NUS Summ er Program

NUS Summer Program Economic & Enterprise Development in Singapore 8th -19th July 2013

Application Form
A. Personal Particulars
1 Full Name (as in passport or identity card) Permanent (Home) Address

Please paste your recent photo (passportsize) here.

Mailing Address (if different from above) Contact (include country/area codes) Home no. Mobile no. Email address Gender Date of Birth (dd/mm/yyyy) Passport No. Nationality Male/Female

5 6 7 8

B. Academics Particulars
9 Name of Home university

10

Address Course/disciple and Year of Study Major(s)/Area(s) of Focus

11 12

C. Emergency Contact
13 14 15 Full Name Relationship Postal address Contact 16 Home/Office no. Mobile no. Email address
1

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Questions for candidates applying through the M&JS Foundation and Sajjad Foundation Sponsorship: Please answer the following questions concisely; kindly limit your response to 200 words for each answer. 1. Why do you think you should be selected for this Program?

2. Given the chance to attend this program, how do you think you would best represent Pakistan and its Culture?

3. What is the role of Entrepreneurship in Pakistans Economic Development?

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D.

Declaration

I declare that the information provided by me in connection with this application is true and complete. I understand that any inaccurate or false information or omission of material information shall render
this application invalid, and if admitted on the basis of such information, I may be asked to leave the program.

I understand that the provision of any inaccurate or false information may render me liable to prosecution in a court of law in Singapore. I understand that if I have been convicted of a criminal offence by a court of law of any country shall submit all relevant information together with this application.

. Signature/Date

Supporting Documents Checklist

i. ii.

iii.
iv.

Copy of the completed Application form with a recent passport-size photograph attached. Letter from Home University certifying that you are a current student registered with the University. Academic Transcript/Consolidated Grade Record (s) issued by your Home University (with English translation, if applicable). The transcript should be endorsed with the universitys seal and official signatory. Copy of Passport (the page showing your nationality and personal details).

Completed application materials must be submitted to: Mahvash & Jahangir Siddiqui Foundation 7th Floor The Forum, Block 9 Clifton, Karachi For enquiries, please contact Rafia Chaudhry Email: rafia.chaudhry@jsbl.com Tel: +92 35839977 (ext: 337), Zaid Haroon Email: zaid.haroon@js.com Tel: +92 35839977 (ext: 660) Application closing date: 2nd April, 2013