Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

Please
Affix
Photo

Graduate Programme Admission Application Form

APPLICATION DETAILS
Application Number 2023384575

Course Full Time

Preference 1

Faculty College of Design and Eng

Department Mechanical Engineering

Programme Name Master of Science (Robotics)

Description August 2023 intake

Academic Year 2023/2024

Semester 1

Specialisation / Area of
Study

Finance OTHER FINANCIAL ASSISTANCE

Education Loan

PERSONAL PARTICULARS
Title MR

Family Name JOHN SASI KUMAR

Given Name JEFIN MARSHAL

Full Name JOHN SASI KUMAR JEFIN MARSHAL

Gender Male

Date of Birth 16/01/2000

Place of Birth INDIA

Marital Status SINGLE

Race INDIAN

Religion CHRISTIAN/CATHOLIC

Citizenship INDIA

Singapore Permanent No
Resident?

NRIC No

Pass Type

Foreign Identification
Number (FIN)

Passport Number U3610318

Application No.: 2023384575 Page 1 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

CONTACT
Personal

Email [email protected]

Alternate Email [email protected]

Primary Phone Number 91-9698969817

Primary Phone Type Mobile

Alternate Phone Number 91-9942035825

Alternate Phone Type Mobile

Address 25, RV NAGAR, ACHAMPATHU, MADURAI, TAMIL NADU.

Country INDIA

Postal Code 625019

Skype ID

Mailing

Address 25, RV NAGAR, ACHAMPATHU MADURAI TAMIL NADU

Country INDIA

Postal Code 625019

Next of Kin

Name Pushpa Rani M

Relation MOTHER

Email [email protected]

Alternate Email

Primary Phone Number 91-9942035825

Primary Phone Type Mobile

Alternate Phone Number

Alternate Phone Type Mobile

Address 25, RV NAGAR, ACHAMPATHU, MADURAI, TAMIL NADU

Country INDIA

Postal Code 625019

ACADEMIC QUALIFICATIONS
Academic Qualifications
1

Qualification Name B.ENG. IN MECHANICAL ENGINEERING

Other Qualification Name

Qualification Type Bachelor's Degree

Specialisation/Field of Mechanical Engineering

Study

Other Specialisation
Name

Application No.: 2023384575 Page 2 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

Class of Honours (if 1st Class

applicable)

Location of INDIA
University/Institute

Name of Anna University

University/Institute

Other Institution Name

Name of College/Campus
(if any)

Programme Type Full Time

Programme Level Undergraduate

Completed Programme? Completed

Programme Start Date 07/06/2017

Programme End Date 31/03/2021

Expected Completion
Date

GPA/CAP/Grade/Equivale 8.01
nt

Full 10
GPA/CAP/Grade/Equivale
nt

Academic Rank/Position 12/126

Is this programme No
subsidized by Singapore
Government or
sponsored by any
Singapore Government
Agency?

Awarding Body

No. of Months
Sponsored/Subsidised

Is this your highest Yes

qualification?

AWARDS/PRIZES
Award/Prize 1

Award Type Prize

Awarding Body NIT Trichy

Name of Award/Prize First position for the event Submerge

Details of Award/Prize The objective of the competition was to design a remote-

controlled submarine that could move with agility, as well as
retrieve and deposit objects with precision.

Date of Award/Prize 16/03/2019

(dd/MM/yyyy)

Award/Prize 2

Award Type Prize

Awarding Body ROBOVR (IIT Bombay)

Name of Award/Prize First position for the event Submerge

Application No.: 2023384575 Page 3 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

Details of Award/Prize Our team built an autonomous submarine capable of navigating

through an intricate underwater maze.

Date of Award/Prize 05/01/2020

(dd/MM/yyyy)

SOURCE OF INFORMATION
No. Source Response
1 Internet (Website/Search engine) I came across this program
when I conducted a Google
search for the top universities
in Asia.

OTHER INFORMATION
Health and Support

Do you have any past or current 1) medical, e.g. epilepsy, allergies, tuberculosis , 2) mental
health, e.g. anxiety, eating disorder, depression , 3) disability or learning needs, e.g. autism,
dyslexia, visual impairment , which may or may not cause you to require support or facilities
while studying at the University?
Students with colour-blindness are advised to indicate their condition here as they may face challenges in certain

programmes in Engineering, Science and Design & Environment.

No

1) Health and support condition 1

Please provide more details on the condition as well as the support required

2) Health and support condition 2

Please provide more details on the condition as well as the support required

3) Health and support condition 3

Please provide more details on the condition as well as the support required

4) If you are taking any medications, please provide details of medication in the box below.

