NEW APPLICATION
Name :
*
Address :
*
Mobile No :
*
Office Phone No :
optional
Home Phone No :
optional
Postal Code :
*
Contact Person :
*
*
Department :
*
Fax No :
optional
Faculty :
*
Email Address :
*
*
Designation :
*
Student / Staff :
Staff
Student
Staff / Student Matric No.:
*
Vehicle Details
Car Park :
NUS Bukit Timah Campus
Commencement Date :
*
*
1st Vehicle No:
*
1st IU No:
*
2nd Vehicle No:
Optional
2nd IU No:
Optional
I acknowledge that I am aware of and bound by the Conditions set forth by NUS. I will acqaint each person who will use the Car park under this Agreement with the Conditions and warrant that each person will observe the Conditions.