NANYANG RESEARCH PROGRAMME (H3 Science Research)

Students who have accepted our offer will be required to complete the Parental Consent Form, PDPA Consent Form and GIRO Form on pages 2, 3 and 4 respectively.
Please complete and submit these forms to your school’s NRP Teacher Coordinator by Wednesday 28 March 2018.
  1. By my submission of the e-acceptance form (submitted via the link: [URL]), I have accepted NTU’s offer of the H3 Science Research Project, as indicated in the email that was sent to me on [date of email].
  1. I understand that the submission of this acceptance will also mean that any withdrawalfrom the NRP will have to be supported by formal written letter of explanation from my school. The letter of explanation from the school will require my school Principal's or a relevant HOD's endorsement.
  1. I understand that:

a)I will be required to complete and submit both the PDPA Consent Form as well as the Parental Consent Form before the start of the programme.

b)NTU reserves the right to withdraw the offer of placement into NRP to any student participant:

Who refuses to complete the Parental Consent, PDPA and GIRO forms in full;

Whose parents refuse to complete and/or sign on the Parental Consent, PDPA and GIRO forms;

Whose parents are unwilling to accept the terms and conditions as stipulated on the Parental Consent, PDPA and GIRO forms.

  1. I fully understand the items listed in the points above.

Name / : / NRIC / FIN No. / :
(as in NRIC / Passport, underline Surname)
Date of Birth / : / Gender / :
JC / IP School / : / Class / CT Group / :
Contact No. / : / (Home)
(Mobile)
Email Address / :
In the event of an emergency, please contact:
Name / : / Relationship / :
(underline surname)
Contact No. / : / (Mobile)
Signature of Student / Name of Student / Date

NANYANG RESEARCH PROGRAMME

Parental Consent Form

  1. I understand that the Nanyang Research Programme (NRP)will run from04 April 2018 to 30 April 2019andwill be conducted at the Nanyang Technological University.
  1. I am aware that my child / ward* will have to cooperate fully with NTU Staff and its representatives / agents, and will diligently comply with all safety regulations as stipulated / communicated by the University, its representatives and agents. I shall therefore not hold NTU, its staff and its agents responsible for any damage or loss of property or any injury or loss of life which may be sustained by my child / ward* during the course of the NRP, where such damage or loss of property or any injury or loss of life is not caused by the negligence or willful act or omission of NTU, its staff or its agents.
  1. I fully understand the points listed in 1 and 2 above, and consent to allow my child / ward* to participate in NRP 2018.

Student’s Name: / Parent’s / Guardian’s Name:
Student’s NRIC / Passport No.: / Parent’s / Guardian’s NRIC / Passport No.:
Student’s School:
Signature of Parent / Guardian* / Date

*Delete where applicable

DATA PROTECTION AND PRIVACY STATEMENT

PDPA Consent Form

  1. Your child/ward’s data privacy is important to us and we are committed to safeguarding his/her Personal Data (as defined under the Singapore’s Personal Data Protection Act 2012). Please read this data protection and privacy statement carefully so that you know and understand the purposes for which we will collect, use and disclose your child’s/ward’s Personal Data. In this document, “NTU” and “we” refer to Nanyang Technological University and its successors and assigns.
  1. We may collect, use, disclose and process your child/ward’s Personal Data for one or more of the following purposes:
a)To process his/her application to participate in NTU’s various Outreach Enrichment Programmes* and administer and manage his/her participation in these programmes;
b)For programme administration and billing;
c)To create and maintain participants’ profiles in our system database for internal records, assessment and grading and other necessary reference;
d)To enable the trainers/speakers/guides to know the background of the participants;
e)To submit data to NTU offices/schools/departments/centres or external organisations who are hosting the visits for their information and/or to seek security clearance to enter their premises;
f)To submit data to government agencies, namely the Ministry of Education (MOE) and the Singapore Examinations and Assessment Board (SEAB) for purposes of registering for, administering and conducting assessments for the GCE ‘A’ Level examinations (if applicable);
g)To apply for internet access, insurance coverage and access to NTU facilities (if applicable).
h)To issue invitations, certificates and any other required documents (if applicable);
i)To understand and study the profile of the participants for NTU’s policy making and planning;
j)To generate publicity materials for our events and programmes;
k)To contact your child/ward by email, post, voice call, text (SMS/MMS) or fax; and
For any other purpose reasonably related to the aforesaid (collectively, the “Purposes”).
  1. We may need to disclose your child/ward’s personal data to third parties, whether located within or outside NTU and Singapore, for one or more of the above Purposes, as such third parties, would be processing his/her Personal Data for one or more of the above Purposes.
  1. If you have any enquiries, please send an email to our office at .
* NTU’s Outreach Enrichment Programmes variously refers to the Nanyang Research Programme (NRP), Nanyang Research Programme Junior Researcher (NRPjr), NTU-H3 Programmes (NTU-H3 Taught Modules, NTU-H3 Science Research & NTU-A*STAR-HCI Science Research) & Nanyang Science and Engineering Experience (seeNTU).
STUDENT’S NAME & PARTICULARS AND PARENT/GUARDIAN’S AGREEMENT & CONSENT
I agree that NTU may collect, use and disclose my child/ward’s Personal Data in accordance with the Data Protection and Privacy Statement above.
Student’s Name (as in NRIC): / Parent/Guardian’s Name (as in NRIC):
Student’s NRIC/FIN/Passport No.: / Parent/Guardian’s NRIC/FIN/Passport No.:
Student’s School: / Parent/Guardian’s Signature: / Date:

TALENT OUTREACH SECTION

Office of Admissions

Student Services Centre Level 3, 42 Nanyang Avenue, Singapore 639815

Tel: +65 6790-6633 | Fax: +65 6794 6510

Email: |

NANYANG TECHNOLOGICAL UNIVERSITY

GIRO Form

NSS Finance (S/P)
Student Services Centre, Level 5
42 Nanyang Avenue (639815) / Please tick:
New Submission Modification
PARTICULARS OF BANK ACCOUNT / CHANGE OF BANK ACCOUNT
  • The NRP student participant is required to complete the GIRO Form and to provide the particulars of the bank account, belonging to the NRP student participant.
  • If you have already furnished us with the particulars of your bank account, you do not have to re-submit this except for modification.

I furnish below the particulars of my bank account:
NRIC / FIN No. / : / Categories (Please Tick):
External Course Instructor, Lecturer, etc.
Engagement Under Contract for Service
Students on Industrial Attachment
Others: Nanyang Research Programme
Name / :
(Full name as in NRIC)
School / :
Mailing Address / :
Contact No. / :
Email Address / :
Particulars of bank account (Must be fully completed & any alteration must be counter-signed.)
Bank Name / : / Swift Code / :
Bank Account No. / :
Name of Account
Holder / :
I hereby authorise Nanyang Technological University to credit payments due to me to the above account.Amounts so credited would constitute valid discharge of obligations due to me. This authorisation shall continue to be in force until I have expressly revoked it by notice in writingdelivered to you.In the event of a change of bank account, I shall inform you in writing 14 days in advance before the change.
Date / Signature

Note: Payment will be credited directly into your above bank account. A remittance advice showing the payment would be sent to you via one of the following means and in the following order based on availability of information provided to the University :- (i) via e-mail or (ii) via hard copy

Revised as of 15.08.2016