Registration Guide For MSc by Coursework Students NUS Engineering Semester 1, Academic Year 2018/2019 August Intake 2018
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Registration Guide For MSc by Coursework Students NUS Engineering Semester 1, Academic Year 2018/2019 August Intake 2018
Master of Science (Coursework) Programme NUS Engineering Semester 1, Academic Year 2018/2019 The purpose of this Guide is to assist incoming MSc students in completing the various formalities towards being officially registered as a student of the National University of Singapore (NUS). Contents 1. Registration (Part One) .......................................................................................................................................... 1 2. Pre-Admission Medical Examination ................................................................................................ 2 3. Diagnostic English Test (DET) ........................................................................................................... 4 4. Registration (Part Two) ........................................................................................................................................... 4 5. Orientation ...................................................................................................................................................... 4 6. Payment of Student Fees ................................................................................................................................. 5 7. Leave of Absence/Withdrawal ........................................................................................................................ 5 8. Selection of modules / Class timetable ............................................................................................................ 5 9. Information for international Students .......................................................................................................... 6 10. Useful Contacts ............................................................................................................................................... 8 11. NUS Maps ........................................................................................................................................................ 8 Forms Enclosed Admission Medical Examination Report Medical Examination Report (Students’ Pass application)
REGISTRATION PROCEDURES All students must be registered before commencing a course of study at the University. Registration refers to a formal process whereby a student enrols at the start of his/her period of study to become part of the NUS student community. The Registration consists of two stages: Registration (Part One) - all students make specific online declarations and complete acceptance records. Registration (Part Two) - students complete the registration procedures by reporting personally at the National University of Singapore (NUS) on the date/time/venue as indicated in your email offer. International students who require a student’s pass may need to wait their In-principle approval letter from us before coming for their Part 2 registration. 1. REGISTRATION (Part One) – to be completed online from 03 July 2018 After accepting your offer of admission, you can expect to receive an email sometime from 03 July 2018, requesting for your completion of the first part of the registration. Once you receive the email, please login to the Registration (Part One) system using your application number and password which you had used in your application for admission the graduate programme. Students who have forgotten their application password may reset here. After you logged into the Registration System, please navigate to: Self-Service > Student Admission > Registration (Part One). You are required to complete 5 steps of the online registration process (estimated to take about 15 minutes to complete). Refer to Figure 1 below: Figure 1: Screenshot - Registration (Part One) Main Page Step 2: Acceptance Record and the Authorisation Requirements policies are found here . After your successful completion of the online Registration (Part One), you will be directed to a confirmation page where you can retrieve your Student ID, PIN and NUSNET account information as shown in Figure 2. Page 1 of 11
Figure 2: Screenshot - Registration (Part One) Student ID / PIN / NUSNET ID and Password Page If you are under 18 years of age at the time of completing Registration (Part One), you should also print the forms (under Step 5 of the Registration System Main Page), have your parent/guardian sign on the forms and bring them for submission when you report for Registration (Part Two). Please record your NUSNET ID and changed password separately and do not share with anyone else. Your NUSNET account will allow you access to NUS online services like your NUS Email (2 days after part one registration) and the Integrated Student Information System (myISIS) which is a single entry point for students to manage a wide range of student transactions relating to academic, finance and personal information matters. If you have forgotten your Student ID, PIN and NUSNET account information, you may re-access the Registration System any time before 24 August 2018. The Registration System will be closed after 24 August 2018 and you then approach NUS IT Care for assistance at itcare@nus.edu.sg If you have since changed your NUSNET password, you may reset it through short message service (SMS). A step-by-step guide on how to use the SMS service is accessible at the Computer Centre’s website (comcen.nus.edu.sg/services/mobile/nusnet-password-reset-via-mobile). Alternatively, you can email ITCare@nus.edu.sg to reset your password, stating your full name and Student ID, as well as attach a scanned image of your Student Card. 2. PRE-ADMISSION MEDICAL EXAMINATION at University Health Centre, (UHC) 20 Lower Kent Ridge Road Level 1, Singapore 119080 All incoming students are required to undergo a Pre-Admission Medical Examination. The University reserves the right to refuse your admission or exclude you from any particular course of study if you decline to undergo such health examinations or refuse to undergo any prescribed tests. The medical examination may be done (i) at the University Health Centre (UHC); (ii) by the student's own physician either in Singapore; or (iii) in the student's home country. If you choose to consult your own physician, please submit the completed medical examination report (inclusive of the chest x-ray report), written in English, to UHC on or before the day you report for Registration. 2.1 The medical check-up consists of the following: Physical Examination Laboratory Examination@ Chest X-ray HIV Test (only for full-time international students applying for Student’s Pass) @ Female students are advised to go for the check-up at least 5 to 7 days after the last day of their menses. This is because menstruation will affect the results of the urine test. Page 2 of 11
2.2 The cost of the medical examination will be borne by students. The rates (inclusive of 7% GST) at UHC are as follows: Local Students : S$40.00 (including chest X-ray) International Students: S$55.00 (including chest X-ray & HIV test for Student’s Pass application) Note: Rates quoted are subject to change. For August intakes, online booking of appointment slot is required. Details on available timeslots are up at http://www.nus.edu.sg/uhc If you wish to complete the entire medical examination on the same day, please note the availability of the X-ray service: Period Availability of X-ray Service 8.45am – 10.45am 18 June 2018 to 10 August 2018 Mon - Fri 1.30pm – 3.00pm You should book the appointment slot after accepting the offer of admission. You will need to use your Application Number and Password to do the booking. Local students are expected to complete this medical examination before the second week of July. International students applying for student’s pass should complete their medical examination earlier by 23 July 2018 that would enable them to collect their medical reports in time for the Student’s Pass application on 01 August 2018**. Please refer to UHC’s FAQ section for more details on the medical examination at http://www.nus.edu.sg/uhc/healthservice/FAQ-GEVME.html . Alternatively, you may contact UHC at Tel: +65 6601 5035 or email at uhc_health@nus.edu.sg for further enquiries. 2.3 Please print and bring the Admission Medical Examination Report form enclosed in this package when you attend the medical examination. A copy can also be downloaded from UHC website http://www.nus.edu.sg/uhc/services/medical-examination/pre-admission-medical- exam.html. The list of other things to bring can be found on http://www.nus.edu.sg/uhc/services/medical-examination/pre-admission-medical-exam- process.html . Completed Pre-admission medical examination Report forms will be collected by UHC. 2.4 Full-time international students are required to complete an additional ICA’s prescribed Medical Examination Report form for their student pass application. Students who fail to fulfil the medical requirements will not be issued with a Student’s Pass. If you choose to do the ICA medical examination at