University of Derby

Please tick (Ö) one of the checkboxes:

Bachelor of Arts (Honours)

1. Accounting & Finance

2. Business Management

Bachelor of Science (Honours)

1. Psychological Studies

Candidate Information

Name: Mr. Mrs. Ms. Dr.
First Last
Date of Birth / Gender: Male Female / ID #:
Day Month Year
Provide other names under which your supporting documents might be issued:
Home Tel: / Daytime Tel: / Fax:
Primary E-mail:
Other E-mail:
Local Address:
No. Street / Apt. #
City / State / Zip Code / Country
Permanent:
No. Street / Apt. #
Same as above
City / State / Zip Code / Country


Business Information

Company Name:
Title: / Division:
Industry:
Number of years in this role: / Total years of working experience:
Supervisor/HR’s Name: / Supervisor/HR’s Contact No:
Supervisor/HR’s Email:
Current Annual Compensation (optional):
Describe your organisation’s primary function / Describe your division’s role in it
and your responsibilities

Have you previously applied to the University of Derby degree program?

Yes No If yes, when and which program?

Citizenship / Visa Information

Country of Citizenship:

Academic Information

List Academic/Professional/Vocational Qualification chronologically

Date Attended / Institution Name(s)
and Location(s) / Major /
Specialization / Degree(s) Received / Graduate Date(s)

Other Credentials

Note any other credentials that may be relevant to the evaluation of your qualification for the program to which you are applying.

Standardized Test Information

I have not yet taken the GMAT I have taken the GMAT, my score is:

I have not yet taken the TOEFL I have taken the TOEFL exam on:

Exempt explanation:

Program Sponsorship

As of this date, program charges for my participation in this Degree Program will be paid

In full, directly by employer In full by employer via reimbursement

Partially by employer In full, directly by me

Statement of Personal and Career Objectives

Please provide the Admissions Committee with a self-assessment of your academic and professional background, capabilities, career objectives, and personal goals. In addition, please also describe how your participation in the Degree programme would enhance your skills and meet your aspirations for growth.


Additional Information

How did you learn about our program? (Please tick Ö )

Press Advertisement Road show / Career Fair

Information Talk Magazines

Internet TV / Radio

From Our Student / Alumni:

I am a current student:

Declaration of Application

By presenting this application form and materials associated with it, I am requesting consideration for admission to University of Derby’s Degree Programme.
Bachelor of Arts (Honours)
1. Accounting & Finance
2. Business Management
Bachelor of Science (Honours)
1. Psychological Studies
If admitted to the program, I agree to abide by the rules and regulations of University of Derby’s Degree Programme. To the best of my knowledge, the information contained in this application is accurate. I authorize Aventis in any investigation of the above information for the purpose of verification and evaluation.

Signature:

/

Date:

Print Name:

For Official Use Only

Application Documents / Ö / Application Documents / Ö
1. Application form / 6. Copy of Diploma / Degree
2. Application fee (SGD$214) / 7. Copy of ID and/or passport
3. English resume / CV / 8. 2-inch photo (JPG file)
4. Official transcripts / 9. Acceptance letter

5. Two recommendation letters

/ 10. University Admission letter

3

Note: All information provided is treated with the strictest confidentiality in accordance to PDPA (Singapore Personal Data Protection Act) requirements.