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Application Form

Complete ALL sections in BLOCK CAPITALS in black ink or electronically for email and attach copies of certificates/other required documents.

CATEGORY of STUDENT

APPLICANT DETAILS

If Correspondence address is different. This is the address we will use for all correspondence regarding your application.

PROGRAMME APPLIED FOR

Intake (if you are not aware, please contact Amity's Marketing department)

HOW DID YOU COME TO KNOW ABOUT AMITY GLOBAL INSTITUTE ? (Choose only one)

EDUCATION RECORDS (Please attach all Certificates & Transcripts)

Name of School/University City/Country Qualification Awarded

AWARDS/ACHIEVEMENTS, IF ANY (At least 2)

Name of Award City/Country Qualification Awarded

CONDUCT

Have you ever been suspended, dismissed or put on academic probation or warning at any school or college?
If 'Yes' please explain on the text box

ACCOMMODATION

Do you need help in getting Hostel Accommodation?

ENGLISH

If applicants first language and/or education is not in English, please enclose copies of English language proficiency as required and tick the appropriate level.
(Please Specify)

EMPLOYMENT HISTORY (If applicable)

If 'Yes', please indicate the total numbers of year/month
Details of current / last job

PERSONAL STATEMENT

(Please give reasons for choosing this programme of study. You may attach further sheets).

ADDITIONAL INFORMATION

(You may give any additional information including your past achievements, awards, recognitions, etc.)

FOR EMERGENCY CONTACT DETAILS

CHECK LIST

PERSONAL DATA PROTECTION ACT – CONSENT FORM

  • In compliance with the Personal Data Protection Act (“PDPA”), AGI seeks your consent to collect and use your personal data (ie. Name/Passport number, contact numbers, mailing and email addresses) in order to maintain the student enrolment registers and to disclose such personal data to the relevant educational authorities where necessary.
  • AGI will also collect and use your personal data to provide you with information on our activities such as upcoming events, seminars, workshops, conferences and training programmes organised by AGI and its affiliated organisations which may be relevant to you.
  • AGI respects your privacy and assures that your personal data will be kept securely according to PDPA.

WAIVER & INDEMNITY

1 I wish to participate in the Activities / Events organised by Amity Global Institute and/or it’s Agent/s.
2 I warrant that I am in good health and have no physical condition that would endanger my life while participating in the Activities / Events.
3 Whilst reasonable precaution will be taken by Amity Global Institute and/or its agent/s to ensure the safety of participants, I understand that I take part in the Activities / Events as a participant at my own risk. I confirm and agree that Amity Global Institute and/or its agent/s will not be held liable by me for any personal injury or death arising from my participation in the Activities / Events or for any loss of or damage to my property arising from my participation in the Activities / Events except for such injury or death that is caused directly by Amity Global Institute’s or its agent/s’ gross negligence.
4 In consideration of Amity Global Institute allowing me to participate in the Activities / Events, I undertake that if, in the course of the Activities / Events, I deliberately or negligently cause any injury (whether fatal or otherwise) to any person or any damage to or loss of any property of any person, I shall indemnify Amity Global Institute if that suffering person makes claims or takes actions against Amity Global Institute has to pay for costs or expenses.

INTERNATIONAL STUDENT DECLARATION

1 I declare that I will not be engaged in any form of employment or attend an industrial attachment/internship programme, whether paid or unpaid, without a valid work pass issued by Ministry of Manpower. (Employment of Foreign Manpower Act (Cap. 91A))
2 I declare that I will not be overstaying or working illegally in Singapore which is a serious offence and on conviction, the penalties may include mandatory imprisonment and caning.
3 I declare that I will be fulfilling the attendance requirements. I am aware of the following Attendance Requirements.

International Student: If International Student fails to meet either of the below requirement without valid reason, he/she will be dismissed from the course and the Student Pass will be cancelled.
  • International Student will have to meet at least 90% monthly attendance rate
  • Attend class for a continuous period of seven days or more
Further for international students on student’s pass, 90% attendance is required in order to be eligible to sit for examinations/ assessments. Failing which the student will also be barred from the examinations / assessments of the module concerned. Further the student needs to repeat the entire module with attendance and payment of the relevant fees.

PRE-COURSE COUNSELLING FORM

The student has been briefed on the following items:
Note to student: Please indicate with ‘?’s the items that you have been briefed on and with ‘N.A.’s the items that are not applicable to you

DECLARATION

CONFIDENTIALITY CLAUSE

Amity Global Institute is committed to maintain the confidentiality of the student's personal information and undertakes not to divulge any of the student's personal information to any third party without the prior written consent of the student subject to the obligation of Amity Global Institute to disclose to any Singapore government authority, any information relating to the student in compliance with the lawand/orto the organization conferring/awarding the qualification.

Amity Global Institute Pte Ltd

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