Application form

Personal details Institutes to apply

Family name Institute name
Ng Victoria University of Wellington
Given names Program
Eunice Bachelor of Music
Date of birth (dd/mm/yyyy) Male Female Intake (mm/yyyy) Campus
05/01/2000 07/2023
Type: Foundation Diploma Year 1 Year 2 Year 3 Pre-Master Master
Nationality Passport number
Singaporean K1627731Z
Degree aim (after foundation/Diploma, if applicable):
Father’s Name:
Ng Hock Ann *****

Institute name
Mother’s Name:
Tan Bee Leng
Program

Contac details
Intake (mm/yyyy) Campus
Address
Bukit Batok St 31 Blk 362 #04-441 S(650362)
Type: Foundation Diploma Year 1 Year 2 Year 3 Pre-Master Master

Degree aim (after foundation/Diploma, if applicable):

*****
Phone number
92763411 Institute name

Email address
Eunice.chante@gmail.com Program

Parent’s phone number

93685468
Intake (mm/yyyy) Campus

Parent’s email address

Hsky77@yahoo.com.sg Type: Foundation Diploma Year 1 Year 2 Year 3 Pre-Master Master

Degree aim (after foundation/Diploma, if applicable):

Previous studies *****

A) Highest qualification obtained or about to obtain Institute name
Name of qualification (e.g. Diploma in Business, ‘O’ Levels)

Program
Diploma in Music
Name of school Intake (mm/yyyy) Campus
Nanyang Academy of Fine Arts
Type: Foundation Diploma Year 1 Year 2 Year 3 Pre-Master Master
From (mm/yy) To (mm/yy)
08/2017 07/2020
Degree aim (after foundation/Diploma, if applicable):
*****
B) Other qualifications
Name of qualification (e.g. Diploma in Business, ‘O’ Levels) Institute name

O Levels Program

Name of school
Dunearn Secondary School Intake (mm/yyyy) Campus

From (mm/yy) To (mm/yy) Type: Foundation Diploma Year 1 Year 2 Year 3 Pre-Master Master
01/2013 11/2016
Degree aim (after foundation/Diploma, if applicable):

Gap between studies

Is there any gap of more than 6 months between studies? Please give details:
(including full time employment or National Service) Declaration
I declare the information I have supplied on this form is, to the best of my understanding and
Currently having full time employment at Ossia Music belief, complete and correct. I understand it is my responsibility to read carefully and understand
School Singapore till 2023 all the Terms & Conditions, Refund Policy of the School, College, Institution, University,
Immigration Authority, and Accommodation Provider or by any third party. I understand that only
the School, College, Institution or University has the prerogative and exclusive right to make
decisions regarding entry requirement, letter of offer, acceptance, etc.

I hereby appoint GLZINC Pte Ltd (Trading as JACK StudyAbroad) (“the Agent”) to be my agent for my
Accommodation and airport reception preference application to the above institutes. I understand that the Agent will only facilitate the application process
and hereby confirm that I will not hold the Agent as responsible or liable for whatever decisions made by
Accommodation: Required Not required the School, College, Institution, University, Immigration Authority, accommodation provider or by any third
party directly or indirectly connected to this application. I hereby confirm that I will not hold the Agent as
- If accommodation is required, what type? On-campus Homestay responsible or liable for my academic performance or future progression related to this application. I futher
authorize the Agent to sign and submit application forms on my behalf.
Airport pickup: Required Not required
If you are under 18 years of age, your parent must sign this form

Other information Applicant’s or Parent’s signature:

- Have you been refused visa for any country? No Yes: (Please type the name)

- How did you hear about us

Google Facebook Yahoo/Msn Other websites Word-of-mouth
Date 23/04/21

Office use - Consultant: Admin: Service Fee: Deposit: Application Fee: