Curtin Singapore - Online Application Form

This application form is for students applying to study onshore at Curtin Singapore.

Curtin Singapore

Choose your citizenship/residency status

Choose your course

Choose your major

Start Year

Start Month

Study mode

Personal Details

Title

Mr Ms Other

Other Title

First Name

Last Name

Gender

Male Female

Date of Birth

Format: DD/MM/YYYY

Student ID: (Please provide your Curtin student ID if you have previously received an offer or previously a Curtin student:)

Are you a Permanent Resident in Singapore?

Yes No

NRIC/FIN/Passport Number:

Country of Citizenship

Country of Birth

How did you find out about Curtin Singapore?

Other (Hear about Curtin Singapore)

Which country are you submitting this application from?

Are you under 18 years of age?

YesNo

Parent or legal guardian full detail (as stated in Passport/NRIC)

First name

Last Name

Passport/NRIC number

Relationship

Mobile Phone

Student Contact Details

Email Address

Skype ID (if you have one)

WeChat ID (if you have one)

Whatsapp ID (if you have one)

Home Telephone:

Mobile Phone:

Personal Address

Number and street

City/Town

State:

Country:

Post/zip code:

Medical/disability needs

The information below is used to assist the University in monitoring, supporting and improving services to students with medical/ disability requirements. Disclosing this information will not affect your admission to the University.

Do you have a disability, impairment or long-term medical condition which may affect your studies?

Yes No

If yes, please provide details:

Would you like to receive information on support services, equipment and facilities available that may assist you?

Yes No

Educational qualifications

Please provide details of all formal studies that you have completed and those that you are currently undertaking. You are required to supply an original or certified* copy of your academic award/s and transcript/s for all tertiary studies except those undertaken at Curtin/WAIT. Academic records must contain an explanation of grading system descriptions.

Name of qualifications (e.g. GCE 'O' levels, HSC, Diploma):

Institution/school/university (e.g. Singapore Polytechnic):

Country of study:

Year completed:

An Curtin Singapore 'agent' or 'representative' is a person or company which advises international students on studying at Curtin Singapore. This person/company may also help with your application to study at Curtin Singapore.

Are you a Curtin Singapore registered agent submitting this application on behalf of a student?

YesNo

If yes, name of agent/representative agency:

Name of counsellor submitting this application

Counsellor First name:

First name of counsellor submitting this application

Counsellor Last name:

Last name of counsellor submitting this application

Counsellor email address:

Email address of counsellor submitting this application

Counsellor Telephone:

Include +Country Code and Area Code

Counsellor Mobile Number:

Include +Country Code and Area Code

Counsellor WhatsApp ID (If you have one)

Counsellor WeChat ID (If you have one)

Agent Code

Leave this field blank if you are a student, or if you are an agent and do not know your agency’s code.

Counsellor address:

Upload Documents

Please upload copies of all previous qualifications you have indicated above, including academic certificates and transcripts (unless you are a current or past Curtin student).

If you have not completed your studies, please attach past semesters academic transcripts.

If your academic transcripts are in a language other than English, please enclose certified English translations.

If your education qualifications were not completed wholly or predominantly in English, please upload copies of English language qualification or details of English proficiency.

Please upload copies of your NRIC, Dependent's Pass, work pass or passport for international students.

If you are applying for health science programs, please submit the following additional documents:

Singapore Nursing Board Certificate of Registration
Singapore Nursing Board Practising Certificate

Don't have all your documents at hand right now? Not to worry, you may submit a completed form now and chose to email your documents later to info@curtin.edu.sg

Add another

Family Bursary Details

Please provide details of the family member who is currently studying or previously studied at Curtin or Navitas.

Family member name:

Student ID:

Location:

Pre-course Counselling and Declaration

All students:

I confirm I have been properly and fully informed about all information contained at this link relation to potentially enrolling and studying at Curtin Singapore

By submitting my details, I agree to Curtin Singapore's Terms & Conditions and Privacy Policy, and to receive emails, text messages, phone calls, or fax messages comprising/consisting of notices, promotions and marketing materials.