Application Form

Application Form
Where are you applying from?

SingaporeSoutheast AsiaChinaRest of the World

Personal Particulars
Full name*
Same as NRIC/Passport/FIN
Gender*
Date of Birth*

DayMonthYear
Age*
NRIC/Passport/FIN*
Country of Birth*
Nationality*
eg; Singapore Citizen, Singapore PR, Indonesian, etc.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
My mailing address is the same as my residential address*

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Tel (Mobile)*
For international numbers, please include country code (eg; +44 XXXXXXXXXXX)
Tel (Home)
For international numbers, please include country code (eg; +44 XXXXXXXXXXX)
Programme Advisor/Agent
Put 'NA' if you haven't spoken to anyone
Email*
example@example.com

Educational Qualifications

Please list highest qualification first. List should include secondary qualifications and above.

1 - Highest Qualification
Name of Institution*
Date From*

DayMonthYear
Date
Date To*

DayMonthYear
Date
Qualification Awarded*
Subject Area/Major (if applicable)
No need to indicate for national exams like O-Levels or A-Levels

2 - Other Qualifications
Name of Institution
Date From

DayMonthYear
Date
Date To

DayMonthYear
Date
Qualification Awarded
Subject Area/Major (if applicable)
No need to indicate for national exams like O-Levels or A-Levels

3 - Other Qualifications
Name of Institution
Date From

DayMonthYear
Date
Date To

DayMonthYear
Date
Qualification Awarded
Subject Area/Major (if applicable)
No need to indicate for national exams like O-Levels or A-Levels

Employment History (optional for all courses except Specialist Diploma in Live Sound)

Please list most recent first

Employment History 1
Name of Organisation
Optional
Date From

DayMonthYear
Date
Date To

DayMonthYear
Date
Designation

Employment History 2
Name of Organisation
Optional
Date From

DayMonthYear
Date
Date To

DayMonthYear
Date
Designation

Employment History 3
Name of Organisation
Optional
Date From

DayMonthYear
Date
Date To

DayMonthYear
Date
Designation

Emergency Contacts

Please provide details for at least one contact

Emergency Contact 1
Name*
Relationship*
Contact No. *
Please include country code if it is not a local number
Email*
example@example.com

Emergency Contact 2
Name
Relationship
Contact No.
Please include country code if it is not a local number
Email
example@example.com

Other Information
Were you referred to the school by someone you know?*

YesNo
Name/Details
Relationship
Contact No
How did you hear about Orita Sinclair?*
Do you have any medical, physical, learning or mental health related condition which may affect your learning progress in the programme you are applying for?*

YESNO
Please provide details*
NA

Declaration and Acknowledgement
- I confirm that all information provided by me in this application is true, accurate and complete to the best of my knowledge. I understand that the application and any offer by Orita Sinclair College ("the School") will be rendered invalid if the information provided proves to be inaccurate, either intentionally or unintentionally.
- I authorize the School to verify the information in this application and consent to the use of my personal information
- I hereby agree and consent that the School may collect, use, disclose and process my personal information collected in this form. The School respects your privacy and recognises that your personal data is important to you. The School collects, uses, and discloses your personal data for the purposes of providing services to you to deliver a quality learning experience and to update you with information that you may be interested in do develop yourself such as seminars, talks and workshops via communication channels such as email or phone calls.
- I have read, understood and accept the School's Refund Policy (https://www.orita-sinclair.edu.sg/student-resources/), Confidentiality Policy, Amendment Policy and other terms and conditions as found on the School website (https://www.orita-sinclair.edu.sg/about/policies/)
Signature*
Date*

DayMonthYear
Date

Please fill in all details in English
请用英文填写所有资料
Area of Study (select all that apply)*

