NUS GRADUATE SCHOOL For

APPLICATION for PhD IN NUS GRADUATE SCHOOL for INTEGRATIVE SCIENCES AND ENGINEERING (NGS)

STRICTLY CONFIDENTIAL

ACADEMIC REFEREE’S REPORT

Referee's Particulars Name of Referee Designation Organisation Email Address Contact Number

Applicant's Particulars Name of applicant Application number

The above-named applicant is applying to undertake research leading to a graduate degree at the National University of Singapore. The University would appreciate receiving a confidential report from you on the applicant.

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1. How long have you known the applicant and in what capacity?

2. Among students at a similar level whom you have known in recent years, how would you rate the applicant? (Please tick [Ö] the appropriate box).

(a) [ ] Within the top 5% (d) [ ] Within the top 25-50%

(b) [ ] Within the top 5-10% (e) [ ] Within the bottom 50%

(c) [ ] Within the top 10-25% (f) [ ] Unable to judge

The above is based on (please indicate the number in the space) undergraduate students whom I know

1 graduate students whom I know

3. Please assess the applicant on a scale of 1 ( lowest ability ) to 10 ( highest ability ) for the following measures

Measures Rating - 1 ( lowest ) to 10 ( highest )

(a) Intellectual Ability (b) Originality (c) Motivation (d) Organisation & Time Management (e) Written Communication in English (f) Oral Communication in English

4. Please comment on the applicant’s academic ability and general suitability to undertake a Ph.D. programme, and any other information, which you would consider to be relevant to the application.

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5. (Optional) Please attach a separate sheet if you would like to provide a personal report on the applicant.

Signature : Date :

Mode of Submission to NGS – please select ONE. Either mode is equally acceptable to us.

1) Please email your completed report to NGS Admissions at [email protected] OR 2) Please return the completed form to NGS in a sealed envelope, the flap of which is to bear your signature, and send it directly to the NGS office:

NUS Graduate School for Integrative Sciences and Engineering Centre for Life Sciences (CeLS) #05-01, 28 Medical Drive Singapore 117456