5) If you have a drug or food allergy, please provide details of allergies and briefly describe your
reaction.

TEST DETAILS
Test Type Test of Engl as a Foreign Lang

Registration Number 5956608214894243

Test Date 28/08/2021

Test Results
IBT Total Score 88

IBT Listening 23

IBT Reading 22

IBT Speaking 21

IBT Writing 22

Application No.: 2023384575 Page 4 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

LANGUAGES
No Languages Other Language Spoken Written
.
1 Tamil Excellent Excellent

2 English Excellent Excellent

3 French Good Good

4 Hindi Good Poor

WORK EXPERIENCE
Years of Working 2 Year(s) 4.1 Month(s)
Experience (Total
Duration)

Work Experience 1

Date Employed (From) 01/09/2021

Date Employed (To)

Duration (Months) 28.1

Country of Employment INDIA

City of Employment Pune

Name of Company Aliyance Technologies

Position Held Mechanical Design Engineer

Industry Sector RESEARCH AND DEVELOPMENT

Nature of Organisation FOREIGN PRIVATE ORGANISATION

Type of Employment Full Time

Job Responsibilities. Use CAD to design mechanical subsystems, meet project

requirements, test and analyze prototypes for performance
standards, collaborate with cross-functional teams for
improvements.

No. of people reporting 0

to you

Annual Salary (Currency) INR

Annual Salary (Amount) 522000

ESSAY
No. Question Answer

Application No.: 2023384575 Page 5 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

1 You may wish to indicate any other During my four years in college, I completed
relevant information (eg: Professional three impressive projects that showcased my
Engineer Qualification, Membership of mechanical engineering and robotics
Professional Organisations, expertise. The first project was a 'Gesture
Scholarships/Prizes/Awards, etc) Controlled Fire Fighting Robot' that we
which will help you in your application. exhibited at MEP-EXPO 2019, a college
(Please limit to a max of 200 words) exhibition. The robot was controlled using 3-
axis accelerometers (ADLX335) and
microcontrollers.

Our second project was a 'Wall Climbing Robot

for Wall Painting' that was designed with a
unique track system and suction cups powered
by a pair of 12V DC 4000 ml/min suction
pumps. The robot was remotely controlled
using NRF24L01 transceivers and
microcontrollers.

Our final year project was a 'Semi-Autonomous

Pearl Harvesting Underwater Drone' that could
dive dynamically and withstand pressures of
up to 392 kPa. The drone used a GPS module,
a 9-axis IMU, and a Raspberry pi-4 to enable
RTL functionality. While it had a tethered
control, we implemented RTL as a learning
endeavour.

Since graduation, I've been working at

Aliyance Technologies, where I'm responsible
for designing autonomous tractors with an
extendable height and width. In this role, I'm
designing the entire parallel hybrid powertrain,
including a power split device that combines a
45 Hp engine and a 20 Kw BLDC motor.
Additionally, I'm designing a shifting
mechanism that enables autonomous gear
shifting. These projects and experiences have
helped me develop my mechanical
engineering skills and apply them practically.

2 Optional - State why you wish to My motivation to pursue a degree in Robotics

pursue this Course and how you stemmed from the realization that I needed a
would use the knowledge you gain comprehensive understanding of the various
from it in practice. (Please limit to a elements involved, as most of my knowledge
max of 200 words) about Robotics was informal and acquired
through the internet.

I am intrigued by the Manta-Ray Robot project

led by Professor Chew Chee Meng. I am
excited to learn about the modelling and
dynamics of the flexible propulsion of the
robot. I aspire to learn more about this project
and become part of it during my time at NUS.

Within five years of graduating, I hope to

establish a company that designs home care
robots capable of performing daily household
tasks, interacting easily with humans, and
being child and pet-friendly. The knowledge I
gain from my graduate program in Neural
Networks, Behavioural Trees, and Artificial
Intelligence will be of immense help in
achieving this goal. I believe that bringing
order and peace to each household will
contribute to global harmony by reducing
chaos in the world.

My thirst for knowledge in this field is

insatiable, and I am confident that the M.S. in
Robotics program at the National University of
Singapore will provide me with the opportunity
to deepen my understanding of Robotics. I am
a highly skilled engineer with a resilient attitude
and a never-give-up spirit. I am confident that
a place in this program will enable me to
strengthen and enhance my skills to solve real-
world problems.