3-Year Graphic Design Degree Programme 三年制平面设计学士学位课程**Communication Design Diploma Programme (12 months) 传播设计大专课程（12个月）Music Production & Audio Engineering Diploma Programme (12 months) 音乐制作与音频工程大专课程（12个月）Electronic Music Production & Sound Design Diploma Programme (12 months) 电子音乐制作与声音设计大专课程（12个月）Certificate in Academic English 学术英语证书课程Certificate in Foundation Studies (Creative Industries) 创意产业基础课程证书Specialist Diploma in Live Sound 现场音响专业文凭课程Other
Note that the 3-Year Graphic Design Degree Programme consists of the Foundation Diploma in Communication Design (6 months) and Diploma in Communication Design (6 months) conferred by Orita Sinclair College, and the BA(Hons) in Graphic Design conferred by the University of Derby.

请注意，三年制平面设计学士学位课程包括由Orita Sinclair学院颁发的传播设计基础大专课程（6个月）与传播设计大专课程（6个月），以及由德比大学（University of Derby）颁发的平面设计荣誉学士学位。

12 month Diploma programmes consist of Foundation Diploma (6 months) and Diploma (6 months) conferred by Orita Sinclair College.

12个月的大专课程由Orita Sinclair学院颁发，课程包括基础大专课程（6个月）和大专课程（6个月）。
Mode of Study 学习模式*
Intake 入学月份*
Year 年*

Personal Particulars 个人资料
Full name 全名*
Same as NRIC/Passport/FIN (须与身份证/护照/外国人身份证号码一致）
Gender 性别*
Date of Birth 出生日期*

DayMonthYear
Age 年龄*
NRIC/Passport/FIN 身份证/护照/外国人身份证号码*
Country of Birth 出生国家*
Nationality 国籍*
eg; Singapore Citizen, Singapore PR, Indonesian, etc.
Address 地址*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
My mailing address is the same as my residential address (我的邮寄地址与居住地址相同)*

YesNo
Address 地址

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Tel (Mobile) 电话（手机）*
For international numbers, please include country code (eg; +44 XXXXXXXXXXX)
Tel (Home) 电话（住家）
For international numbers, please include country code (eg; +44 XXXXXXXXXXX)
Programme Advisor/Agent 招生代理
Put 'NA' if you haven't spoken to anyone
Email 电子邮件*
example@example.com

Educational Qualifications 学历资格

Please list highest qualification first. List should include secondary qualifications and above. 请按最高学历优先顺序填写。所列内容应包括中学及以上学历。
Type a question

1 - Highest Qualification 最高学历
Name of Institution 院校名称*
Date From 起始日期*

DayMonthYear
Date
Date To 结束日期*

DayMonthYear
Date
Qualification Awarded 所获资格 / 学历*
Subject Area/Major (if applicable) 专业领域 / 主修科目（如适用）
No need to indicate for national exams like O-Levels or A-Levels

2 - Other Qualifications 其他学历 / 资格
Name of Institution 院校名称
Date From 起始日期

DayMonthYear
Date
Date To 结束日期

DayMonthYear
Date
Qualification Awarded 所获资格 / 学历
Subject Area/Major (if applicable) 专业领域 / 主修科目（如适用）
No need to indicate for national exams like O-Levels or A-Levels

3 - Other Qualifications 其他学历 / 资格
Name of Institution 院校名称
Date From 起始日期

DayMonthYear
Date
Date To 结束日期

DayMonthYear
Date
Qualification Awarded 所获资格 / 学历
Subject Area/Major (if applicable) 专业领域 / 主修科目（如适用）
No need to indicate for national exams like O-Levels or A-Levels

Employment History (optional for all courses except Specialist Diploma in Live Sound) 就业经历（除现场音响专业文凭课程外，其他课程可选择不填）

