The University of Nottingham Ningbo China

The University of Nottingham Ningbo China

International Summer Schools 2016

Application Form

1. PERSONAL DETAILS

First Name(s): / Family Name/Last Name:
Passport Number: / E-Mail address: (Please write clearly)
Title / Male/Female / Date of Birth / Nationality
Day / Month / Year
Correspondence Address:
Home address: (If different from correspondence address)
Home number:
(With international code)
/ Mobile number:
(With international code)
Occupation: (If a full-time student, please state your academic institution here)
If you have any specific individual requirements which are due to a disability, dyslexia or long-term medical condition, please give details, or enter N/A if not applicable:

2. YOUR CHOICE OF COURSE

Please state your preferred course choice. If you are interested in more than one course, please provide a second choice.

·  Understanding the Rise of China

·  Geospatial Engineering and Building Information Modelling

1st Choice / Please selectUnderstanding the Rise of ChinaGeospatial Engineering and Building InformationBusiness English Student Training(BEST)
2st Choice / Please selectUnderstanding the Rise of ChinaGeospatial Engineering and Building InformationBusiness English Student Training(BEST)

*please leave blank if you have no second choice

3. QUALIFICATIONS AND GENERAL EDUCATIONAL BACKGROUND
Institution / Qualification Type / Subject / Result or Predicted Result / Date awarded or expected
Undergraduate
Postgraduate
Other

3.1 English Proficiency: If English is not your first language, have you taken any test (e.g. IELTS or TOEFL, Cambridge First Certificate)? Please give details including score/grades and date of test. If you have already received university-level instruction given in English, please give details here.

*Please attach your scanned test certificate with your application.

3.2 Referee: Please give details of a person whom we may contact concerning your application.

Name of referee:
Address: / Occupation:
E-mail:
Fax No:
Telephone No:
Relationship to applicant:

3.3 Have you ever studied at the University of Nottingham before or applied to study at the University of Nottingham (Applicants should answer Yes even if study was not completed.)

YES/NO If YES Which year? Which course?

4. ACCOMODATION

Will you like to stay in university-arranged accommodation? The on-campus accommodation fee is a fixed price of 1500RMB for two weeks. Yes No

5. OPTIONAL TRIPS

Would you like to join the trip to Wuzhen? The cost is 300RMB. Yes No

Would you like to join the trip to Shanghai? The cost is 800RMB. Yes No

Please note that you can wait until registration day to sign up for the optional trips and pay by cash then.

6. PAYMENT DETAILS

Will you be paying for the course yourself? Yes No

If NO, please provide contact details of your sponsor, including any reference code your sponsor may require. It is your responsibility to ensure that the fees are paid in full by the correct date.

6.1  Sponsor Details

Name:
Address:
Reference Code:
Contact Telephone No: / Contact e-mail: / Contact Fax No:

If YES please pay full fees when you are offered a place at Summer School by T/T transfer to following university bank account:

·  Bank Name : Bank of China Ningbo Branch

·  Bank Address : 139 Yao Hang Street Ningbo China

·  Swift Code : BKCHCNBJ92A

·  Bank Account Number : 376658330575

·  Bank Account Name : University of Nottingham Ningbo China

If you wish to make online payment, please request a payment code via:

7. SOURCE

Where did you learn about the University of Nottingham Summer School?

Internet University Friends/Previous student/Colleagues
Employer Advertisement Other (please specify)

I declare that the information supplied in this form is true to the best of my knowledge and belief.

Signature:*………………………………………………………………………………….

Date:………………………………..

*You may be required to sign in person at the start of your course.

Disclaimer: Although all possible care has been taken in the preparation of this form, no responsibility can be taken for any errors or omissions, however caused. Should a course need to be cancelled due to unforeseen circumstances, the applicant will be offered an alternative course or a full refund of course fee and accommodation fee.

Please return this form together with A COPY OF YOUR PASSPORT to:

International Summer School

The University of Nottingham Ningbo China

International Office

199 Taikang East Road

Ningbo 315100

China

Or alternatively, you can send a scanned copy to: