Cover PageMOE-AU SCHOLARSHIP APPLICATION PACKAGE

CONTENTSPAGEInstructions to ApplicantsiI. Application DeadlineiII. How to complete and submit the Application FormiIII. Things to noteiApplication Form1 -- 7Application Checklist8

A complete application consists of the following:

a) Application Form

Submit ONLY ONE application form.Please read on for instructions on how to complete and submit the application form.

b) Application Checklist and Supporting Documents

Print and complete the Application Checklist, and mail it together with clear copies of your supporting documents to:

MOE-AU Scholarship ApplicationHigher Education DivisionMinistry of Education1 North Buona Vista DriveMOE Building Level 9Singapore 138675

Your Application Checklist and supporting documents should reach us latest by 31st March 2015 (for fresh GCE A level graduates or equivalent/Diploma Holders) or 31st May 2015 (for current undergraduates).

Incomplete or late applications will not be considered.

Cover Page

Page iMOE-AU SCHOLARSHIP APPLICATION INSTRUCTIONS TO APPLICANTS

I. APPLICATION DEADLINE

For fresh GCE A level graduates or equivalent/Diploma Holders:

Your application should reach us by 31st March 2015 (Tuesday).

For current undergraduates: Your application should reach us by 31st May 2015 (Sunday).

II. HOW TO COMPLETE AND SUBMIT THE APPLICATION FORM

You should complete all items in the application form. A blue-coloured field indicates that you are to choose an option from a drop-down list.

You may take about 20 minutes to complete the application form, excluding the time required for essay writing (Section 13). Please ensure that all your information in the completed application form is correct and accurate.

Once you complete the application form, save your full name as the file name. E.g. Rebecca_Lim.xlsx

Email your completed application form to MOE_HED@moe.gov.sg, by the stipulated deadline. Receipt of the application form will be acknowledged.

III. THINGS TO NOTE

We regret that only shortlisted candidates will be notified. If you are shortlisted, we will notify you via email of the selection test and interview details.

Please take note of the following dates/events:

April - June 2015Selection tests and interviews for shortlisted candidates(Only shortlisted candidates will be notified)

June - July 2015Notification of application outcome after interviews

Signing of MOE-AU Scholarship Agreement(Award recipient must attend the session with two nominated sureties)

July 2015Pre-Departure Courses for Scholarship holders

MOE-AU Scholarship Presentation Ceremony

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Application FormApplication for MOE-AU ScholarshipPlease read the instructions on the cover page and page (i) before proceeding to complete the application form below

APPLICANT: You are currently (please select from the dropdown list) an undergraduate(please fill in details below)Name of UniversityName of Institution (Diploma)Name of InstitutionNational University of SingaporeCountryCourse of StudyType of Qualification(E.g. GCE 'A' Level, NUS High Diploma, IB Diploma)SingaporeYear of StudyLatest cGPAIntended Course(s) of StudyYear 11HistoryAre you in your final year?Classification of Diploma2Political ScienceNOPlease indicate the AU to which you would like to be matched, in order of preference.Grades (cGPA/Class of Honours)Intended Major(s)4.70/Honours (Highest Distinction)History1National University of SingaporeFacultyIntended Minor(s)2Nanyang Technological UniversityFaculty of Arts and Social SciencePolitical Science3Singapore Management University

SECTION 1 : PERSONAL PARTICULARSTitleApplicants Name (as in official documents)(Please underline surname)Marital StatusMrLim Zijie JoshuaSingleDate of Birth (DD MMM YYYY)Country of BirthReligion (specify denomination, if any)Race / Ethnic Group16 Oct 1993SingaporeNILChineseCitizenshipIdentification Card No.Identification TypeGenderSingaporeanS933919FS'pore NRIC (Pink)MaleEmail Address (Notifications from MOE will be sent to this account)Home Contact NumberMobile Numberjoshua98548@gmail.com9689918996899189Local Mailing AddressBlk/ Hse No.443BBuilding NameFernvale RoadUnit No.11-359
s1549425e: Example:Unit No. 4 as "4"#02-345 as "02-345"Street NameCity/CountrySingaporePostal Code792443Overseas Mailing Address (if applicable)Blk/ Hse No.Building NameUnit No.
s1549425e: Example:Unit No. 4 as "4"#02-345 as "02-345"Street NameCity/CountryPostal Code

SECTION 2: NATIONAL SERVICE RECORD (if applicable)Status (Please select from list)Unit/VocationRankCompletedSupply Assistant (Ammunition)Lance CorporalDate of Enlistment(DD/MM/YYYY):ORD Date/Disruption Date (DD/MM/YYYY)PES StatusIf your PES Status is not A, please state medical condition:02/02/201201/02/2014C9BMI

