PART I To Be Completed by Applicant

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HASS INTERNATIONAL PHD SCHOLARSHIP (HIPS) HIPS DOCUMENT #3 APPLICATION FORM FOR HIPS (Please submit your completed application form, together with all required materials, to HIPS Office, HASS, through the Chair of your School and Head of Division/Programme before the application deadline.) UPDATED: SEPTEMBER 2015 PART I To Be Completed by Applicant A. Applicant s Particulars (*Appointment and contract details need not be completed for non-ntu staff.) Name (Pls underline Surname / Family Name) of Birth Gender Marital Status Are you serving any outstanding bond? If yes, pls specify bond duration, the approx. outstanding period & organisation that you are bonded to. Nationality Singapore Permanent Resident (if applicable) PR issued: UIN: School and Division / Programme Applying To Email Addresses Telephone Numbers Home Mobile Present Appointment* Period of Present Contract* From To B. Proposed Programme of Study (Pls list the institutions in which you propose to undertake the above course, in order of preference, and indicate the status of your applications.) Institution (Pls indicate City & Country) Programme Application Status C. Financial Assistance from Other Sources Financial assistance received from outside NTU for the programme of study: Yes (To give details below and attach copies of relevant correspondence) No Source(s) Breakdown of Items & Amount Application Status HASS INTERNATIONAL PHD SCHOLARSHIP (HIPS) APPLICATION FORM P a g e 1

D. Reasons for Applying for the HASS International PhD Scholarship E. Checklist of Application Materials (Please tick accordingly, and indicate if not available) 1. Your latest curriculum vitae and publication list (if applicable) 2. An abstract of any thesis previously written 3. Copies of 2 or 3 pieces of research/design work that the applicant considers to be his/her most significant works 4. A proposal of at least 2 research topics which you intend to pursue, with a minimum of a halfpage write-up on the details of each proposed topic 5. A copy of your NRIC and entry/re-entry permit (for Singapore Permanent Residents) 6. A copy each of your detailed results/transcripts of the GCE O & A Levels / School & Higher School Examinations, and University degree(s) 7. A copy each of your certificates of the GCE O & A Levels / School & Higher School Examinations, and University degree(s) 8. A copy of your Graduate Management Admission Test (GMAT) or Graduate Record Examination (GRE) score sheet, if applicable 9. A copy of the letter(s) of offer from each university applied to for admission to graduate programme; 10. A copy of the letter(s) of offer for other scholarships and/or awards applied for and the outcome of these applications 11. A minimum of 2 confidential referees reports F. Declaration I hereby certify that the statements and information in this application form are true and correct to the best of my knowledge and belief, and I authorise the Nanyang Technological University to investigate all statements or other information contained in this application form and any attachments submitted with it, unless I have stated in writing to the contrary. Signature of Applicant HASS INTERNATIONAL PHD SCHOLARSHIP (HIPS) APPLICATION FORM P a g e 2

PART II To Be Completed by Head of Division/Programme A. Application is supported Yes No B. Reasons/Comments, which should include the following if application is supported: (i) the Division/Programme s staffing plans/needs (in relation to the applicant); (ii) the Division/Programme s current and future strategic/focus areas of teaching and research; (iii) how the candidate who is being recommended for the Scholarship and the proposed doctoral programme will fit into the Division/Programme s plans and future direction; and (iv) recommendation of an appropriate senior faculty member in the Division/Programme who will act as a mentor (i.e. NTU Advisor), together with the Head Name and Signature of Head HASS INTERNATIONAL PHD SCHOLARSHIP (HIPS) APPLICATION FORM P a g e 3

PART III To Be Completed by Chair of School A. Application is supported Yes No B. Reasons/Comments Name and Signature of Chair HASS INTERNATIONAL PHD SCHOLARSHIP (HIPS) APPLICATION FORM P a g e 4

To submit your application 1. Please send, via post, a hardcopy of your application materials to the following address: HIPS Office College of Humanities, Arts, and Social Sciences Nanyang Technological University Office of the Dean, Level 5 14 Nanyang Drive, Singapore 637332 Email: hips@ntu.edu.sg 2. Do clearly indicate on the envelope that it is regarding Application for HASS International PhD Scholarship (HIPS) 2016. 3. In addition to the hardcopy, please email the softcopy of your application materials to hips@ntu.edu.sg. 4. Please note that the closing date for applications is 31 December 2015. HASS INTERNATIONAL PHD SCHOLARSHIP (HIPS) APPLICATION FORM P a g e 5