MOE-AU SCHOLARSHIP APPLICATION PACKAGE

CONTENTS
Instructions to Applicants
I. Application Deadline
II. How to complete and submit the Application Form
III. Things to note
Application Form
Application Checklist
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 supportin
documents to:
MOE-AU Scholarship Application
Higher Education Division
Ministry of Education
1 North Buona Vista Drive
MOE Building Level 9
Singapore 138675

Your Application Checklist and supporting documents should reach us latest by 31st March 2015 (fo
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

ON PACKAGE
PAGE
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1 -- 7
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pplication form.

clear copies of your supporting

s latest by 31st March 2015 (for

May 2015 (for current

Cover Page

MOE-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
down list.

You may take about 20 minutes to complete the application form, excluding the time required for essay writing (Section 13).
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 fo
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 t
interview details.
Please take note of the following dates/events:
April - June 2015

Selection tests and interviews for shortlisted candidates

(Only shortlisted candidates will be notified)

June - July 2015

Notification of application outcome after interviews

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

July 2015

Pre-Departure Courses for Scholarship holders

MOE-AU Scholarship Presentation Ceremony

-i-

TION
TS

ION FORM

are to choose an option from a drop-

or essay writing (Section 13). Please

te.

Lim.xlsx

e. Receipt of the application form will be

ou via email of the selection test and

sureties)

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MOE-AU Scholarship Application Form Jan 2015

Application for MOE-AU Scholarship

Please 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 University

Name of Institution (Diploma)

Name of Institu

National University of Singapore

Country

Type of Qualifica

Course of Study

(E.g. GCE 'A' Level, NUS High Diplom

Singapore
Year of Study

Intended Course(s) of

Latest cGPA

Year 1
Are you in your final year?

Classification of Diploma

NO

Histor

Political Sc

Please indicate the AU to which yo

matched, in order of pre

Grades (cGPA/Class of Honours)

Intended Major(s)

4.70/Honours (Highest Distinction)

History

Faculty

Intended Minor(s)

Nanyang Technolo

Faculty of Arts and Social Science

Political Science

Singapore Manage

National University

SECTION 1 : PERSONAL PARTICULARS

Title

Applicants Name (as in official documents)

Mr

Lim Zijie Joshua

Marital S

(Please underline surname)

Singl

Date of Birth (DD MMM YYYY)

Country of Birth

Religion (specify denomination, if any)

16 Oct 1993

Singapore

NIL

Chine

Citizenship

Identification Card No.

Identification Type

Gend

Singaporean

S933919F

S'pore NRIC (Pink)

Email Address (Notifications from MOE will be sent to this account)

Race / Ethni

Male

Home Contact Number

joshua98548@gmail.com

Mobile Nu

96899189

968991

Local Mailing Address

Blk/ Hse No.

443B

Building Name

Unit No.

11-359

Street Name

City/Country

Singapore

Postal Code
Overseas Mailing Address (if applicable)

Blk/ Hse No.

Building Name

Unit No.

Street Name

-1-

Fernvale Road

792443

MOE-AU Scholarship Application Form Jan 2015

City/Country

Postal Code

SECTION 2: NATIONAL SERVICE RECORD (if applicable)

Status (Please select from list)

Unit/Vocation

Rank

Completed

Supply Assistant (Ammunition)

Lance Corporal

Date of Enlistment
(DD/MM/YYYY):

ORD Date/Disruption Date

02/02/2012

01/02/2014

(DD/MM/YYYY)

If your PES Status is not A, pleas

condition:

PES Status
C9

BMI

SECTION 3: EDUCATION HISTORY (Please list in the order of Primary to Tertiary)

Duration of Course

Name of School/College/Polytechnic Graduated

Country

St. Andrew's Junior School

Singapore

01/2000 to 10/2005

PSLE

Nan Chiau High School

Singapore

01/2006 to 12/2009

GCE 'O' L

National Junior College

Singapore

02/2010 to 12/2011

GCE 'A' L

(From MM/YYYY to MM/YYYY)

