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Course you want to apply for: Date of Application : * Pick a date
ATHE – The Management Awarding Organisation
  Level 4 Extended Diploma in Management
Level 5 Extended Diploma in Management
Level 7 Diploma in Strategic Management
Management and Science University (MSU), Malaysia
  PhD in
   
   
LMU - London Metropolitan University
 
B.Eng (Hons) Software Engineering (Top Up)
BA(Hons) Business Administration
MBA(Mktg/Fin/HRM/Gen)
MSc IT
Stage eg. Year I, Year 2:
Start Date(Month/Year)
A. PERSONAL INFORMATION (Applicant)
First Name* Middle Name Last/Family Name*
Date of Birth* Pick a date Nationality* Native Language*
Correspondence Address*
City* Country* Pincode*
Telephone (Off)* Res* Mobile *
Email Address* Gender Male Female    
City* Country* Telephone*
           
B. EDUCATION (from the age of 11 years onwards)
  Name of Institution Degree/Qualification awarded Address of the Institution Year Graduated Subjects/Courses taken Date
From To
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C. Please list all the examinations (including any English language tests) which you have taken since the age of 14 for which results are known:
Awarding Body Title of Examination Subjects of Examination Grade Pass/Fail Date of Award
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D. Please list all the examinations which you have taken for which results are awaited. Also list any examinations which you may take in the near future:
Awarding Body Title of Examination Subjects of Examination Date of Examination
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E. Please give details of any employment or training you have
Name & Address of Employer Your Position Description of Your Main Duties Date
From To
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F. WORK EXPERIENCE
Name & Address of the Employer Your Position Description of Your Main Duties Date
From To
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Please use the space below to give us any other information which you believe will support your application:
1. Statement of Purpose: Why you are choosing the programme of study?*
2. Fee Status
Country of birth Nationality Country of permanent residence
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3. Who will pay your tuition fees? (Please tick appropriate box)
Yourself Family Member Sponsor Your Employer
4. Please give the name and address of the person/organisation who will pay your fees, if not your self.
Name* Address*
5. Do you have any disabilities or particular problems that might require special arrangement during your study at WINC Online, Ras Al Khaimah Campus, UAE
Yes No
If Yes, please give brief datails
6. Please give the name and address of one education referee.
Name* Address*
I confirm that to the best of my knowledge the information given on this form is correct.
Email Id* Phone*