COLOUR VISION TEST REPORT

CONFIDENTIAL

PART A: TO BE COMPLETED BY STUDENT

Personal Particulars

Full Name: NRIC/Passport/FIN No.:

Date of Birth: Gender: F/M Admission No.:

Tel/Handphone: Contact Address:

Colour Vision Test is only applicable to students who have been offered the following courses.
Please tick (✓) the course that you have been offered:

Please tick Please tick

(✓) (✓)
Animation & Visual Effects Aeronautical & Aerospace Technology
Digital Game Art & Design Aerospace Systems & Management
Industrial Design Biomedical Engineering
Interaction Design Common Engineering Programme
Motion Graphics Design Electronic & Computer Engineering
Spatial Design Infocomm & Media Engineering
Visual Communication Nanotechnology & Materials Science
Robotics & Mechatronics

PART B: TO BE COMPLETED BY THE EXAMINING DOCTOR

I certify that the above-named student has undergone the Colour Vision (Ishihara) Test and the result is as
follows:
Normal
Partial Colour Deficiency
Complete Colour Deficiency

Types of Colour Deficiency : _________________________________________

Remarks (if any): __________________________________________________

Name of Doctor: Signature of Doctor:

Name and Address of Practice (Stamp): Date of Colour Vision Test:

ASADM-06.V19c (31/12/2019) Page 1

 COLOUR VISION TEST
NOTES FOR STUDENTS

• The information provided will be kept strictly confidential and used for assessing fitness for course
admission only. Fees incurred for the test are to be borne by student.

• Complete Part A of this form and bring along with you to a Singapore registered medical
practitioner for the test. You may visit a private clinic, your own family doctor, or any of the specified
medical centres listed in the next page.

• Please ensure your medical report is completed before you leave the medical centre, i.e. the doctor
has certified whether you are fit to pursue the selected course of study at NYP. You will be deemed
unfit unless certified fit.

• Please wear your glasses or contact lens for the colour vision test.

• For International Students, the additional Medical Examination Report is required by ICA for your
Student’s Pass Application. The report can be downloaded from NYP Online Enrolment System or NYP
Enrolment Website : www.nyp.edu.sg/enrolment.

• Submission of the completed medical report:

No submission of medical report to NYP is required as

Students who did the colour vision test
the medical centre will do so on your behalf. [Report is
at NYP specified medical centre
non-returnable]

Upload the medical report by following the instructions

Students who did the colour vision test given on NYP Online Enrolment System or NYP
at other clinics Enrolment Website:
www.nyp.edu.sg/enrolment

If you have already done the check-up, please inform us

via email at
Students transferred from another
NYP_Admissions_Office@nyp.edu.sg,
Polytechnic
indicating clearly the Polytechnic you have submitted the
medical report to. NYP will follow-up on your behalf.

Collect the completed ICA Medical Examination Report

International Students
from the clinic personally for submission to ICA.

Important :
• If you are unable to complete the test before the deadline given, please inform us via email at
NYP_Admissions_Office@nyp.edu.sg. Failure to submit your medical report may result in you
being deemed medically unfit to pursue the course.

• If you have colour appreciation deficiency, you may encounter difficulties meeting the course
requirements and expectations. Please inform us immediately via email at
NYP_Admissions_Office@nyp.edu.sg with the email subject “Colour Vision Deficiency”,
stating clearly your Student Admission Number, Name, Contact Number and Course Offered.

• Students with severe colour appreciation deficiency will be assessed on a case-by-case basis to
determine whether they can continue with the offered course or be recommended for a course
transfer.

ASADM-06.V19c (31/12/2019) Page 2

 List of Medical Centres
SATA CommHealth
Clinics
Ang Mo Kio Medical Centre
Boon Lay Medical Centre
Jurong Medical Centre
Potong Pasir Medical Centre
Tampines Medical Centre
Tanjong Pagar Clinic
Uttamram (Bedok) Medical Centre
Woodlands Medical Centre
Medical Examination Fees:
For all students :
- Doctor’s Signature
- Colour Vision (Ishihara) Test
For international students :
- Doctor’s Signature
- Colour Vision (Ishihara) Test
- HIV Screening
- Chest X-ray (report only)
ASADM-06.V19c (31/12/2019)
Operating Hours:
8:30am to 5:00pm (Mon – Fri)
8:30am to 1:00pm (Sat) (Weekend surcharge $6)
Closed on Sundays & Public Holidays
Hotline: 6244 6688
8:00am to 5:30pm (Mon – Fri)
8:00am to 1:30pm (Sat)
Closed on Sundays & Public Holidays
Locations
Night Clinic (Mon to Fri): 6.00pm - 9.00pm (Surcharge $6)
715 Ang Mo Kio Avenue 6
#01-4008/4010
Singapore 560715
500 Corporation Road
#01-01 NKF Integrated Renal Centre
Singapore 649808
Closed for lunch: 12.00pm to 1.00pm
135 Jurong Gateway Road
#04-345
Singapore 600135
1 Siang Kuang Avenue
Singapore 347919
Closed for lunch: 12.00pm to 1.00pm
5 Tampines Central 6
#01-01A Telepark Building
Singapore 529482
Closed for lunch: 12.00pm to 1.00pm
7 Tanjong Pagar Plaza
#02-103
Singapore 081007
Closed for lunch: 12.00pm to 1.00pm
351 Chai Chee Street
Singapore 468982
900 South Woodlands Drive
#04-01 Woodlands Civic Centre
Singapore 730900
$15 (before GST)
$35 (before GST)
Page 3