National University of Singapore

Graduate Coursework Programme Admission Application Form GRADUATE COURSEWORK PROGRAMME

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Preference # Programme Name

1 Master of Science (Industrial & Sys. Eng) Project Mgt-SPN FULL TIME SELF SUPPORT

Specialisation Course Finance Double Degree

PERSONAL PARTICULARS

Title Surname/Family Name Given Name Name ID Number (NRIC/FIN/UID) Type of ID Gender Date of Birth Marital Status

MR SANKAR RAJESH RAJESH SANKAR

MALE 27/10/1986 SINGLE

Race Place of Birth Citizenship Religion Pass Type Pass Number Pass Expiry Date Passport Number Passport/NRIC Place of Issue Passport Date of Expiry Passport Date of Issue

INDIAN INDIA INDIAN HINDU

G4909732 INDIA 10/09/2017 11/09/2007

CONTACT

Personal Address New no: 34 Old no:3B ORANDI AMMAN KOIL LANE SRI THAMAM FLATS, FIRST FLOOR VELACHERY, CHENNAI - 600042

Postal Code Email Telephone Handphone Country rajsmavs@gmail.com 044-43036559 +919789020691 INDIA

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OTHER TESTS

No

Test Type

Mark Type

Registratio n Code

Mark

Test Date

ACADEMIC HISTORY

Academic History 1 Category Qualification Qualification (Others) Area of Specialization Area of Specialization (Others) Country of Institute Name of Institute Name of Institute (Others) Course Type From Date To Date Certificate Received Date Expected Completed Date Rank / Position Programme Level (for Bachelor's Degree only) 8.42/10 Full Time 14/07/2003 04/05/2007 04/05/2007 INDIA PSG College of Technology 1ST BACHELOR'S DEGREE B.Eng. (Mechanical) With Merit

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Duration of Programme (no. of years) Continual Assessment Point Cumulative Point Average Completed Degree / Programme Singapore Government Sponsorship / Subsidy The Government Agency that provided the Sponsorship / Subsidy Academic History 2 Category Qualification Qualification (Others) SCHOOL(HIGHER SECONDARY CERTIFICATE) OTHERS 8.42 Complete None

Area of Specialization Area of Specialization (Others) Country of Institute Name of Institute Name of Institute (Others) BETHEL MATRICULATION HIGHER SECONDARY SCHOOL Full Time 03/06/2002 05/03/2003 INDIA

Course Type From Date To Date Certificate Received Date

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Expected Completed Date Rank / Position Programme Level (for Bachelor's Degree only) Duration of Programme (no. of years) Continual Assessment Point Cumulative Point Average Completed Degree / Programme Singapore Government Sponsorship / Subsidy The Government Agency that provided the Sponsorship / Subsidy Academic History 3 Category Qualification Qualification (Others) SCHOOL(SECONDARY SCHOOL LEAVING CERTIFICATE) OTHERS Complete None 1124/1200

Area of Specialization Area of Specialization (Others) Country of Institute Name of Institute Name of Institute (Others) BETHEL MATRICULATION HIGHER SECONDARY SCHOOL Full Time INDIA

Course Type

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From Date To Date Certificate Received Date Expected Completed Date Rank / Position Programme Level (for Bachelor's Degree only) Duration of Programme (no. of years) Continual Assessment Point Cumulative Point Average Completed Degree / Programme Singapore Government Sponsorship / Subsidy The Government Agency that provided the Sponsorship / Subsidy

01/06/2000 05/03/2001

944/1200

Complete None

EMPLOYMENT HISTORY

Employment History 1 Designation Name of Company ASSISTANT SYSTEM ENGINEER TATA CONSULTANCY SERVICES LTD 27/06/2007 00:00:00 22/07/2009 00:00:00

Date Employed (From) Date Employed (To)

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Work Type Nature of Organisation Country of Employment Name of Head of Department Job Nature Number of beds

Full Time PRIVATE SECTOR INDIA

REFEREE

No

Name

Email

Telephone

Year Known 4

Nature Associate PROFESS OR STUDENT

B.GIRIRAJ Giri_4656 @yahoo.c om

94433495 36

LANGUAGE

Language ENGLISH

Spoken Good

Written Good

OTHER INFORMATION

Disabilities & Special Needs Have you had or do you have any communicable diseases, mental illness, colour blindness, and/or disabilities (including but not limited to chronic illness, visual or other physical constraints or limitations), N

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which may or may not cause you to require special assistance or facilities while studying at the university? 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.

DECLARATION

No 1

Question

Answer

Comments

Have you ever No been convicted of any offence by a court of law in any country or are there any court proceedings pending against you any in respect of any offence? Are you currently, No or have you ever been, charged with or subject to disciplinary action for any

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type of misconduct, scholastic or otherwise, at any educational institution? 3 Are you currently, No or have you ever been, under investigation or subject to enquiry in respect of any misconduct, scholastic or otherwise, at any educational institution?

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.

SIGN OFF

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____________________________

_______________

Name and Signature of applicant

Date and Time

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