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Submission Deadline
Nomination Sheet for Faculty-level or Department-level Exchanges
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Nomination Deadline: 1 September 2024
AY2024/25 NUS Semester 2 (January to May 2025) or
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Colour Coding:
Full Calendar Year (January to December 2025) intake
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Full Calendar Year Nominees (January to December 2025)
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S/NName (full name as in passport)
*Must be identical to passport name for student's pass registration
**If student has other preferred name, please include this name in the “Remarks” column 		GenderHome University
*Please spell out in full 		Country/Region of Home UniversityArea of Study During Exchange
*Department(s) student plans to take the majority of courses from		Year of Study During Exchange
Type of Exchange
Coursework / Research
Exchange Duration
(Semester 1 or Full Academic Year)		Student University Email Address
*Students should use their home university email address (same email provided here) instead of their personal email address when submitting their online application
Name of Home University Coordinator
Home University Coordinator Email Address
Remarks
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1Coursework
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Please enter OFFICIAL FULL NAME of your students.
Coursework
Student's HOME UNIVERSITY email address
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