<p> APPLICATION for PhD IN NUS GRADUATE SCHOOL for INTEGRATIVE SCIENCES AND ENGINEERING (NGS)</p><p>STRICTLY CONFIDENTIAL</p><p>ACADEMIC REFEREE’S REPORT</p><p>Referee's Particulars Name of Referee Designation Organisation Email Address Contact Number</p><p>Applicant's Particulars Name of applicant Application number</p><p>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.</p><p>______</p><p>1. How long have you known the applicant and in what capacity?</p><p>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).</p><p>(a) [ ] Within the top 5% (d) [ ] Within the top 25-50%</p><p>(b) [ ] Within the top 5-10% (e) [ ] Within the bottom 50%</p><p>(c) [ ] Within the top 10-25% (f) [ ] Unable to judge</p><p>The above is based on (please indicate the number in the space) undergraduate students whom I know</p><p>1 graduate students whom I know</p><p>3. Please assess the applicant on a scale of 1 ( lowest ability ) to 10 ( highest ability ) for the following measures</p><p>Measures Rating - 1 ( lowest ) to 10 ( highest )</p><p>(a) Intellectual Ability (b) Originality (c) Motivation (d) Organisation & Time Management (e) Written Communication in English (f) Oral Communication in English</p><p>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.</p><p>______</p><p>5. (Optional) Please attach a separate sheet if you would like to provide a personal report on the applicant. </p><p>Signature : Date :</p><p>Mode of Submission to NGS – please select ONE. Either mode is equally acceptable to us. </p><p>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:</p><p>NUS Graduate School for Integrative Sciences and Engineering Centre for Life Sciences (CeLS) #05-01, 28 Medical Drive Singapore 117456</p><p>2</p>