Registration Deadline: 20 May 2018

Fields marked with * are mandatory.

School name *

Teacher Contact
Name *
Email *

Student Nominee 1
Name *
Email *

Student Nominee 2
Name
Email

Student Nominee 3
Name
Email
If you would like to nominate up to two additional students to join a waiting list, you can include their details here. We will open any remaining places to waitlisted students after 14 May.

Student waitlist 1
Name
Email

Student waitlist 2
Name
Email


Important Note:

By submitting this form, I consent to National University of Singapore (NUS) collecting, using and/or disclosing my personal data to third parties (including any third party located outside of Singapore) for the purpose of organising Q Camp, a summer camp offered by the Centre for Quantum Technologies, stated herein. I further declare and warrant that for any personal data of another individual disclosed by me in this application, I have, prior to disclosing such personal data to NUS, obtained the appropriate consent from the individual whose personal data is being disclosed, to permit NUS to collect, use and disclose such personal data for purposes related to Q Camp.


Acknowledgement

I acknowledge that the application information is true and correct. *   

 

To proceed and submit your data :

 
 
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