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Section 1: personal details

1.1 Title (Mr/Mrs/Ms/Miss/other)
1.2 surname (Family name )
1.3 forenames (full name)
1.4 Preferred name
1.5 Sex (male / Female)
1.6 Date of birth (dd/mm/yyyy)
1.7 ID or Passport Number
1.8 Nationality
1.9 Country of permanent residence

Section 2: Contact Details

2.1 Home address
2.2 Country
2.3 Postal code
2.4 Telephone
2.5 Mobile
2.6 Email
2.7 please indicate of you wish your home contact or employment contact details to be used as your main contact address  

Section 3: program details

3.1 Program Name

Delivery Method

Section 4: current employment  

4.1 Present job title
4.2 Date appointed
4.3 Employer
4.4 Telephone
4.5 Email
4.6 Natural of employer’s business
4.7 How many years relevant full-time managerial work experience do you have?
4.8 How many years total work experience do you have?
4.9 please describe your current duties & responsibilities

Section 5: Higher Education  

Qualification

University of college

Subject

grade

Graduation Date

Please indicate the highest academic qualification you have achieved

Section 6: professional qualification

Name & address of institution

Qualification and course

Year Awarded

Associate / fellow

Section 7: Tuition fees

7.1 Please indicate who will be responsible for your fees        

7.2 Percentage split if shared

You %

Your Company %

7.3 Tuition fees in £

7.4 Tuition fees in other currency

7.5 No. of installments

Refund Policy:

  • 0-7 days from registration day, 0% cancelation fees from registration fees
  • 8-15 days from registration day, 50% Cancelation fees from registration fees
  • 16-21 days from registration day, 75% Cancelation fees from registration fees
  • 22-30 days from registration day, 100% Cancelation fees from registration fees

Refunded amount will be transfer 30 working days from signing refund form

Section 9: Declaration

I declare that the information given on this form is true, complete and accurate and that no information requested, or other material, has been omitted

Signature

Date

Section 10: Disclaimer

University Institute operates as an independent institute and is not administered or affiliated with any universities in the United Kingdom

Please complete this application checklist to remind you which documents should be enclosed with your application. If any of the documents requested are missing, there may be a delay in the processing of your application.

Copy of application form

Certified copy of SA ID (or Passport if not SA)

BA certificate

Please also include English translation, if applicable

Full transcript of degree programmes taken to date

Please also include English translation, if applicable

Current curriculum vitae