Curtin Singapore Application

Application for admission
This application form is for students applying to study onshore at Curtin Singapore
Personal details
__________________ Title __________________________________________________ Given names _________________________________________________ Family name
On all official documentation your name will appear as Given name/s, family name - if this is not how your name appears in your passport or birth certificate please print your name as it appears on these documents. Curtin student ID
(if previously a Curtin/WAIT student)
If your name has changed since you were last enrolled, please print previous name.
Telephone
Email Date of birth Day Month Year
Male
Female
Are you a current Curtin student applying to switch courses?
Course information (Course titles are available in this guide)

Course title
(e.g. Diploma of Commerce, Bachelor of Commerce, Master)

First preference Second preference
Major area of study, if relevant
(e.g. Accounting)
When do you wish to commence studies? Intake March July November
Year ______________ Study mode Full-time Part-time
To help us better evaluate our marketing strategies, please indicate how you first heard about the course you are applying for. Prospectus Website Newspaper Advertisement Exhibition/fairs Agent Friend/relative
What country are you submitting this application from? ____________________________________________________________________________
English language proficiency

As all courses are taught in English, applicants will need to meet Curtins English language requirement. If your education qualifications were not completed wholly or predominantly in English, please indicate what test/s you have sat (or intend sitting) and attach certified* documentary evidence of results.
GCE O level
IELTS
TOEFL
CUTE
ESL/ELACS
Other (Please specify) ____________________________
Would you like to apply for an English language course? EAP IELTS IAE GE
Note: Having made this selection, you will receive a package from Navitas English Singapore.
Personal address (Address in home country. A post office box number is NOT acceptable).
Number and street Suburb/town State Country Mailing address Post/zip code
Mailing address (If different to above).

Number and street Suburb/town State Country Mailing address Post/zip code
Emergency contact details

Name Telephone Relationship
Personal statistic details

Have you previously visited Singapore? What is your country of citizenship: In which country were you born? NRIC/FIN/Passport Number What is your race: Chinese Malay Indian Others: Y N NA Are you a Permanent Resident in Singapore? Y N
Medical/disability needs
The information below is used to assist the University in monitoring, supporting and improving services to students with medical/ disability requirements. Disclosing this information will not affect your admission to the University. Do you have a disability, impairment or long-term medical condition which may affect your studies? Please indicate the type/s of disability Hearing Vision Learning Medical Y Mobility N Other Y N
Would you like to receive information on support services, equipment and facilities available that may assist you?
Educational qualifications
Please provide details of all formal studies that you have completed and those that you are currently undertaking. You are required to supply an original or certified* copy of your academic award/s and transcript/s for all tertiary studies except those undertaken at Curtin/WAIT. Academic records must contain an explanation of grading system descriptions. Name of qualification (e.g. A level / Diploma in Business) Institution/School/University (e.g. Raffles Junior College) Year enrolled (e.g. 1992) Year completed (e.g. 1995 or not completed) Date results expected (if applicable)
Employment details
Submission of supplementary information to your postgraduate application varies across courses. Applicants are advised to refer to the application guidelines and submit relevant supporting documentation. Guidelines and supplementary forms are available from: futurestudents/curtin.edu.au/postgraduate/courseworkforms.cfm Employer/Company Name Address Post/zip code Contact Name Position title and brief description of your duties Telephone
(To be completed if applying for a postgraduate course where work experience is an entry requirement).
Applicants declaration and signature

I declare that I have read the instructions on this application form and that the information I have provided is complete and correct. I understand that the information collected on this form is to enable Curtin Singapore to assess my application, create a record on its student database, undertake statistical analysis, meet statutory reporting requirements and further inform me about the course to which I am applying as well as the Universitys other courses/events. The information will be accessed by Curtin Singapore officers strictly for these purposes. Where personal information is to be provided to contractors, Curtin Singapore will require that confidentiality agreements be first entered into. I understand that if I do not complete all the questions on this form, it may not be possible for the University to process my application. I authorise Curtin Singapore to obtain further academic information or official student records from any educational institution or recognised educational qualifications assessment body necessary and/or, where my work experience is relevant, to verify my employment history for the purpose of making an informed decision about my application. In the case of postgraduate applications, I understand that the services of Qual Search may be engaged to verify my qualifications. I further understand that Curtin is not responsible if any educational body/institution does not supply these records, that the results of this search may be made available to me on request and an audit of this authority may also be undertaken. I understand that I have the right to access and amend personal information that Curtin holds about me, subject to legislation, by contacting the Freedom of Information Coordinator at foi@curtin.edu.au I acknowledge that Curtin University reserves the right to vary or reverse any decision regarding admission made on the basis of incorrect, incomplete or fraudulent information. If I do not meet the required English language entry requirements, I authorise Curtin Singapore to provide my application to Navitas English for consideration for an appropriate English preparatory program which will assist me to qualify for my chosen academic program at Curtin Singapore.
Signature
Date
Important checklist to ensure a quick response to your application

