GRADUATE DIPLOMA IN SYSTEMS ANALYSIS - Additional Information Form -



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GRADUATE DIPLOMA IN SYSTEMS ANALYSIS - Additional Information Form - Dear Applicants, Please complete the form as accurately and as clearly as possible. No space should be left blank. Kindly indicate N/A for information which is not applicable. Please note that information not clearly stated / submitted will result in as incomplete form which will not be processed. Please upload your completed form to: https://inetapps.nus.edu.sg/gda2/home.aspx. Name of Applicant: Application No: Programme Intake: Semester 1 2016/2017 August 2016 Intake 1. Computer related Experience a) Computer-related training programs/experience other than listed in your academic history. Name of Course Organised by Full / Part time Duration b) Relate your computer experience: (Include nature of computer application: accounting, payroll, personnel, inventory, management, banking, scientific, others; and your role: programmer, analyst, project leader, user, etc) Application Form _ Additional Information_V3.99 Page 1 of 5

2. Professional Membership List your participation in/membership of professional organisation: Organisation Year Admitted Post Held / Membership Status 3. Personal Essays a) State your career or professional objectives for obtaining the GDipSA and describe the career path you would like to pursue in the light of the work experience you have so far acquired and the training you see yourself acquiring in the GDipSA course. (Use a separate sheet if necessary.) Application Form _ Additional Information_V3.99 Page 2 of 5

b) Describe yourself. You are free to be as creative as you wish. (Use a separate sheet if necessary.) 4. Company Sponsorship If your company is sponsoring you for the programme, please complete the following: Is the company sponsoring the application for: i) Course Fee ii) Salary for full duration of course Can your company accommodate an internship project? Company Certification The certification should be signed by the applicant s employer or chief executive officer of the company Yes I hereby confirm that my company has agreed to sponsor our employee, Mr / Ms for the Graduate Diploma in Systems Analysis course commencing (MM/YYYY). We will bear course associated expenses and / or the salary of our employee while he / she is on course. I understand that in the event that we do not have a suitable internship project, our employee may be assigned an internship project with another organisation during the internship period. No Signature of Company Official Name: Designation: Contact No: Company Stamp Date: Application Form _ Additional Information_V3.99 Page 3 of 5

5. Please indicate the city in which you:- Graduated (1 st Degree) Worked (Last job) 6. Others How did you learn about this programme? Brochure (please specify, e.g. name of roadshow) Company mailer Press advertisement (please specify the newspaper & advertisement date) Recommendation from colleagues, supervisors, friends, relatives Alumni magazine Internet (please specify the website) Agency (please specify, eg. name of agency) Exhibition (please specify, eg. name of exhibition, place) Others (please specify) Please indicate your Preferred Aptitute Test Location. (Select only one only) Singapore Beijing, China Chengdu, China Guangzhou, China Chennai, India New Delhi, India Mumbai, India Yangon, Myanmar Shanghai, China *NUS-ISS reserves the right to change the preferred test location. Checklist With reference to the ISS website, The application form (printed from the system after the online submission), Additional Information form (this form), Application Fee Payment Form / Proof of Payment of Application Fee (e.g. E-Receipt) and supporting documents must be submitted to Institute of Systems Science by 15 April 2016. Mail your application package to: SA Course Administrator Institute of Systems Science National University of Singapore 25 Heng Mui Keng Terrace (off Pasir Panjang Road) Singapore 119615 Application Form _ Additional Information_V3.99 Page 4 of 5

Please ensure that all relevant supporting documents are attached to the application form in the following order: 1. 2. Online Application form (printed from the system after the online submission), duly declared and signed A recent passport-sized photograph to be attached in the box provided in the Online Application form. 3. Additional Information form (this form) 4. A copy of the following documents : a) Degree scroll b) Detailed result transcript of academic records from each university or college attended c) TOEFL/ IELTS score report d) Birth certificate, documentary proof of permanent resident status, citizenship certificate or passport, where applicable Any documents not in English, must be accompanied by certified copies of the English translation 5. Support from the employer (where relevant) 6. Complete the Application Fee Payment Form Payment of S$20.00 (with GST) for the Application Fee (non-refundable). Cheque / Demand Draft should be made payable to National University of Singapore. Or Proof of Payment of Application Fee (e.g. E-Receipt) Application Form _ Additional Information_V3.99 Page 5 of 5