UNIVERSITY-TAUGHT H3 MODULES
INSTRUCTIONS TO HCI APPLICANTS:

1. Please only fill up this Form after you have submitted your application / applications to the respective Universities.

2. You are to accurately indicate the module / modules you have applied in this Form.

Thank you.

Hwa Chong Institution
H3 Admin Coordinators

Full Name (as per NRIC) *
CT Group *
NRIC / FIN *
Passport Number (Foreigners Only)
Mobile No: *
Personal Email: *
National University of Singapore (NUS) *
Nanyang Technological University (NTU) *
Required
Singapore Management University (SMU) *
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