SM BRIDGING PROGRAMME Application for a Duplicate Copy of the SM Bridging Course Transcript POINTS TO NOTE: 1 ) You are to complete this application form in BLOCK letters. You will be required to submit documentary proof in support of your request for a duplicate copy of your bridging course transcript. 2 ) You are to submit this form to OAFA for endorsement and approval BEFORE making payment. 3 ) Payment of $5.35 (inclusive of GST) by NETS, NETS CashCard and ez-link Card can be made during payment hours [Monday – Thursday, 8.30am – 5.00pm and Friday, 8.30am – 4.45pm] at: One Stop @ SAC: 50 Nanyang Avenue, NS3-01-03, Academic Complex North, Singapore 639798 URL: http://www.ntu.edu.sg/has/Graduate/Pages/OneStopSAC.aspx Online Map: http://maps.ntu.edu.sg/maps#q:NS3-01-03 4 ) The completed application form and the official receipt are to be submitted to OAFA (Level 3, Student Services Centre). You are required to produce the original application form and receipt. 5 ) Your transcript will only be ready for collection 5 working days after the submission of this application form and the payment receipt. The transcript can be collected during the following hours [Monday – Thursday, 8.30am – 5.00pm and Friday, 8.30am – 4.45pm] at: OFFICE OF ADMISSIONS & FINANCIAL AID Level 3, Student Services Centre 42 Nanyang Avenue Singapore 639815 6 ) You are to collect your replacement bridging course transcript in person. You may not ask a friend to collect your bridging course transcript on your behalf. Replacement bridging course transcripts will not be sent out via post. 7 ) No refund will be given once payment has been made. A. PERSONAL PARTICULARS Name (as in passport): Name (in Chinese characters): Gender: M Passport No: FIN: Bridging No.: Matric No.: Mobile No. (Singapore): Email: SM Programme: SM2 SM Bridging Batch: Reason for request: B. DECLARATION I declare that all information given in this form is true and accurate to the best of my knowledge and I have not wilfully suppressed any material fact. I understand that: 1) I will render myself liable to appropriate action if the information provided turns out to be false or inaccurate. TALENT OUTREACH SECTION Office of Admissions & Financial Aid Student Services Centre Level 3, 42 Nanyang Avenue, Singapore 639815 Tel: +65 67906633 | Fax: +65 6794 6510 | Email: [email protected] NOTE TO CASHIER: Please credit payment to