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    Student Application Form

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    karandeepsingh7526

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    © All Rights Reserved
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    Student Application Form

    Uploaded by

    karandeepsingh7526
    3 views5 pages

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views5 pages

    Student Application Form

    Uploaded by

    karandeepsingh7526

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    STUDENT APPLICATION FORM

    Ref No. : GD4C4-F04


    Rev No. : Rev 02 Affix
    Effective Date : 01 November 2023 Photo
    Here

    For official use only


    Course Applied For

    Period Applied For From : To :

    Agent (if any)

    IMPORTANT
    1) Please complete the form in full.
    2) Applications with incomplete information and/or not accompanied with supporting documents will not be considered.
    3) Where not applicable, please indicate “N/A” in the blanks.
    4) Application Fee: Payment is to be made payable to “Kingston International College Pte Ltd” and must be sent with your completed application
    form attached with the certified true copies of your certificates and transcripts. This fee is non-refundable.

    (A) Applicant’s Particulars


    NRIC Number / FIN Number (if applicable)

    Full Name in BLOCK LETTERS (Underline Surname) Birth Certificate No.

    Race Nationality Religion Email Address

    Date of Birth (DD/MM/YYYY) Sex Province / State Country of Birth


    M/F

    Marital Status Occupation Expiry Date of Employment / Dependant’s Pass (if any)
    (DD/MM/YYYY)

    Passport Number Issue Date of Passport Expiry Date of Country of Issue of Place of Issue of Travel
    Passport Passport Document

    Full Residential Address in Singapore (if any) Full Address in Home Country

    *Kingston International College is committed to maintaining the confidentiality of the Student’s personal information and undertakes not to divulge
    any of the Student’s personal information to any third party without the prior written consent of the Student, except for ICA, MOE, CTH or DBS
    Bank Pte. Ltd for purposes of student pass or examination registration.

    Confidential Applicant’s initial______________


    STUDENT APPLICATION FORM

    Have you resided in any country (other than your home country) for one year or more during the last 5 years?
    YES / NO

    If the answer for the above question is ‘YES’, please list the countries in which you have resided for one year or more during the last five years:
    Country Address Period of Stay (MM/YY)
    From To

    Please answer the following:


    1) Have you ever been refused entry into or deported from any country, including Singapore? YES /
    NO
    2) Have you ever been convicted in a court of law in any country, including Singapore? YES /
    NO
    3) Have you ever been prohibited from entering Singapore? YES /
    NO
    4) Have you ever entered Singapore using a different Passport or Name? YES /
    NO

    If any of the answer is “YES”, please furnish details below:

    _________________________________________________________________________________________________________________
    ___

    _________________________________________________________________________________________________________________
    ___

    (B ) Parents and/or Step Parents Information


    Full Name Relationship Date of Birth Nationality Residential Status in Occupation
    (DD/MM/YYYY) Singapore

    (C ) Spouse Information
    I do not have any information to declare for the below.
    Full Name Relationship Date of Birth Nationality Residential Status in Occupation
    (DD/MM/YYYY) Singapore

    (D ) Sibling Information
    I do not have any information to declare for the below.
    Full Name Relationship Date of Birth Nationality Residential Status in
    (DD/MM/YYYY) Singapore

    Confidential Applicant’s initial______________


    STUDENT APPLICATION FORM

    (E) Applicant’s Academic Background


    I do not have any information to declare for the below.
    Yes / No I have obtained a pass in English (Please provide proof of Pass in English)
    Name of School/ Country Province Language of From To Qualification Certificate
    College/University Instruction DD/MM/YYYY DD/MM/YYYY obtained Number

    (F) English Proficiency (Please provide proof of English Proficiency)


    I do not have any information to declare for the below.
    Score Year Attained
    IELTS
    Others

    (G) Application’s Employment History (include practical training, industrial attachment and internship in Singapore)
    I do not have any information to declare for the below.
    Name of Companies Country From To Position Held Nature of Duties
    DD/MM/YYYY DD/MM/YYYY

    (H) Financial Support


    Applicant Average Monthly Income for past 6 months: SGD
    Current Savings: SGD
    Applicant’s Spouse Average Monthly Income for past 6 months: SGD
    Current Savings: SGD
    Applicant’s Father Average Monthly Income for past 6 months: SGD
    Current Savings: SGD
    Applicant’s Mother Average Monthly Income for past 6 months: SGD
    Current Savings: SGD
    Other financial support (e.g. scholarship, study loan, funds of relatives):
    If Yes, please furnish amount in SGD

    (I) Emergency Contact in Singapore


    Name
    Relationship to Applicant
    Contact Number
    Emergency Contact in Home Country (Foreigners Only)
    Name
    Relationship to Applicant
    Contact Number

    Confidential Applicant’s initial______________


    STUDENT APPLICATION FORM

    (J) Application Checklist


    No. Item Tick
    1 Passport Photocopy of Applicant
    2 Passport Photocopy of Parents (For Preparatory Course for Admission to Government School Only)
    3 Birth Certificate (Original, Translated and Notarized)
    4 Highest Education Certificate and Transcripts (Original, Translated and Notarized)
    5 CV (For mature candidates)

    Declaration by Applicant

    I declare that I all the information provided in this application form is complete and correct. I understand that any misrepresentation or omission of
    information will result in my disqualification from consideration for admission to Kingston International College. I acknowledge that Kingston
    International College reserves the right to vary or reverse any decision regarding admission made on the basis of incorrect, incomplete or fraudulent
    information.

    I declare that the documents (i.e. copies of the Birth Certificate, current Passport, copies of the Education Certificates and Transcripts) which
    accompany this Application Form are true copies of the original documents which are themselves authentic.

    I acknowledge that the SOLAR+ and ICA Results will be sent to the email address that I have provided in this application.

    I consent to the collection, use and disclosing of personal data by the Kingston International College 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). A copy of the
    College’s Policy is available on the College’s website at www.kingston.edu.sg

    I agree for Kingston International College to use my information and photographs in any publicity materials for the college.

    _______________________________ / _______________________________ _________________


    Applicant’s Name Signature Date

    Please send all relevant documents as stated in Section J, together with the Application Fee to:

    Admissions Department
    Kingston International College
    10 Anson Road, International Plaza
    #28-16
    Singapore 079903

    Official Use Only


    1) Through Agent Direct Sales
    (Agent Code:_________________ Name:___________________
    2) Met Entry Requirements Yes No
    3) Verification of Documents Yes No
    4) Conducted Pre-course Counselling Yes No

    Checked by :

    Name : Designation :
    Date : Signature :

    Approved by Management Team :

    Name : Designation :
    :
    Date Signature :

    Confidential Applicant’s initial______________


    STUDENT APPLICATION FORM

    Confidential Applicant’s initial______________

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