Telephone: +44 (0)8453 31 35 13

Application for Admission

Personal Details

Title :
Surname/Family Name :
Forename(s)* :
Correspondence address* :
Postcode :
Telephone Number(including STD code) :
Day :
Evening :
Email Id* :
Home address(if different) :
Postcode :
Sex : Male  Female
Date of Birth :  
DISABILITY/SPECIAL NEEDS
(Please use the space to provide details) 		:

Award(s) / Courses applying for

Choice 1* :   Full Time   Part Time
Choice 2 :   Full Time   Part Time
Choice 3 :   Full Time   Part Time
Please state the month and year when you expect to start the course :

Fee Status

Country of Birth :
Nationality(as on Passport) :

Payment of Fees

Who is expected to pay your fees?
(Tick as appropriate) 		: Yourself   Your Employer  
Other Sponser :

Academic History

School/College/University Attended :
Date Attended :
List all awards and Prerequisite
Degree(s) Earned 		:
Grade or Class :
School/College/University Attended :
Date Attended :
List all awards and Prerequisite
Degree(s) Earned 		:
Grade or Class :

English Language Qualifications

If English is not your first language, please specify which English Qualification you have or intend to take, and give the relevant grade/score if known(eg: TOEFL, IELTS)



Personal Statement

Information about yourself helps us to assess your skills and suitability for the award/course. eg:Reasons for choosing this course, Knowledge, skills, positions of responsibility, Work experience and Future plans etc.
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Verification code* :

 

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