SECTION 3: EDUCATION HISTORY (Please list in the order of Primary to Tertiary)Name of School/College/Polytechnic GraduatedCountryDuration of Course(From MM/YYYY to MM/YYYY)Highest Academic Qualification AttainedSt. Andrew's Junior SchoolSingapore01/2000 to 10/2005PSLENan Chiau High SchoolSingapore01/2006 to 12/2009GCE 'O' LevelsNational Junior CollegeSingapore02/2010 to 12/2011 GCE 'A' Levels

SECTION 4: RESULTSGCE O' Levels or equivalent(inclusive of all Mother Tongue certificates at different sittings)GCE A' Levels or equivalent (inclusive of all Mother Tongue certificates at different sittings)SubjectGradeSubject(kindly indicate H1 / H2 / H3 level if applicable)Grade

Total Points (for IB / NUS High School)

SECTION 5: UNIVERSITY APPLICATION(S)(If there are additional applications, please include them in your application, attached in a separate document.)Choice of universityCountryCourse of studyPlease state subject(s) of studyStatus of applicationExpected Entry Year: 12345

SECTION 6: APPLICATION FOR OTHER SCHOLARSHIPS / AWARDS / BURSARIES (if applicable)(Please include current & past applications, including PSC or MOE Scholarships/Awards)Name of Scholarship/Award/BursaryYear applied Status of application

123456

SECTION 7: CO-CURRICULAR ACTIVITIES (CCA)CCAYear123456

SECTION 8: OTHER NOTABLE ACHIEVEMENTS/AWARDS(Please include up to 10 of your most significant achievements within or outside school, including but not limited to your CCA achievements. )Qualification/AwardInstitutionYear12345678910

SECTION 9: WORKING EXPERIENCE/INTERNSHIPS/RESEARCH EXPERIENCE(e.g. relief teaching experience, work in a research laboratory)Period(MM/YYYY to MM/YYYY)OrganisationJob Title/Responsibilities

SECTION 10: PARTICULARS OF FAMILY MEMBERS (parents, spouse and siblings) (Please indicate beside Name if parent(s) is/are divorced or deceased. Please indicate below Name if any of your siblings is holding a scholarship.)NameAgeRelationshipOccupationName of Employer/School/Institution

Please state your total family monthly household income:Please state your home dwelling type (e.g. HDB 3 room flat)SECTION 11: ACADEMIC AND CHARACTER REFERENCES(Please provide particulars of two persons who are not related to you. They should be responsible persons who know you well with regard to your academic work and character. Your referees will be required to provide confidential recommendation letters in sealed envelopes, signed across the seal and covered with clear tape. The Ministry may directly contact the referees stated.)Academic Referee Character RefereeFull NameFull Name RelationshipRelationshipCompany NameCompany NameJob Designation Job DesignationYears KnownYears KnownEmail AddressEmail AddressContact NumberContact Number

SECTION 12: OTHER INFORMATIONPlease answer the following questions by indicating 'Yes' or 'No'.Please select accordingly:1)Have you suffered, or are suffering from any medical condition, illness, disease, mental illness, substance dependence1 or physical impairment? If yes, please state details:

2)Do you have a criminal record2 in Singapore? If yes, please state details:

3)Have you been convicted in a court of law in any other country (excluding parking offences or criminal records disclosed above)? If yes, please state details:

4)Have you been charged with any offence in a court of law in Singapore or in any other country for which the outcome is pending (excluding parking offences)? If yes, please state details:

5)Are you aware of being under any current police investigations in Singapore or in any other country following allegations made against you? If yes, please state details:

6)Have you been or are you under any financial embarrassment i.e.(a) an undischarged bankrupt, (b) a judgement debtor,(c) have unsecured debts and liabilities of more than 3 months last-drawn pay, if applicable(d) have signed a promissory note or an acknowledgement of indebtedness? If yes, please state details:

7)Have you applied for PSC or Ministry Scholarship in the past? If yes, please state year(s) of application, type of scholarship (e.g. PSC Scholarship, HDB Scholarship) and the outcome (e.g. not shortlisted, offered or not offered after interview) below:

8)Are you currently benefiting from any sponsorship/grant/bond? If yes, please state details:

9)Are you currently holding any other citizenship? If yes, please state details:

10) Are you currently holding any Permanent Resident (PR) status from other county? If yes, please state details:

11) Do you have intention to apply for foreign citizenship/permanent residence within the next one year? If yes, please state details:

DECLARATIONi.I give my consent for the relevant Government authorities to obtain and verify information from or with any source, as you deem appropriate for the assessment of my application. ii.I declare that all information given by me in this application and any sheets attached hereto are true to the best of my knowledge and I have not wilfully suppressed any material fact. I accept that if any of the information given by me in this application is in any way false or incorrect, my application may be rejected or any offer of scholarship/award may be withdrawn/terminated summarily.

Applicant 's NameApplicant's SignatureDate1Dependence on alcohol, drugs, etc, excluding prescription by a certified medical professional.2By this, we refer only to a criminal record of a conviction under the Registration of Criminals Act (http://statutes.agc.gov.sg/).

