You are on page 1of 3

Nanyang Academy of Fine Arts

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

Name in Chinese Characters (if applicable):

NRIC No:

Date of Birth:

Sex: F/M

Citizenship:

Religion:

Race:

Hand-phone No:

Marital Status: Single / Married / Divorced

Email address:

Permanent (Home) Address:

Tel No:

Mailing Address (if different):

Tel No:

PARENT/GUARDIANS DETAILS
Name of Parent/Guardian

Relationship

Address:
Tel no:

Office contact:

Handphone no:

ACADEMIC REPORT General & Higher Education


School attended

Year

NAFA Preparatory Course for Music Performance

Qualification obtained & Date

Page 1

O Level Examination Results


Subjects Taken
(The better of the 2
results obtained from 2
sittings if applicable)

O Level
Grade

A Level Examination Results


Year
Taken

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

NAFA Preparatory Course for Music Performance

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

Practical Grade Exam


taken

Date

Board

Instrument

Grade/Mark

Date

Board

Instrument

Grade/Mark

Date

Board

Instrument

Grade/Mark

Date

Board

Instrument

Grade/Mark

Date

Board

Grade/Mark

(highest grade only for each


instrument)

Theory Exam taken


(highest grade only)

Current Principal Study Teacher


Current Second Study (Minor) Teacher
Main Performance Experience

(You may continue on a separate sheet if necessary)

Survey
How did you come to know of the Preparatory Course for Music Performance?
Newspaper
School Talks/Workshop
Internet

Friends
Company
NAFA Open House

NAFA Preparatory Course for Music Performance

Family members
Exhibition

Page 3

You might also like