QUESTIONNAIRE
No. Question Answer

Application No.: 2023384575 Page 6 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

1 Have you previously applied for 1)No.

admission or been admitted to any
graduate programme(s) at NUS or
other institutions? If yes, please state:
(a) Name of institution and programme
applied for (b) Year of application (c)
Outcome of application
(Successful/Unsuccessful) If your
application was successful, please
state: (d) Date of enrolment (e)
Current status
(Graduated/Withdrawn/Dismissed/Curr
ent student) and (f) Source of funding

REFEREES

Not Applicable

DECLARATION
No. Question Answer Comments
1 Have you ever been convicted of any offence No
by a court of law in any country or are there
any court proceedings pending against you
anywhere in respect of any offence?

2 Are you currently, or have you ever been, No

charged with or subject to disciplinary action
for any type of misconduct, scholastic or
otherwise, at any educational institution?

3 Are you currently, or have you ever been No

under investigation, charged with or subject to
disciplinary action or enquiry for any
misconduct, scholastic or otherwise, at any
educational institution?

4 Have you ever been arrested, charged in No

court, put on probation or convicted of an
offence by a court of law or a military court
(court martial) in any country or jurisdiction,
suspended or expelled from an educataional
instituition or terminated from your employment
for any reason, or are there any court or
disciplinary proceedings pending against you
in any country or jurisdiction. If yes, please
explain below

5 By submitting this application, I acknowledge Yes

and agree that I will be required to comply with
any Vaccination-Differentiated Safe
Management Measures (VDS) requirements,
that may be imposed by NUS from time to
time, in order to enter the campus, attend in-
person components of the course or
participate in any on-campus activities. I
acknowledge and agree that, if I do not meet
any such VDS requirements, I may not be
allowed to enter the campus, attend in-person
components of the course or participate in any
on-campus activities and that alternative
learning arrangements may not be provided for
me.

• I declare that the information provided by me in connection with this application is true and
complete.

• I understand that any inaccurate, incomplete or false information given or omission of material
information required shall render this application invalid and NUS may at its discretion withdraw
any offer of admission made to me on the basis of such information or, if already admitted, I may
be liable to disciplinary action, which may result in my expulsion from NUS.

• I understand that the provision of any inaccurate or false information may render me liable to
prosecution in a court of law in Singapore.

• I understand that if I have been convicted of a criminal offence by a court of law of any country,
I must submit all relevant information together with this application.

Application No.: 2023384575 Page 7 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

• I hereby authorized NUS to obtain and verify any part of the information given by me from or
with any source, as it deems appropriate.

DECLARATION OF SUBSIDY
No. Question Answer
1 Have you received any Singapore government No
fee subsidy or sponsorship from any
Singapore government agency for any
previous graduate studies, i.e. Graduate
Diploma, Master's and Doctorate
programmes?

2 Awarding institution (e.g. Nanyang

Technological University)

3 Programme (e.g. PhD, MSc, MA)

4 Funding (e.g. Singapore Ministry of Education,

Public Service Commission)

5 Period of Study From (MM/YYYY)

6 Period of Study To (MM/YYYY)

7 Programme Status

8 Workload (Full-Time/Part-Time)

9 No. of Semester(s) which I had been given

subsidy

10 Maximum No. of Semester(s) the previous

programme was eligible for subsidy

11 No. of Semester(s) of remaining subsidy in the

previous programme

NUS Personal Data Notice for Student Applicants

1. The National University of Singapore (“NUS”) manages and administers undergraduate and
post-graduate courses in NUS, including processing applications for the admission of candidates
to NUS (“Admission”). To manage and administer the undergraduate and post-graduate courses
in NUS, including the applications for Admission, NUS will necessarily need to collect, use,
disclose and/or process certain personal data or personal information about the individual that
has submitted an application for Admission (the “Applicant”).

(i) Such personal data will be collected, used, disclosed and/or processed by NUS for the
purpose(s) of:

(a) Processing the Applicant’s interest in and application(s) for Admission;

(b) Administering and/or managing the Applicant’s application(s) for Admission and
Enrolment;

(c) Making of any offer(s) of acceptance to courses in NUS;

(d) Administering and/or managing the Applicant’s relationship with NUS (including the
mailing of correspondence, statements or notices to the Applicant, which could involve the
disclosure of certain personal data about the Applicant to bring about delivery of the same, as
well as on the external cover of envelopes/ mail packages);

(e) Carrying out due diligence or other screening activities (including background checks)
in accordance with legal or regulatory obligations or risk management procedures that may be
required by law or that may have been put in place by NUS, including the obtaining of references
and/or other information about the Applicant from the Applicant’s previous education institute(s);

(f) Responding to any enquiries by the Applicant;

