ANDERSON JUNIOR COLLEGE

Application Form for Admission of International Students

Section 1 – Personal Particulars of Applicant

Name / Name in Chinese Character (if applicable) / Please affix a recent passport-sized colour photograph of yourself here
Date of Birth / Race / Gender:
* Male / Female
Nationality / FIN No.
Passport No. / Place of Issue: / Date of Expiry:
Permanent Home Address
Contact / Mobile Telephone No. / E-mail Address
Academic Stream Preferred for Study at AJC Science Arts

*Delete where inapplicable

Section 2 - J-PACT Results

Have you taken the J-PACT test? Yes No
J-PACT Score for English / J-PACT Score for Maths

Section 3 – Academic Info

List of Schools Attended / Period Attended
1.
2.
3.
4.
5.
Subjects Taken at GCE ‘O’ Level or Equivalent / Grade Attained
1.  English
2.
3.
4.
5.
6.
7.
8.
9.

Section 4 – Info on Co-Curricular Activities

Activity / Period Participated / Role (if any)

Section 5– Medical History

Do you have any medical condition or allergy? / Yes / No
If yes, please provide details here

Section 6 – Personal Statement

Please tell us some of your interests and strengths and how you think these can help you contribute as a student in AJC.

Section 7 - Checklist of supporting documents to be submitted together with the Application Form:

S/No / Document / Tick, if attached to this form
1 / Copy of NRIC / Passport
2 / Copy of J-PACT Results
3 / Copy of GCE ‘O’ level or equivalent certificate / results

I declare that all the information provided in this application form is true.

Signature of applicant / Date

Note: Submit this form together with the supporting documents to AJC at 4500 Ang Mo Kio Avenue 6 Singapore 5696822 or email at Info on the J-PACT test is available at http://www.pact.sg/