Application Form for International Students

(Graduate Program in MBA)　　　　　　　　　　　　 　Applicant's Passport No. :

1. Personal details

Title : Mr Mrs Miss Ms Other

Your name, as stated on your passport (and in that order) :

Surname/ Family Name :

First / Given Name(s) :

Home address :

Telephone No. (with international codes) :

Alternative Tel /Fax No. (with international codes) :

E - mail address :

Mailing address or Agency name and address :

Telephone No. (with international codes) :

Alternative Tel /Fax No. (with international codes) :

E - mail address :

Sex : M F

Date of Birth :

Country of Birth :

Country of Residence :

Nationality :

Fee Payer Who is expected to pay your fees :

Yourself Family member Employer Other

Criminal convictions Do you have any criminal convictions : Yes No

 

2. English Language proficiency
If your first language is not English, have you taken or will you be taking any of the following tests:
Date
Score (Please hand in a copy of your results certificate with a certified English translation when register)
Month
Year
Test of English as a Foreign Language (TOEFL)
International English Language Testing System (IELTS)
Other, please specify

 

3a . Current studies
(Please specify any academic and/or professional qualifications for which you are currently studying)
Level/Award
Subject/Major
Institution and place of study
Completion date

 

3b. Formal studies and qualifications
(Please specify all formal qualifications, both academic and professional, you currently have. Please take a certified copy of certificates and transcripts of all results, with a certified English translation when register. )
Level /Award

Subject / Major

Start Date
End Date
Institution and place of study
Overall result/grade

 

3c . Additional training
(Please specify any course of study or training, including in-company training, which does not result in a formal qualification.)
Level/Award

Subject/Major

Start Date
End Date
Institution and place of study

 

4a . Current employment details (if applicable)

Employer's name and business :
Employer's address :

Telephone No. :

Your current position and start date :

Brief descriptions of duties :

 

4b. Work history
(Give details of any work experience and employment. Continue on a separate sheet if necessary and attach your CV /r└sum└ if you send this form by fax or mail. )
Job title/Nature of work

Name of organization
Full-time or
part-time

From
Month Year

To
Month Year

 

5 . Your reasons for applying for this program (Why do you think you will benefit?)

This section must be completed (500 words maximum)

 

6. How did you learn about this program? (Tick more than one box if appropriate)

Family 　 　

Friend School/College/University Advertisement
Website 　 Exhibition Educational agent Other

 

7. Names and addresses in full of referees (Please attach references with the application. Note: Your agent and members of your family cannot be referees. )

1.

Telephone No. :

Fax No. :
E-mail Address :
2.

Telephone No. :

Fax No. :
E-mail Address :

 

8. Declaration

My signature below indicates that all information in my application is complete, factually correct, and honestly presented. I understand that any misrepresentation or omission within this application may void my application or result in dismissal.

Applicant :

signature Date :

 

Submit this form via Internet :　　　　

Submit this form by FAX or MAIL :