SECTION 13: ESSAYPlease write an essay on the topic below and follow the instructions. Your essay must not exceed 500 words. Write an essay on ONE of the following topics:1 If you had an audience with the Prime Minister tomorrow, what would you tell him?2 Who is your role model? Why?3 What kind of Singapore would you like to see in 15 years time?4 What is one event in your life that has changed you as a person? Instructions1 Please type the essay topic as the header.2 Please use Arial font.3 Please indent each paragraph, leaving one-line spacing between paragraphs.4 Please use single line spacing only.SECTION 13B: ESSAY PART 2Please write an essay on the topic below and follow the instructions. Your essay must not exceed 500 words. Write an essay on the following topic:1 How will your research interest contribute to Singapore's development?Instructions1 Please type the essay topic as the header.2 Please use Arial font.3 Please indent each paragraph, leaving one-line spacing between paragraphs.4 Please use single line spacing only.

&"Arial,Regular"&8MOE-AU Scholarship Application Form Jan 2015

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Please insert a clear and coloured photograph here

Ideal dimensions: 400 x 514 pixelsSize: 150kbs

Application ChecklistMOE-AU SCHOLARSHIPApplication Checklist

a)Print and complete this Application Checklist. b)Remember to fill in your full name and identification number. c)Arrange clear copies of your supporting documents in the order given below and attach this Application Checklist as the cover page.

d)Enclose this Application checklist and your supporting documents in an envelope and the documents should reach us latest by 31 March 2015 (for fresh GCE A level graduates or equivalent/Diploma Holders) or 31 May 2015 (current undergraduates), to:

MOE-AU Scholarship ApplicationHigher Education DivisionMinistry of Education1 North Buona Vista DriveMOE Building Level 9Singapore 138675

Full Name: Identification No.:

* if applicablePleasetickRelevant supporting documents to submitIf you are unable to provide a relevant document, please state your reason(s) below: 13 most recent passport-size photographs (write your name and NRIC on the back of the photographs)2NRIC (front and back)3University transcript/results *4Polytechnic Diploma transcript/results slip *5Polytechnic Diploma Certificate *6GCE 'A' Level certificate/result slip (including results for Project Work and Mother Tongue Language) or equivalent 7GCE 'O' Level certificate/results slip (including results for Mother Tongue Language) or equivalent8Secondary School/Polytechnic/Junior College testimonials 9Secondary School/Polytechnic/Junior College Co-Curricular Activites (CCA) participation records10National Service (NS) Certificate *11NS Service Transcript *12Academic Reference (In a sealed envelope, referee to sign across the seal and cover it with clear tape.)13Character Reference (In a sealed envelope, referee to sign across the seal and cover it with clear tape.)14Optional: Any other documents that you wish to submit in support of your application (E.g. ABRSM certificate, University CCA records) *

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LegendColour code: In useApplicantNS OrgID TypeNot in usea GCE 'A' Level graduate or equivalentSAFS'pore NRIC (Pink)a Polytechnic Diploma holderSPFS'pore NRIC (Blue)Key Subjectan undergraduateSCDFM'sian NRICGeneral PaperExemptedForeign Passport No.English LanguageOthersKnowledge and InquiryNSstatusSection 6Section 5Awaiting EnlistmentOffer AcceptedOffer AcceptedAUCurrently ServingOffer DeclinedOffer DeclinedNational University of SingaporeCompletedOfferedOfferedNanyang Technological UniversityDisruptedPending ApplicationPending ApplicationSingapore Management UniversityExemptedPending OutcomePending OutcomeRejectedRejectedWaitlistedWaitlistedWithdrawn by ApplicantWithdrawn by Applicant

SubjectsLevelTitleA LevelMrArtAO LevelMissBiologyH1MsChemistryH2MrsChinese LanguageH3MdmChinese LiteratureComputer ApplicationsDesign & TechnologyEconomicsElements of Business SkillsEnglish LanguageEnglish LiteratureFrench LanguageGeneral PaperGeographyGerman LanguageHistoryHome EconomicsJapanese LanguageMalay LanguageMalay LiteratureMathematicsMusicNutrition and Food Science (Home Economics)Physical EducationPhysicsPrinciples of AccountsSocial StudiesTamil LanguageTamil Literature

ref

S933919FMrLim Zijie JoshuaS933919FS'pore NRIC (Pink)MaleSingaporeanSingaporeChineseNIL16 Oct 1993443B11-359-Fernvale RoadSingapore9689918996899189joshua98548@gmail.comCompletedC9BMI1-Feb-14-----St. Andrew's Junior SchoolNan Chiau High SchoolNational Junior College-an undergraduateNational University of SingaporeSingapore -4.70/Honours (Highest Distinction)Political ScienceFaculty of Arts and Social ScienceYear 1NOHistory-------Political Science-, , , , , , , , , , , , , , , , , , , , -NANANA