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    NUS Summary

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    sarachandra
    This document is an application form for admission to the graduate programme at the National University of Singapore. It contains personal details of the applicant such as name, date of birth, citizenship, contact information, next of kin details, language skills, academic qualifications including degrees earned and employment history. It also includes information on achievements, referees, a declaration by the applicant and authorization to verify application details.

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    NUS Summary

    Uploaded by

    sarachandra
    137 views6 pages
    This document is an application form for admission to the graduate programme at the National University of Singapore. It contains personal details of the applicant such as name, date of birth, citizenship, contact information, next of kin details, language skills, academic qualifications including degrees earned and employment history. It also includes information on achievements, referees, a declaration by the applicant and authorization to verify application details.

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    NUS summary

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    This document is an application form for admission to the graduate programme at the National University of Singapore. It contains personal details of the applicant such as name, date of birth, citizenship, contact information, next of kin details, language skills, academic qualifications including degrees earned and employment history. It also includes information on achievements, referees, a declaration by the applicant and authorization to verify application details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    137 views6 pages

    NUS Summary

    Uploaded by

    sarachandra
    This document is an application form for admission to the graduate programme at the National University of Singapore. It contains personal details of the applicant such as name, date of birth, citizenship, contact information, next of kin details, language skills, academic qualifications including degrees earned and employment history. It also includes information on achievements, referees, a declaration by the applicant and authorization to verify application details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

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    Graduate Programme Admission Application Form


    APPLICATION DETAILS Application Number Course Preference Faculty Department Programme Name Academic Year Semester Specialisation Finance PERSONAL PARTICULARS Title Given Name Surname/Family Name Full Name Gender Marital Status Date of Birth ID Number (NRIC/FIN/UID) Passport/NRIC Place of Issue Passport Number Passport Date of Issue Passport Expiry Date Citizenship Place of Birth Race Country of Residence CONTACT Personal
    SRI LANKA SRI LANKA INDIAN SINGAPORE MR Sarangan Karunamoorthy Karunamoorthy Sarangan Male SINGLE 12/02/1984 G5224984N SINGAPORE N3270106 27/08/2012 2013053263 Part Time 1 School of Computing Dean's Office (School Of Computing) Master of Computing (MComp by Coursework) 2013/2014 1 Infocomm Security-SPN SELF SUPPORT

    Application No.: 2013053263

    Page 1 of 6

    Email Alternate Email HandPhone Telephone Address Postal Code Country Next of Kin Title Name Relation Email Alternate Email HandPhone Telephone Address Postal Code Country Mailing Email Alternate Email HandPhone Telephone Address Postal Code Country LANGUAGES

    [email protected] [email protected] 65-9-0213652

    BLK 13 Marsiling lane #05-17 730013 SINGAPORE

    MR Karunamoorthy FATHER [email protected] [email protected]

    94-21-2227068 405,Temple Road Nallur Jaffna

    SRI LANKA

    [email protected]

    65-9-0213652

    BLK 13 Marsiling lane #05-17 730013 SINGAPORE

    No Record(s) found

    ACADEMIC QUALIFICATIONS Academic History 1 Category Qualification Qualification (others) Qualification Type Area of Specialisation If other Specialisation, please specify. Application No.: 2013053263 Page 2 of 6
    Dist Software Engineering DIPLOMA AdvDip in Computing

    Location of Institute Name of Institute Name of Institute (Others) CGPA/CAP/Average Mark Best/Maximum Possible Score Course Type From Date To Date Completed Degree/Programme Is this course subsidized by Singapore Government or sponsored by any Singapore Government Agency? Please specify the Government Agency that provided the Sponsorship / Subsidy. How many months is the course being subsidized/sponsored? Certificate Received Date Expected Complete Date Academic Rank/Position Programme Level Duration of Programme (in months) Academic History 2 Category Qualification Qualification (others) Qualification Type Area of Specialisation If other Specialisation, please specify. Location of Institute Name of Institute Name of Institute (Others) CGPA/CAP/Average Mark Best/Maximum Possible Score Application No.: 2013053263

    SRI LANKA

    Institute of Informatics Studies

    Full Time 24/04/2005 24/04/2006 Completed No

    24/04/2006

    20

    1ST BACHELOR'S DEGREE Bachelor of Computer Sci(Hons)

    1st Class Computer Science

    MALAYSIA

    Binary University College 3.84

    Page 3 of 6

    Course Type From Date To Date Completed Degree/Programme Is this course subsidized by Singapore Government or sponsored by any Singapore Government Agency? Please specify the Government Agency that provided the Sponsorship / Subsidy. How many months is the course being subsidized/sponsored? Certificate Received Date Expected Complete Date Academic Rank/Position Programme Level Duration of Programme (in months) EMPLOYMENT HISTORY Employment History 1 Designation Occupation Name of Company Industry Sector Date Employed (From) Date Employed (To) Nature of Organisation Country of Employment Type of Employment No. of people reporting to you Job Responsibilities

    Full Time 01/07/2007 31/08/2009 Completed No

    20/09/2010

    Secondary 18

    Software Developer IT PROFESSIONALS Incent Pvt.Ltd INFORMATION TECHNOLOGY AND TELECOMMUNICATIONS 28/11/2011

    PRIVATE SECTOR SINGAPORE Full Time

    Working on Mobile Marketing system integrating with sms gateway in php. Process soap requests in python, php to integrate Norwegian schools. Create RESTFUL services for Mobile applications. Create mobile,web application in HTML5/Sencha-touch framework.

    OTHER ACHIEVEMENTS Achievement 1 Award Type Application No.: 2013053263


    Award

    Page 4 of 6

    Name of Awarding Institute Details From Date To Date Achievement 2 Award Type Name of Awarding Institute Details From Date To Date TEST DETAILS

    Binary University College Deans Award 01/07/2010

    Award Binary University College Chancellors Overall Best Student Award 01/07/2010

    No Record(s) found

    QUESTIONNAIRE
    No Record(s) found

    OTHER INFORMATION Disabilities & Special Needs


    1) Have you had or do you have any communicable disease, mental illness, colour blindness, and/or disability (including but not limited to chronic illness, 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? No 2) If 'YES', please provide all relevant information below. This information will allow 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, however, does not guarantee the provision of special aid (financial or otherwise) to any students. 3) Any Other Information?

    REFEREES No.
    1 2

    Name
    Rohini Devi Sham Shul Mat

    Email
    [email protected] [email protected]

    Telephone
    60-03-80706590 60-03-80706590

    Organisation
    Binary University Binary University

    DECLARATION No.
    1

    Question
    Have you ever been convicted of any offence by a court of law 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?

    Answer
    No

    Comments

    No

    Application No.: 2013053263

    Page 5 of 6

    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?

    No

    I declare that the information provided by me in connection with this application is true and complete. I understand that any inaccurate, incomplete or false information given or omission of material information required shall render this application invalid and NUS may at its discretion withdraw any offer of admission 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. I understand that the provision of any inaccurate or false information may render me liable to prosecution in a court of law in Singapore. I understand that if I have been convicted of a criminal offence by a court of law of any country, I must submit all relevant information together with this application. I hereby authorized NUS to obtain and verify any part of the information given by me from or with any source, as deems it appropriate.

    _________________________________ Name and Signature of applicant

    _________________________________ Date and Time

    Application No.: 2013053263

    Page 6 of 6

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