ADMISSIONS APPLICATION FORM 2011 MASTER IN PUBLIC POLICY PERSONAL PARTICULARS (Please print in BLOCK letters) Applicants are strongly encouraged to complete and submit an online application at https://inetapps.nus.edu.sg/gda/common/ newLogin.aspx. Applicants who apply using the online system pay a reduced application fee of S$20 or US$15. Mr
Mrs
Mdm
Miss
Ms*
Name as in Identity Card/Passport. Please UNDERLINE surname/family name Please attach a recent passport-sized photograph of yourself here
Date of birth (dd/mm/yyyy)
Place of birth
Age
Nationality
Ethnic group
Domicile (Country you live in permanently)
City
Male Female
State
Country
Zip Code
Passport no
Telephone Place of issue
Date of issue
Date of expiry
Single Married Divorced Widowed
LEE KUAN YEW SCHOOL OF PUBLIC POLICY
Dr
Pink NRIC Number (For Singapore citizens and permanent residents only:)
Blue
9
Mailing address
Postal Code
Telephone
Fax number
Mobile number
Permanent home address
Postal Code
Name of next-of-kin
Telephone
Relationship
Address
Postal Code
* Please check/tick accordingly
Telephone
2011 MASTER IN PUBLIC POLICY
No. of children