UHC together with the Pre-Admission Medical Check, you are only required to do 1 medical examination BUT are reminded to request the medical practitioner to complete the 2 prescribed medical report forms as enclosed in this package Admission Medical Examination Report Form (will be collected directly by UHC, NUS) Medical Examination Report form (to be submitted to ICA when applying for Student’s Pass) Medical reports will only be ready for collection one week after as results of the various laboratory tests will only be ready after five working days. Please plan the timing of your medical examination accordingly**. This is to ensure you will have all the documents ready in time for the Student’s Pass application appointment with ICA offsite booth at NUS**. (**Please also refer to 8.1.2) NOTE: THE MEDICAL REPORTS, LABORATORY TEST AND X-RAY REPORTS MUST BE COMPLETED IN ENGLISH. THE CHEST X-RAY REPORT SHOULD BEAR THE STUDENT’S PARTICULARS SUCH AS NAME, IDENTIFICATION NUMBER AND DATE OF BIRTH 2.5 Graduate students who are NUS staff members or are being employed in local companies may be exempted from the Admission Medical Examination if they have done a similar medical check-up not more than 6 months before the time of registration. The University Health Centre shall review the exemption on a case- by-case basis and reserves the right to refuse an exemption. Note: (a) NUS staff members need only to complete Part I of the Admission Medical Examination Report Form and indicate the date and venue of the medical examination done earlier at the bottom of Page 2 of the form. Page 3 of 11
(b) Non-NUS staff members are required to complete Part I of the Admission Medical Examination Report Form and submit documentary proof of the medical examination performed by the registered medical practitioner, including chest X-ray and urinalysis reports. 3. REGISTRATION (Part Two) – refer to date and time stated on offer email Please complete Registration (Part One) at least 2 days before you proceed to complete the Registration (Part Two). Registration (Part Two) Registration (Part Two) must be done personally at the National University of Singapore, Engineering Block EA, #02-11 (the enclosed map will help you locate us). Please refer to your email offer for the date, time and venue. The registration process will take about 20 minutes or more, depending on the queuing time. You MUST bring along the following documents: Documents for Verification and/or Submission Remarks 1) Email printout of your admission offer For Singapore Citizens and 2) Original copy of NRIC Permanent Residents only 3) Original copy of Passport For International Students only For International Students taking 4) Original copy of Employment Pass / S Pass / Work Permit up part-time studies only 5) Original copy of your educational certificate, transcript and/or any other outstanding document(s) as requested Our staff will assist to verify all the original documents as indicated in the above before we issue you your NUS Student Card. Full-time International Students Only Besides your NUS Student Card, you will also receive the following documents: - Original In-Principle Approval (IPA) Letter from the Immigration & Checkpoints Authority (ICA), with NUS stamp on it; - ICA Appointment letter, with the date and time for enrolment and issuance of the Student’s Pass. Please refer to Information for International Students Section 8 for further information. 4. ORIENTATION We encourage all newly registered students to attend an Orientation talk by the Vice Dean (Graduate Programmes): Date: 7 August 2018 (Tuesday) Time: 3pm Venue: To be confirmed 5. PAYMENT OF STUDENT FEES Tuition and miscellaneous student fees are payable in advance on a semester basis (unless otherwise indicated) by the deadlines stipulated by the Office of Financial Services. Please refer to your offer package for the fees payable. You may view and print your first semester’s student bill from the Integrated Student Information System after you have completed registration (Part Two) in person with the University. If fees are not paid by the due date, a late fee of $25 would be imposed. For more information on due dates and modes of payment, please refer to the Notice on Payment of Fees website at http://www.nus.edu.sg/finance/NoticeonPaymentofFees.html. Students should also take note of the deadlines for leave/withdrawal and change of citizenship that will affect their fees after the 2nd week of the semester. For assistance, please check with Office of Graduate Programmes (OGP). Page 4 of 11
