Closing Date

5. Career Summary Please fill in details of your present occupation. Job Title Since Number of years Organisation Brief description of duties and resp...

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Application for Admission to a Part-Time Degree Programme Please tick as appropriate: Bachelor of Science (Honours) (Top-up) Specialisations: ☐ Forensics Computing (Part-time) ☐ Software Engineering (Part-time)

Closing Date: Before submitting this application, please ensure that you have enclosed all items under “Checklist” (7).

1.

Declaration and Authorisation

Photograph

I hereby apply for the above-mentioned programme. I declare that the information given in this form is true and complete. I understand that if falsified information is submitted, admission will be rescinded. I have read the programme prospectus and will comply with all conditions, rules and regulations of Kaplan Higher Education Institute and University of Portsmouth.

Signature

Date

2. Personal Details Title Surname

Other Names (as in NRIC or passport)

Sex

Marital Status

Age

NRIC or Passport Number

Nationality

Date/Place Of Birth

Residence address Personal Email Address Business/Organisation

Postal Code Residence Tel.

Handphone/Pager Job Tittle

3.

Education and Qualifications

Business Address

Business Tel.

Business Fax

Please send all correspondence to:



Ethnic Origin

Parchment/Transcript Name

Disability/Special needs: Y/N

If yes, please specify:

Criminal convictions: Y/N

If yes, please specify:

Residence|



Business

Certified copies of academic certificates and transcripts/results slips. Start Year/ End Year

School/ College

Qualification

Grade

Star Year/ End Year

School/College

Qualification

Grade

Other courses or studies undertaken

4.

English Language Proficiency

If English is not your first language, please tell us about any English language qualifications you hold and provide original or certified copies of your English language certificates with your application form. Date: IELTS: Overall Score: ____

Reading: ____

Listening: ____

Writing: ____

Speaking: ____ Date:

TOEFL: Computer-based: _________

Paper-based: ________

Internet Based: ________ Date:

Cambridge Test: Advanced Score: __________________________

Proficiency Score: ____________________ Date:

Other: Title: ___________________________________

Score: ______________________________

If you are planning to take an English language test, please give details: Test to be taken: ________________ Approximate date to be taken: ________________ Have you been educated in English: ☐

Yes



No

If yes, please state no. of years: ________

5.

Career Summary

Please fill in details of your present occupation. Job Title

Since

Number of years

Organisation Brief description of duties and responsibilities

Previous Employment Record (In chronological order)

6.

Personal Statement

Year: From

To

Employer

Job Title

Year: Form

To

Employer

Job Title

Please write a statement to support your application to study this programme. Note that your application will not be processed without a personal statement. Please refer to the guidance notes for further assistance and continue on a separate sheet if necessary.

7.

Checklist The application package must contain these following items: a) A duly completed application form b) Certified copies of NRIC/Passport, academic/training certificates and transcripts c) Two passport-sized photographs d) Pre-course counselling checklist e) Programme application fee The complete application package should be returned to :

Director, UOP BA Programme (Part Time) Kaplan Higher Education Institute Pte Ltd. Kaplan City Campus @ Wilkie Edge 8 Wilkie Road, #02-01 Singapore 228095 Tel : (65) 6733 1877 Fax : (65) 6225 3605 Email : [email protected] BRN: 198600044N

For official use only

Admission is Partner ID/ Registration Number:



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