Please list most recent first 请按最近的工作经历优先顺序填写

Employment History 就业经历 1
Name of Organisation 公司名称
Optional
Date From 起始日期

DayMonthYear
Date
Date To 结束日期

DayMonthYear
Date
Designation 职务名称

Employment History 就业经历 2
Name of Organisation 公司名称
Optional
Date From 起始日期

DayMonthYear
Date
Date To 结束日期

DayMonthYear
Date
Designation 职务名称

Employment History 就业经历 3
Name of Organisation 公司名称
Optional
Date From 起始日期

DayMonthYear
Date
Date To 结束日期

DayMonthYear
Date
Designation 职务名称

Emergency Contacts 紧急联络人信息

Please provide details for at least one contact

Emergency Contact (紧急联络人信息) 1
Name 姓名*
Relationship 关系*
Contact No. 联系电话*
Please include country code if it is not a local number
Email 电子邮件*
example@example.com

Emergency Contact (紧急联络人信息) 2
Name 姓名
Relationship 关系
Contact No. 联系电话*
Please include country code if it is not a local number
Email 电子邮件
example@example.com

Other Information 其他信息
Were you referred to the school by someone you know? 您是通过认识的人推荐来本校的吗？*

YesNo
Name/Details 姓名 / 详细信息
Relationship 关系
Contact No 联系电话
How did you hear about Orita Sinclair? 您是通过什么渠道了解到长信的？*
Do you have any medical, physical, learning or mental health related condition which may affect your learning progress in the programme you are applying for? 您是否有任何可能影响您在所申请课程中学习进度的健康状况，包括医疗、身体、学习或心理健康方面的问题？*

YESNO
Please provide details 请提供详细说明*
NA

Declaration and Acknowledgement 声明与确认
- I confirm that all information provided by me in this application is true, accurate and complete to the best of my knowledge.
  本人确认，在本申请中所提供的所有信息均属真实、准确和完整，据本人所知无任何虚假陈述。
- I understand that the application and any offer by Orita Sinclair School of Design and Music ("the School") will be rendered invalid if the information provided proves to be inaccurate, either intentionally or unintentionally.
  本人明白，如所提供的信息被证明为不实，无论是否有意为之，申请及由 Orita Sinclair 设计与音乐学院（以下简称“学院”）发出的任何录取将视为无效。
- I authorize the School to verify the information in this application and consent to the use of my personal information.
  本人授权学院核实本申请中的信息，并同意学院使用我的个人信息。
- I hereby agree and consent that the School may collect, use, disclose and process my personal information collected in this form.
  本人同意并授权学院收集、使用、披露及处理我在此表格中所提供的个人信息。
- The School respects your privacy and recognises that your personal data is important to you.
  学院尊重您的隐私，并理解您的个人资料对您而言十分重要。
- The School collects, uses, and discloses your personal data for the purposes of providing services to you to deliver a quality learning experience and to update you with information that you may be interested in to develop yourself such as seminars, talks and workshops via communication channels such as email or phone calls.
  学院收集、使用和披露您的个人资料，是为了向您提供优质的学习体验，并通过电子邮件或电话等沟通渠道，向您传达有助于个人发展的资讯，例如讲座、研讨会和工作坊等信息。
- I have read, understood and accept the School's Refund Policy, Confidentiality Policy, Amendment Policy and other terms and conditions as found on the School website (https://www.orita-sinclair.edu.sg/about/policies/)
  本人已阅读、理解并接受学院官网（https://www.orita-sinclair.edu.sg/about/policies/）所列的退款政策、保密政策、修改政策及其他条款与细则。
Signature 签名*
Date 日期*

DayMonthYear
Date
Should be Empty:

Application Form

Personal Particulars

Educational Qualifications

Employment History (optional for all courses except Specialist Diploma in Live Sound)

Emergency Contacts

Other Information

Personal Particulars 个人资料

Educational Qualifications 学历资格

Employment History (optional for all courses except Specialist Diploma in Live Sound) 就业经历（除现场音响专业文凭课程外，其他课程可选择不填）

Emergency Contacts 紧急联络人信息

Other Information 其他信息