5.1 Service Obligation Agreement (For international students reading government subsidised programmes) – Not applicable to students under the NUSRI agreement. International students who are eligible and opting for the Service Obligation Scheme will be required to apply online through the MOE TGOnline System during the stipulated period. Once their online application is successful, they will be required to attend a scheduled Service Obligation Signing Session as indicated in http://www.nus.edu.sg/admissions/graduate-studies/scholarships-financial-aid-and- fees/financial-aid-schemes/service-obligation-scheme.html 5.2 Tuition fee Loan Full-time students who are applying for the Tuition Fee Loan Scheme are required to check the website http://www.nus.edu.sg/admissions/graduate-studies/scholarships-financial-aid-and-fees/financial-aid- schemes/tuition-fee-loan-scheme.html for eligibility and application forms. 6. LEAVE OF ABSENCE / WITHDRAWAL Requests for deferment will not be considered. Candidates who are unable to commence their studies for the semester will have to re-apply for admission by submitting a fresh application for consideration in a subsequent admission exercise. However, candidates who are currently residing in Singapore may apply for leave of absence after they have completed all registration formalities. Any candidate upon registration as a graduate student may apply for leave of absence up to 3 weeks (for personal reasons) or 4 weeks (for those on Reservist Service) in their semester of study. If you have registered as a graduate student and are unable to attend classes regularly during your first semester of study, you can undertake one of the following action: (a) Apply for leave of absence for your first semester of study. Requests for leave are considered on a case-by- case basis. If approved, it will not be counted towards your maximum period of candidature. Candidates requiring consecutive leave for more than their 1st semester of study (e.g. require to take leave/time-off st nd from their studies consecutively for their 1 and 2 semesters or more) will be required to withdraw from their candidature; or (b) Withdraw from your current candidature and re-apply for admission by submitting a fresh application for consideration in a subsequent admissions exercise. The application will then be considered competitively together with other applicants applying at that time. Candidates who upon registration and subsequently apply for leave of absence / withdraw from their candidatures (or have their candidatures terminated) after the 2nd instructional week of the semester, will be required to pay fees for the whole semester. If you have any question, please send us an email at engpgcwk@nus.edu.sg. 7. SELECTION OF MODULES / CLASS TIME-TABLE Information on the modules available for each semester and the class time-table is obtainable from the respective departments. You will receive information on the class time-table and other details from your DEPARTMENT two weeks before the commencement of the semester. You are to register for your modules online for each semester not later than the 2nd week of commencement of each semester. For more details, do contact your respective departments after you complete your registration with us. For semester dates, please refer to the academic calendar at http://www.nus.edu.sg/registrar/calendar.html 8. INFORMATION FOR INTERNATIONAL STUDENTS 8.1 Application for Student’s Pass All Full-Time International Students must have a valid Student’s Pass which is issued by the Immigration Checkpoints Authority (ICA) for their programme of study. Instructions will be sent to you in a separate email from end of May 2018 to submit an eForm16 to apply for Student’s Pass and/or visa online via the Student’s Pass Online Application & Registration (SOLAR) system after you have accepted your offer of admission. If the student’s pass application is approved, ICA shall grant you an In-Principle Approval (IPA) letter. If you are from a visa-required country, the IPA letter, which serves as a single-entry visa to enter Singapore, will be sent to you via email. The stamped IPA letter will be issued to you during registration (Part Two) in person at NUS. You will also receive the ICA appointment letter from us, on the same day as your Page 5 of 11