Prior to making an application please familiarise yourself with any specific requirements which relate to the course you are applying for. Refer to: handbook. curtin.edu.au If you are lodging an application for postgraduate study, please familiarise yourself with application guidelines at: futurestudents/curtin.edu.au/postgraduate/ courseworkforms.cfm which relate to the course. The guidelines will advise you on what other documents are necessary as part of your application, for example. referee reports, employer reports, resumes, portfolios, etc. Enclose certified* copies of all previous qualifications including award certificates (if applicable) and academic transcripts with grading system descriptions. If your academic transcripts are in a language other than English, enclose certified* English translations. If your previous studies do not meet Curtins standard English requirements, enclose certified* copies of your English language qualification or details of English language proficiency. Enclose a certified* copy of evidence for change of name. Enclose a certified* copy of the personal details page of your passport and visa. Read and sign the applicants declaration.
*Certified means witnessed by a Curtin representative, a notary public, Commissioner for Declarations, Justice of the Peace or the Academic Registrar of the institution that issued the transcript. For further information refer to the guidelines on certification at: futurestudents.curtin.edu.au/leavers/global/applic.cfm
Lodging your application

Please submit your application to admissions at Curtin Singapore or a Curtin Singapore overseas representative. Curtin Singapore 90 and 92 Jalan Rajah Singapore 329162 admissions@curtin.edu.sg curtin.edu.sg
Agents stamp
Counsellors name _____________________________________ Email address _________________________________________
Privacy statement
At Curtin University, the privacy of our students, staff and the people we deal with is very important to us. Much of the information that the University collects in order to provide the services that it does, is personal information. For details of how the University will use, disclose and protect your personal information please contact Curtin Singapore admissions.
Prospective Student Counselling Form

This form is to be used as a guide when you apply to Curtin Singapore. Please ensure that you have understood all important and relevant topics and ensure all matters are completely transparent.
Location, facilities and infrastructure in place at Curtin Singapore Courses on offer that match aspirations and interests of candidate Course duration and content Admissions requirements (including English language requirements) Application requirements and procedures Type of certification awarded on completion of the courses Total fees payable, both tuition fees and non-tuition fees Installment payment amounts and frequency EduTrust and Council for Private Education (CPE) Fee protection scheme insurance Medical insurance Refund policy Transfer and withdrawal policy Student support services available
Additional information for international student

ICA Policies and Procedures Student Pass Application Procedures Singapore laws, including employment issues Accommodation: Availability and Booking Living Costs
Applicant declaration and signature

By signing this form I am aware that I confirm I have been properly and fully informed about all the above areas in relation to potentially enrolling and studying at Curtin Singapore.
Name and signature of applicant
Date
Privacy statement
At Curtin Singapore, the privacy of our students, staff and the people we deal with is very important to us. Much of the information that Curtin Singapore collects in order to provide the services that it does, is personal information. For details of how Curtin Singapore will use, disclose and protect your personal information please contact Curtin Singapore admissions.

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Application for admission

Email Date of birth Day Month Year

Are you a current Curtin student applying to switch courses?

Course information (Course titles are available in this guide)

(e.g. Diploma of Commerce, Bachelor of Commerce, Master)

Major area of study, if relevant

When do you wish to commence studies? Intake March July November

Year ______________ Study mode Full-time Part-time

What country are you submitting this application from? ____________________________________________________________________________

English language proficiency

Other (Please specify) ____________________________

Mailing address (If different to above).

Emergency contact details

Personal statistic details

Applicants declaration and signature

Important checklist to ensure a quick response to your application

Lodging your application

Counsellors name _____________________________________ Email address _________________________________________

Prospective Student Counselling Form

Additional information for international student

Applicant declaration and signature

Name and signature of applicant

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Counsellors name _ Email address _____