APPROVED/REJECTED

UK FORM 2019

(Mr Billy/Ms Joyce)

TUTORS: PLEASE ENSURE THAT THIS FORM HAS BEEN
APPROVED BY MR BILLY OR MS JOYCE BEFORE
ACCEPTING.
Please email reference letters to Mr Billy and Ms Joyce by 15 Sep (Cambridge), 10 Oct
(Oxford and Medicine-related courses), 31 Oct (all other courses).

A. APPLICANT DETAILS

Name: CG & NRIC:

Contact Number: Email:

B. CIVICS TUTOR AND TEACHER REFEREE DETAILS

Civics Tutor: Email:

Teacher Referee: Email:

C. COLLEGE EXAMINATION RESULTS

H1/ H2/ Prelim Prelim MYA MYA MCT MCT

Subject H3 Mark Grade Mark Grade Mark Grade
General Paper H1

H1 Project Work Actual Grade: ______

D. COURSE CHOICES

UNIVERSITY COURSE
E. SELF-ASSESSMENT FOR REFERENCE LETTER
Please fill in the following so that your teacher referee may use the information for your reference
letter. Your teacher referee should be someone who knows you academically and can write about
your academic potential, work ethic and suitability for your course and/or university. Your teacher
may use up to 4,000 characters or 47 lines of text (including spaces and blank lines).

Why did you choose this course? (may include career goals, interests, aptitude)

Describe the academic achievements that you are most proud of and why.

Describe your skills, qualities and non-academic achievements that will help you thrive
in your chosen course.

F. SUBMIT UK FORM A TO UCAS COORDINATORS FOR APPROVAL

Submit completed UK Form to UCAS Coordinators for approval and signature.
G. SUBMIT APPROVED UK FORM TO TEACHER REFEREE
Submit Approved & Signed UK Form to your teacher referee, with copies of:
a. Your completed personal statement
b. Any other information that would help enhance your reference letter (should not be information
already found in your personal statement).

Submit UK Form to Teacher Referee by: 3 Sep 2019 (Cambridge), 1 Oct 2019 (Oxford and
Medicine-related courses), 15 Oct 2019 (all other courses).