APPLICATION FORM – academic year 2018/2019
Part 1 – Personal details
Please complete the form in all its sections (2 pages)
Personal data will be treated as confidential and only for purposes related to the application procedure, in compliance with Italian D. Lgs 196/2003.
I herewith authorize the use of my personal data for purposes related to the application procedure. (Please tick to confirm)
Family name:
First name(s):
Nationality: Date of birth: Place of birth: Sex: M F
Postal address:
Telephone number (including area code & international code if outside Italy):
email address (for purposes of correspondence concerning this application):
Which deadline to register for the skype interview are you applying for:
00/00/2018
ADMISSION INTERVIEW PREFERENCE
Would you prefer to be interviewed by skype, or in person in Pavia? Please tick one option. In the former case you must provide a skype name.
By skype. My skype name is: ……………………………….
In person in Pavia.
Are you submitting an English language certificate (or certified evidence that your previous university studies were in English) with your application? (Please tick)
Yes.
No.
I am aware that attendance at classes is highly recommended for all students enrolled in the Master program in International Business and Entrepreneurship. (Please tick to confirm)
I have read the information reported on the MIBE website about the course synopsis, info on the application process and other general information on life in Pavia at this link: http://mibe.unipv.it/
Part 2 – University Qualifications
Please provide details of your first degree:
Name of degree:
Institution:
Date (or expected date) of award:
Final mark (if already awarded):
If applicable, please provide details of any other relevant University qualifications here:
Name of degree:
Institution:
Date (or expected date) of award:
Final mark (if already awarded):
Name of degree:
Institution:
Date (or expected date) of award:
Final mark (if already awarded):
Name of degree:
Institution:
Date (or expected date) of award:
Final mark (if already awarded):
If available, please give a web address for each of the qualifications listed above (this will normally be in the website of the relevant University and will provide us with information about the content of the degree course):
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