registration (Part Two) if you have all the necessary documents required for your student’s pass application during registration. For more details please refer to Immigration Checkpoints Authority (ICA)’s website on Student’s Pass for University students 8.1.1 Additional Medical Examination for Student’s Pass Application The issuance of the Student’s Pass is subject to the outcome of a medical examination. Students who fail to fulfil the medical requirements will not be issued with a Student’s Pass. Please refer to Section 2 for more details. 8.1.2 ICA’s Offsite Enrolment Formalities for Issuance of Student Pass ICA has arranged for an offsite enrolment for the issuance of Student’s Pass. You are required to report for the following sessions according to the time stipulated in your ICA Appointment Letter that will be issued to you during Registration (Part Two). Enrolment Session: Date & Time: 01 August 2018. An Appointment letter will be issued during the day of Registration (Part Two). The exact timeslot will be indicated accordingly. (Subject to the available vacancies allocated to Faculty of Engineering) Venue: University Town Seminar Room 2, Town Plaza Purpose: To complete your student’s pass formalities with ICA (Please check your IPA letter for the payment to be made, list of documents to print and bring) Issuance Session (only applicable to students who completed their Enrolment Session at NUS): Date & Time: 23 to 24 August 2018 (Refer to the ICA Appointment letter for the exact date and timeslot) Venue: Multipurpose Sports Hall 1B (MPSH1B) Sports and Recreational Centre NUS Sports Drive 1 Purpose: Collection of Student Pass **In the event that you are unable to obtain your medical reports in time or if you are unable to attend the Offsite Student’s Pass Enrolment and Collection Session as scheduled, or have plan to travel out of Singapore between 01 – 24 August 2018, please make an e-appointment (http://eappointment.ica.gov.sg) in order to complete your student’s pass formalities at ICA Office, 4th Floor, ICA Building (located next to Lavender MRT Station). Your passport will be returned to you within 1 week. 8.2 Dependant’s Pass holders Candidates who are currently Dependant’s Pass holders have to apply for Student’s Pass via the SOLAR system. Upon receiving the in-principle approval of the Student’s Pass, candidates may choose either to: (a) Pursue their Study using the Dependant’s Pass (if the duration of the course of study is shorter than the duration of the Dependant’s Pass) - After registering as a student with the Office of Graduate Programmes (OGP), student has to apply for a Letter of Consent (LOC) from ICA (Student’s Pass Unit) in person or by post. - Documents needed: Letter from student indicating he/she would like to study using the Dependant’s Pass, Form 16, In-Principle Approval (IPA) Letter, Letter from OGP certifying admission status, course of study and period of stay. - Process time: Within the day of application in person. - Note: If LOC is not granted by ICA, candidate will have to cancel his/her Dependant’s Pass and study with a Student’s Pass. Students will have to complete the relevant medical check-up and Student’s Pass application fees will be payable. (b) Cancel the Dependant’s Pass and study with a Student’s Pass (fees payable) 8.3 University Sponsorship of Social Visit Pass for Spouse and children The University do not sponsor spouses and/or children of international graduate coursework students’ visa and Social Visit Pass applications. Application of their Social Visit Pass (SVP) has to be made directly at the Visitor Services Centre, 4th Floor, ICA Building and a bond is required. The amount of the bond is established by ICA. Student must have already obtained a Student’s Pass issued by ICA at the time of application. A local Page 6 of 11
sponsor (Singapore Citizen/Permanent Resident) is required in order to apply for a SVP for spouse and/or children. The SVP granted will normally be for up to a maximum period of 6 months. It is renewable, subject to ICA’s approval (details can be found at the ICA website at http://www.ica.gov.sg). 8.4 Employment Pass and other Work Pass Holders Employment Pass (EP) and other Work Pass holders can only study part-time as full time study requires a Student’s Pass. EP and other Work Pass holders who wish to study full time will have to surrender their work passes and then apply for a Student’s Pass. International candidates who are pursuing the degree as a part- time registered student should hold a valid work pass to stay in Singapore. 8.5 Housing / Accommodation Matters relating to accommodation and off-campus housing can be obtained from The Office of Student Affairs website at http://nus.edu.sg/osa/housing/other-accommodation.html. 8.6 International Students Orientation Briefing by Office of Student Affairs (OSA) This will be held on : Date: 30 July 2018 (Monday) Time: 2pm – 4pm Venue: Lecture Theatre 27, Faculty of Science, NUS Important Dates 1. Part One Registration (online) 03 July 2018 3. SOLAR application for student’s pass From mid May 2018 (after offer email is sent) 4. Part Two Registration (in person) Refer to offer email 5. Student’s Pass Enrolment Session at NUS 01 August 2018 (if applicable) Student’s Pass Collection Session at NUS 23 -24 August 2018 6. Orientation Talk by OSA for 30 July 2018 Graduate International Students LT27 7. Orientation Talk by 7 August 2018 Vice Dean (Graduate Programmes) 9. USEFUL CONTACTS Further questions? Click on the links! Student’s Pass Application Immigration & Checkpoints Authority (ICA) Do check the ICA’s FAQs in the first instance (ifaq.gov.sg/ica/apps/fcd_faqmain.aspx). Alternatively, you may write to them at: ica_stp1@ica.gov.sg. Registration-related Matters Office of Graduate Programmes, Faculty of Engineering Module/Time-tabling Matters Respective Departments for your MSc Programme Accommodation/Housing Office of Student Affairs Fee-related Matters Office of Financial Services Pre-admission Medical Examination NUS University Health Centre (UHC) Page 7 of 11
Student Service Centre The Student Service Centre (SSC) (nus.edu.sg/osa/ssc) serves as a convenient one-stop contact point for you to obtain information and services related to academic/administrative student records, tuition fees and financial matters. You may visit the SSC, or contact them, at: Address: Level 1, Yusof Ishak House 31 Lower Kent Ridge Road Singapore119078 Email via portal: askstudentservice.nus.edu.sg Telephone: (65) 6516 1177 Operating Hours: 9.00 am – 5.30 pm (Monday to Thursday) 9.00 am – 5.00 pm (Friday) except Public Holiday 10. NUS Maps An interactive version of our campus map can be found at http://map.nus.edu.sg Alternatively, you can download a copy of here http://map.nus.edu.sg/download/NUS_Campus_Map_full.pdf Page 8 of 11
UNIVERSITY HEALTH CENTRE (HEALTH SERVICE) Admission Medical Examination Report - GRADUATE STUDENTS (Local and International) PART I (Personal Particular to be completed by Student) Full Name: _________________________________________________________________________ Gender: Male / Female (underline Surname / Family Name) Course of Study: _____________________________________ Application No: _____________________________________________ NRIC / Passport No: ____________________ FIN No: _________________ Nationality (citizenship status): ________________________ Date & Place of Birth: __________________________________ Email Address: __ Home Address: Tel No (Home): ________________________________________ (Handphone): ______________________________________________ In case of emergency, person to contact: _____________________________________ Relationship: Person’s Contact No. Email Address: Do you smoke? No Yes Number of sticks per day/week Number of years 1) Are you currently under treatment for any physical condition? □ No □ Yes If “Yes”, please provide details. 2) Are you currently under treatment or have been treated in the last five years by a psychiatrist, clinical psychologist, or other mental health professional? No □ Yes □ If “Yes”, please provide details (diagnosis, treatment, date and duration, etc – Please use a separate sheet if necessary). Personal Medical History: Have you suffered from or undergone any of the following? (Please Tick [] No or Yes. If “Yes” please specify condition and duration.) No Yes Details Allergies Acute/Chronic Respiratory Disorders Blood Disorders Gastro-intestinal Disorders Heart Disorders Injuries or Deformities Kidney / Urinary Disorders Menstrual Disorders Muscular or Joint Disorders Skin Disorders Surgical Procedures Any other conditions (e.g. Hepatitis B Carrier, G6PD deficiency) I hereby certify that the answers given by me to the above listed questions are correct and true. I understand that NUS at its discretion, can choose not to bear costs of any future medical impairment, illness, treatment or investigation that may arise, should there be false or incomplete declaration made on the above. I have no objection to the release of my medical report(s) from the hospital(s) or doctor(s) concerned, if necessary. I hereby consent to NUS collecting and using the information I have provided herein for the purposes of evaluati ng my admission to NUS. Further, I hereby consent to NUS disclosing the information provided herein to NUS’ insurers for the purposes of the insurers assessing my eligibility for insurance coverage. Signature of Student: _________________________________________ Date: _________________________________________ Page 1 of 2
