Campus Immersion Programme
Registrant Type*
 
 
 
 
First Name*
 
 
 
 
Last Name*
 
 
 
 
Email*
 
 
 
 
Mobile Number*
 
 
 
 
Date of Birth*
 
 
 
 
School*
 
 
 
 
If Others, please state your School
 
 
 
 
Gender*
 
Male
Female
 
 
 
No. of attendees (including yourself) Capped at 3*
 
 
 
 
Preferred Major*
 
 
 
 
Please complete the fields which are applicable to you
Organisation
 
 
 
 
Department
 
 
 
 
Designation
 
 
 
 
Prospective Student's First Name
 
 
 
 
Prospective Student's Last Name
 
 
 
 
Prospective Student's Date of Birth
 
 
 
 
Prospective Student's Email Address
 
 
 
 
Prospective Student's Contact Number
 
 
 
 
Prospective Student's Year of Uni Admission
 
 
 
 
Prospective Student's Current Year of Studies
 
 
 
 
School Email
 
 
 
 
Please indicate your preferred timeslot (Select one slot only)
Saturday, 26 February 2022, 9.30am - 11am (CLOSED)
 
 
Saturday, 5 March 2022, 9.30am - 11am (CLOSED)
 
 
Saturday, 12 March 2022, 9.30am - 11am (CLOSED)
 
 
Saturday, 19 March 2022, 9.30am - 11am (CLOSED)
 
 
By checking the box and clicking ‘Submit’, I hereby consent to the collection and use of my personal information stated in the form, by Singapore University of Technology and Design (SUTD), for the purposes of communicating relevant news about SUTD and invitations to future events. If I have added my child’s details, I also consent, on my child’s or guardian's behalf, that his/her information may be used by SUTD for the same purposes stated above. I may choose, at any point, to unsubscribe from any of the above correspondences by an email to admissions@sutd.edu.sg*
 
 
 
 
 
 
 
Is MAMS
 
Yes
No
 
 
 
Form Type