Highest Academic Qu

SECTION 4: RESULTS
GCE O' Levels or equivalent

GCE A' Levels or equivalent

(inclusive of all Mother Tongue certificates at different sittings)

(inclusive of all Mother Tongue certificates at different sittings)

Subject

Subject

Grade

(kindly indicate H1 / H2 / H3 level if applicable)

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 university
Expected Entry Year:

Country

1
2

-2-

Course of study
Please state subject(s) of study

Status of ap

MOE-AU Scholarship Application Form Jan 2015

3
4
5
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/Bursary

Year applied

Status of ap

1
2
3
4
5
6
SECTION 7: CO-CURRICULAR ACTIVITIES (CCA)
CCA

Year

1
2
3
4
5
6
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/Award

Institution

1
2
3
4
5
6
7
8
9
10
SECTION 9: WORKING EXPERIENCE/INTERNSHIPS/RESEARCH EXPERIENCE
(e.g. relief teaching experience, work in a research laboratory)

Period
(MM/YYYY to MM/YYYY)

Organisation

-3-

Job Title/Responsibilities

MOE-AU Scholarship Application Form Jan 2015

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.)

Name

Age

Relationship

Occupation

Name of Employer/S

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
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 Referee

Full Name

Full Name

Relationship

Relationship

Company Name

Company Name

Job Designation

Job Designation

Years Known

Years Known

Email Address

Email Address

Contact Number

Contact Number

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MOE-AU Scholarship Application Form Jan 2015

SECTION 12: OTHER INFORMATION

Please answer the following questions by indicating 'Yes' or 'No'.
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)

7)

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:

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:

DECLARATION

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MOE-AU Scholarship Application Form Jan 2015

i.

I give my consent for the relevant Government authorities to obtain and verify information from or with any source, as you deem appropr
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 h
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 ap
rejected or any offer of scholarship/award may be withdrawn/terminated summarily.

Applicant 's Name

Applicant's Signature

Dependence on alcohol, drugs, etc, excluding prescription by a certified medical professional.

By this, we refer only to a criminal record of a conviction under the Registration of Criminals Act (http://statutes.agc.gov.sg/).

SECTION 13: ESSAY

Please 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?

Who is your role model? Why?

What kind of Singapore would you like to see in 15 years time?

What is one event in your life that has changed you as a person?

Instructions
1

Please type the essay topic as the header.

Please use Arial font.

Please indent each paragraph, leaving one-line spacing between paragraphs.

Please use single line spacing only.

-6-

Date

MOE-AU Scholarship Application Form Jan 2015

SECTION 13B: ESSAY PART 2

Please 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?

Instructions
1

Please type the essay topic as the header.

Please use Arial font.

Please indent each paragraph, leaving one-line spacing between paragraphs.

Please use single line spacing only.

-7-

MOE-AU Scholarship Application Form Jan 2015

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MOE-AU Scholarship Application Form Jan 2015

Please insert a clear

and coloured
photograph here
Ideal dimensions:
400 x 514 pixels
Size: 150kbs

an undergraduate

ame of Institution

pe of Qualification

E 'A' Level, NUS High Diploma, IB Diploma)

ended Course(s) of Study

History
Political Science

e the AU to which you would like to be

hed, in order of preference.
National University of Singapore

Nanyang Technological University

Singapore Management University

Marital Status
Single
Race / Ethnic Group
Chinese
Gender
Male
Mobile Number
96899189

nvale Road

792443

-9-

MOE-AU Scholarship Application Form Jan 2015

Rank
Lance Corporal

Status is not A, please state medical

condition:

BMI

ghest Academic Qualification Attained

PSLE
GCE 'O' Levels
GCE 'A' Levels

equivalent

cates at different sittings)