PART II (Medical Examination) (Note: To be completed by a registered physician who is not a relative of the student being examined) Full Name: _______________________________________________________ NRIC / Passport No: ________________________ (underline Surname / Family Name) Height: _________________ m Weight: ________________ kg Blood Pressure: __________/_________ mmHg Pulse Rate: __________ per minute □ Regular □ Irregular Visual Acuity: Uncorrected: Right: ________ Left: _________ Colour Vision: □ Normal □ Abnormal Corrected: Right: ________ Left: _________ Please examine the following systems and indicate any abnormalities: (Please Tick [ ] whichever is applicable and provide details if response is Abnormal.) Normal Abnormal Details Eyes (other than myopia) Respiratory Cardiovascular Gastro-Intestinal Muscular/Skeletal Neurological Psychiatric Others Laboratory Examination (Please Tick [ ] whichever is applicable): Negative Positive Value Sugar _____ Protein _____ pH _____ Albumin: RBCs _____ /µL WBCs _____ /µL ECs _____ /µL Urinalysis Sugar: Casts _____ Crystals _____ Organisms _____ Urine FEME Red Blood Cells: (If Indicated) Trichomonas _____ Occult Blood _____ Others Reference Ranges: RBCs 0 – 3/µL, WBCs 0 – 6/ µL (If Indicated) Radiological Examination of the Chest (Please indicate the X-RAY findings with a ): (Please attach a copy of the Chest X-ray report together with this form to University Health Centre. The X-ray report must be written in English with student’s name and identity no. or date of birth) Normal Abnormal Remarks Date of X-ray CONCLUSION (Please conclude and indicate if student is fit for studies at NUS with a ): FIT UNFIT Date of Examination Physician’s Name & Stamp : Signature: Clinic Stamp and Address: Page 2 of 2
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MEDICAL EXAMINATION REPORT For New Applicants: 1. The Medical Examination may be done in Singapore by any registered General Practitioner (GP). Applicants who are in their home countries/places of residence may have their Medical Examination and HIV test done in their home countries/places of residence at any medical clinic licensed to carry out such tests. If HIV testing is done in Singapore, it may be carried out with either rapid or ELISA tests. For Renewal Applicants: 1. The Medical Examination MUST be done in Singapore by any registered GP. HIV testing may be done with either rapid or ELISA tests. Notes for All: 1. This Medical Examination Report is to be completed by a registered doctor and returned to the examinee. The original copy of the laboratory report for HIV and the X-ray report must be attached to this Medical Examination Report only if the medical examination and testing is carried out overseas. 2. The laboratory report for HIV and the X-ray report submitted to the Immigration & Checkpoints Authority should be within THREE MONTHS from the date of the issue of the reports. I Personal Particulars 1. Name (as in the passport): 2. Sex: M /F 3. Date of Birth : 4. Nationality : 5. Passport No. : 6. FIN No. (if applicable) : 7. Address in Singapore: II Medical Examination I certify that the above-named has undergone a chest x-ray and the result of his/her chest X-ray is as indicated (with a []):- Yes No 1. TB (Chest X-ray)* Any evidence of active TB detected? [*Pregnant Women are exempted from Chest X-Ray] I certify that I have tested the above-named and the result of his/her HIV test is indicated below (with a tick []). Positive Negative/Non-Reactive 2. HIV : Name of Examining Doctor (IN BLOCK LETTERS): Signature : Clinic’s Stamp & Address: Date: Telephone Number : MCR no: NOTE: For persons screened overseas, the name in the laboratory report for HIV and the X-ray report must be according to the name shown in the Passport. DECLARATION I, declare that the above is not applicable to me as (name) I have submitted a medical report** containing the above information to Immigration & Checkpoints Authority / Ministry of Manpower*** (not more than two years ago) when I was granted the (pass type) on valid till (dd/mm/yy) (dd/mm/yy) Signature & Date ** Those who were previously exempted from submitting the X-ray report because of pregnancy are required to submit a X-ray report certified by a Singapore registered GP, if you are not pregnant now. *** Delete where necessary. IT IS AN OFFENCE UNDER THE IMMIGRATION ACT WARNING: TO MAKE ANY FALSE STATEMENT, REPRESENTATION OR DECLARATION Version 4 (4 Oct 07)
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National University of Singapore Office of Graduate Programmes Faculty of Engineering Blk EA Level 5 Room 55 9 Engineering Drive 1 Singapore 117575
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