APPLICATION FOR TEV-SINGA FULLY FUNDED PHD AWARD

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Alberta Roberts
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1 IMPORTANT INSTRUCTIONS APPLICATION FOR TEV-SINGA FULLY FUNDED PHD AWARD Please check and ensure that all data you have entered in the form are correct and accurate before you submit this application. Checklist The following Supporting Documents have to be submitted together with the application. You are advised to have them ready note that incomplete applications are considered invalid and could not be processed. A full English translation is required for all supporting documents. A certified true copy of your Identity Card or Passport A certified true copy of TOEFL / IELTS results (if any) 3. A certified true copy of SAT I & II / GRE / GMAT / GATE results (if any) 4. Certified true copies of university transcript(s) i. Official translation in English ii. Original language 5. Certified true copies of degree scroll(s) 6. Certified true copies of awards / prizes and certificates (if any) 7. List of patents filed (if any) 8. Two Academic Referees' Recommendation (using prescribed form) 9. Two recent passport-sized photographs * indicates mandatory field PROGRAMME Please list your proposed Research Projects / Areas and Supervisors (See list on website 1 ). Please also indicate the Research Institute or Faculty / Department. * First Choice Institution: Second Choice Institution: Third Choice Institution: A*STAR / NUS / NTU A*STAR / NUS / NTU A*STAR / NUS / NTU Research Project: Research Project: Research Project: Research Supervisor: Research Supervisor: Research Supervisor: RI / Faculty / Department: RI / Faculty / Department: RI / Faculty / Department: 1 A*STAR Research Projects: NUS Research Projects: NTU Research Projects: 1 P age

You are advised to have them ready note that incomplete applications are considered invalid and could not be processed. A full English translation is required for all supporting documents.

2 PERSONAL PARTICULARS *Title: *Surname / Family Name: *Full Name (as in passport): Given Name: *Gender: Male / Female *Marital Status: *Date of Birth (DDMMYYYY): No of Children: *Permanent Home Address: Mailing Address (if different from above): * Address: *Home Contact: Office Contact: *Citizenship: *Do you have a dual citizenship: If yes, please specify: Identity Card No: Passport No: Country of Passport Issue: Mobile Contact: Are you holding a Singapore Employment Pass: Are you holding a Singapore Student Pass: Are you holding a Singapore Dependent Pass: If you are holding one of the above, please fill in the following Expiry Date (DDMMYYYY): Place of Passport Issue: FIN No: Date of Passport Issue: Period resided in Singapore (if at all): 2 P age

No: Passport No: Country of Passport Issue: Mobile Contact: Are you holding a Singapore Employment Pass: Are you holding a Singapore Student Pass: Are you holding a Singapore Dependent Pass:

3 FAMILY PARTICULARS * FATHER Name: *MOTHER Name: SPOUSE (if applicable) Name: Occupation: Occupation: Date of Marriage (DDMMYYYY): Address: Address: Occupation: Address: Contact No: Contact No: Contact No: CHILDREN (if applicable) No Name Gender Date of Birth (DDMMYYYY) EDUCATION BACKGROUND University (Undergraduate and Higher Degree): No Duration University Country Qualifications Obtained Degree (s) you are currently pursuing: No Duration University Country Degree Pursuing Scholarships, prizes or other awards received: (Please list in chronological order and enclose documentary evidence) No Date Details 3 P age

EDUCATION BACKGROUND University (Undergraduate and Higher Degree): No Duration University Country Qualifications Obtained 3. 4.

4 WORK EXPERIENCE Duration: Company / Organization: Country: Reason for leaving: Duration: Company / Organization: Country: Reason for leaving: 4 P age

5 Duration: Company / Organization: Country: Reason for leaving: Duration: Company / Organization: Country: Reason for leaving: TEST SCORE TOEFL No Test Year Score 3. GRE No 3. Test Year Total Verbal Quantitative Analytical Writing Score Percentile Score Percentile Score Percentile Score Percentile 5 P age

6 PROPOSED RESEARCH AND EXPERIENCE * Indicate the Research Project(s) you are interested in and explain your interest. You may wish to include details such as Proposed Research Area/Topic, Significance & Aims of Project. (maximum 1000 words): * Please provide us your personal statement why you think you deserve the TEV-SINGA Fully Funded PhD Award. Please limit your statement to 500 words: Research experience/papers published (list in reverse chronological order) (maximum 1000 words) if any: 6 P age