(g) Processing the Applicant’s application(s) for scholarships and/or financial aid as part of
the Admission process, and if successful, administering and/or managing the Applicant’s
scholarship and/or financial aid programmes, which may include use of personal data for direct
marketing purposes for development and fund raising activities and disclosure of personal data
to donors and/or external organisations for purposes of event invitations, surveys and/or publicity
of NUS’ financial aid programmes;

Application No.: 2023384575 Page 8 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

(h) Investigating fraud, misconduct, any unlawful action or omission relating to the
Applicant’s application for Admission, and whether or not there is any suspicions of the
aforementioned;

(i) Responding to requests for information from public agencies, ministries, statutory boards
or other similar authorities (including but not limited to the Ministry of Defence, Ministry of
Education and Ministry of Health) from time to time;

(j) Carrying out market related or similar research and analysis for NUS’ operational
strategy and policy planning purposes;

(ii) If consented to by the Applicant in the registration form and/or other methods of consent
notification, sending the Applicant marketing, advertising and promotional information, including
materials and information on undergraduate and post-graduate courses in NUS, residential
options and general student- related activities within NUS, as well as related talks, seminars
and/or events via postal mail, electronic mail, SMS or MMS, fax and/or voice calls; and

(iii) Such personal data of the Applicant will/may be disclosed by NUS to third party service
providers or agents (whether in Singapore or elsewhere in the world where such service
providers are sited) for one or more of the above Purposes, as such third party service providers
or agents, if engaged by NUS, would be processing the Applicant’s personal data for NUS, for
one or more of the above Purposes.

(iv) The Applicant acknowledges and consents to

(a) NUS collecting, using, disclosing and/or processing the Applicant’s personal data for
the Purposes as described above; and

(b) NUS transferring the Applicant’s personal data out of Singapore to NUS’ third party
service providers or agents for the Purposes as described above.

2. NUS’ University Health Centre (“UHC”) uses GPConnect, a clinic management system and
an electronic medical records solution to manage its patients’ medical records. GPConnect,
owned by Integrated Health Information Systems Pte Ltd (“IHiS”), will be linked to the National
Electronic Health Records System (“NEHR”) which facilitates the processing and sharing of
patient data with healthcare providers in Singapore. NUS’ use of GPConnect will entail the
sharing of patient data to the NEHR.

If the Applicant chooses to proceed with the requisite pre-admission medical checkup at
UHC, the Applicant acknowledges and consents to all of the following:

(a) Allow NUS to collect, disclose, process and transfer the Applicant’s personal data
including all of the Applicant’s patient data obtained during the Applicant’s visits to UHC to
GPConnect for the purpose of managing the Applicant’s medical records;

(b) Allow IHiS, through GPConnect, to disclose, process, transfer and share the Applicant’s
personal and patient data to NEHR;

(c) Where such of the Applicant’s personal and medical data is disclosed, processed
and/or transferred by IHiS to NEHR,

a. to allow all institutions accessing the NEHR (including Ministry of Health (“MOH”),
MOH Holdings Pte Ltd (“MOHH”) and MOHH’s affiliates) to access, use, disclose and share the
Applicant’s said personal and patient data for the purposes of providing the Applicant with
healthcare services (including making medical referral and facilitating diagnosis); and

b. where MOH has given consent to such institutions mentioned at Clause 2(a) above,
to allow the Applicant’s personal and patient data to be used for approved research or such
other approved purposes;

(d) Disclose and/or share the Applicant’s personal and patient data with institutions
connected to NEHR with other institutions.

3. NUS’ University Health Centre (“UHC”) uses GPConnect, a clinic management system and
an electronic medical records solution to manage its patients’ medical records. GPConnect,
owned by Integrated Health Information Systems Pte Ltd (“IHiS”), will be linked to the National
Electronic Health Records System (“NEHR”) which facilitates the processing and sharing of
patient data with healthcare providers in Singapore. NUS’ use of GPConnect will entail the
sharing of patient data to the NEHR.

4. NUS’ University Health Centre (“UHC”) uses GPConnect, a clinic management system and
an electronic medical records solution to manage its patients’ medical records. GPConnect,
owned by Integrated Health Information Systems Pte Ltd (“IHiS”), will be linked to the National
Electronic Health Records System (“NEHR”) which facilitates the processing and sharing of
patient data with healthcare providers in Singapore. NUS’ use of GPConnect will entail the
sharing of patient data to the NEHR.

_________________________________ _________________________________

Application No.: 2023384575 Page 9 of 10

Application status: Physical/Online Application VerifiedPrinted on: 05 Jan 2024 / 00:15:52

Name and Signature of applicant Date and Time

Application No.: 2023384575 Page 10 of 10