Grade

Status of application

- 10 -

MOE-AU Scholarship Application Form Jan 2015

Status of application

Year

Year

nsibilities

- 11 -

MOE-AU Scholarship Application Form Jan 2015

Name of Employer/School/Institution

work and character. Your referees will be

ontact the referees stated.)

eferee

- 12 -

MOE-AU Scholarship Application Form Jan 2015

Please select accordingly:

- 13 -

MOE-AU Scholarship Application Form Jan 2015

s you deem appropriate for the

y knowledge and I have not wilfully

e or incorrect, my application may be

Date

- 14 -

MOE-AU Scholarship Application Form Jan 2015

- 15 -

MOE-AU Scholarship Application Form Jan 2015

- 16 -

MOE-AU SCHOLARSHIP
Application 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
page.

d) Enclose this Application checklist and your supporting documents in an envelope and the documents should reach u
31 March 2015 (for fresh GCE A level graduates or equivalent/Diploma Holders) or 31 May 2015 (current
undergraduates), to:
MOE-AU Scholarship Application
Higher Education Division
Ministry of Education
1 North Buona Vista Drive
MOE Building Level 9
Singapore 138675
Full Name:
Identification No.:
* if applicable

Please
tick

Relevant supporting documents to submit

3 most recent passport-size photographs (write your name and NRIC on the
back of the photographs)

NRIC (front and back)

University transcript/results *

Polytechnic Diploma transcript/results slip *

Polytechnic Diploma Certificate *

GCE 'A' Level certificate/result slip (including results for Project Work and
Mother Tongue Language) or equivalent

GCE 'O' Level certificate/results slip (including results for Mother Tongue
Language) or equivalent

Secondary School/Polytechnic/Junior College testimonials

Secondary School/Polytechnic/Junior College Co-Curricular Activites (CCA)

participation records

10

National Service (NS) Certificate *

11

NS Service Transcript *

12

Academic Reference (In a sealed envelope, referee to sign across the seal
and cover it with clear tape.)

13

Character Reference (In a sealed envelope, referee to sign across the seal
and cover it with clear tape.)

-8-

If you are unable to provide a relev

document, please state your reaso

Optional: Any other documents that you wish to submit in support of your
application (E.g. ABRSM certificate, University CCA records) *

14

-8-

ttach this Application Checklist as the cover

nd the documents should reach us latest by

rs) or 31 May 2015 (current

you are unable to provide a relevant

ocument, please state your reason(s) below:

-8-

-8-

Colour code:
In use
Not in use
Key Subject
General Paper
English Language
Knowledge and Inquiry

AU
National University of Singapore
Nanyang Technological University
Singapore Management University

Applicant
a GCE 'A' Level graduate or equivalent
a Polytechnic Diploma holder
an undergraduate

NSstatus
Awaiting Enlistment
Currently Serving
Completed
Disrupted
Exempted

Subjects
Art
Biology
Chemistry
Chinese Language
Chinese Literature
Computer Applications
Design & Technology
Economics
Elements of Business Skills
English Language
English Literature
French Language
General Paper
Geography
German Language
History
Home Economics
Japanese Language
Malay Language
Malay Literature
Mathematics
Nutrition and Food
Music
Science (Home
Economics)
Physical Education
Physics
Principles of Accounts
Social Studies
Tamil Language

Tamil Literature

NS Org
SAF
SPF
SCDF
Exempted
Others

ID Type
S'pore NRIC (Pink)
S'pore NRIC (Blue)
M'sian NRIC
Foreign Passport No.

Section 6

Section 5

Offer Accepted
Offer Declined
Offered
Pending Application
Pending Outcome
Rejected
Waitlisted
Withdrawn by Applicant

Offer Accepted
Offer Declined
Offered
Pending Application
Pending Outcome
Rejected
Waitlisted
Withdrawn by Applicant

Level
A Level
AO Level
H1
H2
H3

Title
Mr
Miss
Ms
Mrs
Mdm