(maximum 1000 words): * Please provide us your personal statement why you think you deserve the TEV-SINGA Fully Funded PhD

7 REFEREE * Name two senior professional persons who are familiar with your character, academic achievements, and work performance. Note that at least one should be a senior academic at your University. Please request your referees to write a recommendation in English (using ANNEX A). Particulars *Referee 1 *Referee 2 Name: Organization: Contact No: Address: No of years known: DECLARATION Please answer the following questions. Are you currently on scholarship / fellowship / employment bond and/or receiving any financial assistance from sources outside the family? Have you ever been convicted in a court of law of any country? Have you ever been dismissed, discharged or suspended from employment of any organization? Have you ever resigned from the service of any Government? Are you at present under any financial embarrassment? Have you any obligation under promissory notes either as principal or surety? Have you ever had, or are you suffering from any physical impairment? Have you ever had, or are you suffering from any medical condition? Have you applied for any other scholarships? If you indicate "YES" to any of the above questions, provide brief details (attach document if necessary): 7 P age

Particulars *Referee 1 *Referee 2 Name: Organization: Contact No: Email: Address: No of years known: DECLARATION Please answer the following questions.

8 FINAL CONFIRMATION By submitting this application, I declare the following: I affirm that all statements made by me on this form are correct. I understand that any inaccurate or false information (or omission of material information) will render this application invalid and that, if awarded and admitted on the basis of such information, my award and candidature may be terminated. I fully understand that my application will be considered invalid and will not be processed if TEV does not receive a complete set of my application and supporting documents. I accept that such documents will not be returned. Name / Signature Date 8 P age

admitted on the basis of such information, my award and candidature may be terminated.

9 APPLICATION FOR TEV-SINGA FULLY FUNDED PHD AWARD STRICTLY CONFIDENTIAL Academic Referee s Recommendation To be completed by applicant: Kindly fill up the portion below and pass a copy of this form to each of your two referees. Name of applicant: Applied for: TEV-SINGA FULLY FUNDED PhD AWARD To be based at: A*STAR / NUS / NTU (Select one as your first choice) To be completed by referee The above-named person is applying to undertake research leading to a graduate degree. The University would appreciate receiving a confidential report from you on the applicant. You may write your report on the reverse side of this form if you wish, or send a separate letter. Please use a separate sheet if necessary. How long have you known the applicant and in what capacity? Among the students at a similar level you have known in recent years, how would you rate the applicant? (Please tick [ ] the appropriate box). The following is based on [ ] undergraduate students whom I know [ ] graduate students whom I know (a) [ ] Within the top 5% (d) [ ] Within the top 25-50% (b) [ ] Within the top 5-10% (e) [ ] Within the bottom 50% (c) [ ] Within the top 10-25% (f) [ ] Unable to judge 9 P age

Name of applicant: Applied for: TEV-SINGA FULLY FUNDED PhD AWARD To be based at: A*STAR / NUS / NTU (Select one as your first choice) To be completed by referee The above-named person is applying to

10 3. How would you rate the applicant s proficiency in English - in reading and writing and in spoken English (i.e. excellent, good, fair)? 4. Personal report on applicant: Signature: Date: Name of referee: Address: Address: Please return this form to the applicant in a sealed envelope whose opening bears your signature across it, or if you prefer, send direct to Türk Eğitim Vakfı at this mailing address Türk Eğitim Vakfı Büyükdere Cad. TEV Kocabaş İşhanı No: 111 Kat: Gayrettepe-İstanbul / TÜRKİYE Alternatively, you may wish to this form to the address [email protected] Please indicate the applicant s full name in the subject 10 P age

your signature across it, or if you prefer, send direct to Türk Eğitim Vakfı at this mailing address Türk Eğitim Vakfı Büyükdere Cad.

MASTER OF SCIENCE (PHARMACEUTICAL SCIENCES AND TECHNOLOGY) APPLICATION PACKAGE

MASTER OF SCIENCE (PHARMACEUTICAL SCIENCES AND TECHNOLOGY) APPLICATION PACKAGE DEPARTMENT OF PHARMACY FACULTY OF SCIENCE NATIONAL UNIVERSITY OF SINGAPORE Department of Pharmacy, Faculty of Science, National