did you know about our Programmes?

UniSIM website The Straits Times The Business Times

UniSIM seminars / talks Direct mailer Friends / colleagues

Others: ____________________________________________________________

10 Applicant’s Declaration

I certify that all information given by me in this application is true and correct.

I understand that any misrepresentation or omission is sufficient grounds for rejecting my application. I also understand that SIM
University reserves the right to cancel my student registration in the event of a false declaration.

I hereby agree to abide by all regulations and procedures laid down by SIM University if I am successfully registered in its
Programme.

I hereby declare my consent to have my particulars made available to the teaching faculty and relevant administrative staff.

Signature of Applicant Date

IMPORTANT
Please ensure that the following items are enclosed with your application form:
… Application fee (non-refundable) of S$32.10 (inclusive 7% GST) made payable to: “SIM University”
… One passport-sized photograph

Copies of the following documents:


… Certificate & Transcript(s) of academic records
… Professional Certificates
… NRIC/Passport/Citizen Certificate/Documentary proof of Singapore Permanent Resident Status

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