NTU SCIENCE RESEARCH ACCEPTANCE FORM

Please submit the completed hard copy of this acceptance form to your NRP Teacher Co-ordinator by Monday, 1 August 2016.

1. By my submission of this acceptance form, I will be deemed to have registered with the Singapore Examinations and Assessment Board (SEAB) for the NTU H3 Science Research Programme.

2. I understand that:a) There will not be a refund of the course fee of S$60 payable per student for withdrawals after

3 September 2016; b) Students who withdraw after 3 September 2016 will:

- have an ‘Absent’ grade issued by SEAB in their A-Level Certificate; and- be required to pay an administrative fee of S$50 levied by and payable to SEAB.

3. I fully understand the items listed in point 2 above.

I wish to accept NTU’s offer of NTU H3 Science Research that has been made.I do not wish to accept NTU’s offer of NTU H3 Science Research that has been made.

Name :       NRIC / Passport No. :      (as in NRIC / Passport, underline Surname)

JC / IP School :       Class / CT Group :      

Contact No. :       (Home)

      (Mobile)

Email Address :      

In the event of an emergency, please contact:

Name :       Relationship :      (underline surname)

Contact No. :       (Mobile)

     

SCHOOL ENDORSEMENTBy endorsing on this form, NTU will take it that the school approves of the student’s

conversion of NRP to H3 Science Research.Signature of Parent / Guardian* Name of Parent / Guardian*

     Signature of Student Name of Student School Chop & Name and Signature

of NRP Teacher Coordinator* Delete where applicable

T A L E N T O U T R E A C H S E C T I O N Office of Admissions & Financial Aid

Student Services Centre Level 3, 42 Nanyang Avenue, Singapore 639815Tel: +65 6790-6633 / +65 6592-3139/40 | Fax: +65 6794 6510 | Email: TalentOutreach@ntu.edu.sg

www.ntu.edu.sg/TalentOutreach