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Department of Music
151 Bencoolen Street, Singapore 189656
Tel: 6512-4165 Fax: 6336-8021
Application Form
Preparatory Course for Music Performance
APPLICANTS DETAILS
Full Name (underline surname):
PLEASE ATTACH A
PASSPORT SIZED
PHOTO TO THIS FORM
NRIC No:
Date of Birth:
Sex: F/M
Citizenship:
Religion:
Race:
Hand-phone No:
Email address:
Tel No:
Tel No:
PARENT/GUARDIANS DETAILS
Name of Parent/Guardian
Relationship
Address:
Tel no:
Office contact:
Handphone no:
Year
Page 1
O Level
Grade
Final or
Preliminary
(Please
indicate)
English Language
(EL1)
Subjects Taken
(The better of the 2
results obtained from 2
sittings if applicable)
A Level
Obtained
(if known)
Year
Taken
General Paper
Mathematics
Page 2
MUSICAL BACKGROUND
Principal Study Instrument/Voice
(State type of voice)
Second Study (Minor), if applicable
Performance Diploma
taken
Date
Diploma
Instrument
Date
Diploma
Instrument
Date
Board
Instrument
Grade/Mark
Date
Board
Instrument
Grade/Mark
Date
Board
Instrument
Grade/Mark
Date
Board
Instrument
Grade/Mark
Date
Board
Grade/Mark
Survey
How did you come to know of the Preparatory Course for Music Performance?
Newspaper
School Talks/Workshop
Internet
Friends
Company
NAFA Open House
Family members
Exhibition
Page 3