Return the Completed Application Form Email Attachment To

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Selinus University
International Programmes
Application Form
For Undergraduate and Postgraduate Studies /
Selinus UniversityInternational Programmes.
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Application Form for Direct Admissions
Before you begin application, please take note:
1. All necessary fields must be filled. Incomplete application may be delayed.
2. A Processing Fee of $50 USDmust be paid before completing this form. You will receive a
“Transaction ID” into your email immediately after your payment is received. Forms without a “Transaction ID”
shall not be treated. Please enter your “Transaction ID” at the appropriate field (PART A) below.
3. You will receive your Admission Letter together with supporting document, immediately after your completed
application is received and processed.
All necessary fields must be filled correctly:
PART A: Payment Details
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Date of Payment:
Amount Paid:
Method of Payment:
(e.g. PayPal, Card, Bank, etc)
Teller / Transaction ID:
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PART B: Applicant’s Details
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Student’s Full Name:
Mailing Address:
City/Town:
Country of Residence:
Residential Continent:
(e.g. Africa, Asia, US, UK, etc.)
Date of Birth: / Please tick [√] one:
Male: [ ] Female: [ ]
Nationality:
Email Address:
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PART C: Last School Attended
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Name of School:
Address of School:
Highest Qualification:
Year of Admission:
Overall Final Grade:
e.g. Cum Laude, Second Class Lower, Credit, Pass, etc. / Year of Graduation:
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PART D: Program Applying For
. / Insert your passport-size photograph here
Program Applying for:
e.g. Bachelor of Arts, MBA, PhD
Course Applying for:
e.g.Accounting, Business, etc.
Normal Program Duration:
(e.g. 9 months, 3 years, etc)
Specify your desired Duration of Study(optional):
Starting Date(Month/Year):
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PART E: Breakdown of Fees for All Undergraduate Programs, including Certificate and Diplomaprograms:
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We charge a one-time Application Processing Fee of $50 and anExam Processing Fee of $5 per exam to cover the cost of processing the examination.
Application Processing Fee / = $50 / payable before admission
Exam Processing Fee (per exam) / = $5 per exam / payable per exam
Tuition Fee / = $12.50 per unit course / payable after admission
Upon admission, a student is expected to pay Tuition Fee of $12.50 per unit course as shown above. Tuition Portfolio
contains the University Degree, a Recommendation Letter and Transcripts showing Statement of Results.
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PART F: Official Recognition of Selinus University International Programmes:
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Selinus University International Programmes is an educational arm of the Selinus University of Sciences and Literature,Italy.
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PART G: Refund Policy:
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Application Processing Fee is refundable if admission is denied. No refunds will be granted or given for cancellation or withdrawal from study.
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PART H: Please Tell Us, How did you get to know about Selinus University International Programmes?
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Please tick [√] one: / Internet [ ], Friends [ ], Staff [ ], Student [ ] / Others specify:
If Friend, Student or Staff is ticked then, write the names of the Friend, Student or Staff here:
By sending this application to the University officials, you certify that, to the best of your belief, the information you have provided above is complete and true.
/ Date:
Applicant’s Signature »
FOR OFFICE USE ONLY
. / RESERVED COLUMN

All Rights Reserved. .

Return the completed Application Form ‘email attachment’ to:

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