FACULTYOFARTSSOCIALSCIENCES

FULLTIMEPOST-GRADUATE TAUGHT COURSESCHOLARSHIP

Courseappliedto:

MScInternationalDevelopmentManagement

AdmissionsOfficeRef:

Recent

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MAInternationalRelations

MAEducationalLeadershipManagement

MASpecialNeeds

MATeachingEnglishtoSpeakersofOtherLanguages

MAEducation

MAEnglishLanguageandLiterature

MAEnglish with Creative Writing

MScFinanceInvestment

MScInternationalBusiness

MScBusiness and Management

MScManagementPsychology

MScOccupationalHealthandSafetyLeadership

MBA

MBAFinance
MSc Professional Accountancy

REMARKS ACCEPT:

1.

2.

REJECT:

1.

2.

Approvedby(HeadofSchool)Approvedby(FacultyDean)

Date: Date:

Kindlyattachthe relevantdocumentstogetherwiththisform:

Results/transcripts

Certificates

Evidenceofincome

SectionA:PersonalDetails(PLEASEFILLIN BLOCKLETTERS)

FamilyName: / FirstName:
DateofBirth: / Gender:MaleFemale
NewICNo: / PassportNo:
Race: / Nationality:
MaritalStatus:SingleMarriedSeparated/Divorced
Correspondence Address:(PleasenotethisistheaddresstowhichUniversitywillsend allcorrespondence)
Telephone(Home): / Mobile:
Email: / Fax:
PermanentHomeAddress(ifdifferentfromcorrespondences address)
Postcode:

Details ofFamilymembers

Name / Relationship / Age / Gender / Occupation

SectionB: AcademicRecords

UniversityLevelQualification

NameofQualification: / LevelBA/BSc:
AwardingInstitution:
DateofAward: / Grade/CGPA:
SubjectsTaken(and gradeswhereapplicable):
Scholarships/Prizes:
AnyFurtherInformation:

Pleasecontinueonaseparatesheetifrequired.

School LevelQualification

NameofQualification:
AwardingInstitution:
DateofAward: / Grade:
SubjectsTaken:
Scholarships/Prizes:
AnyFurtherInformation:

Pleasecontinueonaseparatesheetifrequired.

ProfessionalQualification

NameofQualification:
AwardingInstitution:
DateofAward:
AnyFurtherInformation:

Pleasecontinueonaseparatesheetifrequired.

SectionC:Anyfurtherinformationrelevantto application(financial circumstances)

SectionD:OtherInformation

Haveyoueverbeenconvictedbyacourtoflaw? Yes No

If YES,pleaseelaborate.

Disabilities Yes No

Ifyouhavespecialneedsowingtoadisabilityorspecifylearningdifficulty,pleasegive details.

SectionE:Declaration

DECLARATIONBYAPPLICANT

Iherebydeclarethattheaboveinformation givenbymeinthisformiscorrect andtrue tothebest ofmyknowledge and Ihave not willfullysuppressed any materialfacts.I fullyunderstand andacceptthatatanytimeafteritisfoundthatafalsedeclarationhas been made in this form, the University have the absolute right to terminate my scholarshipwithoutanyreasonassigned.

Name: ICNo: _

Signature: Date: