Welcome to the IICSE University, Inc.



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|IICSE University | |

|Application Form |[pic] |

|For Undergraduate and Postgraduate Studies |IICSE University |

| |...a liberal arts education. |

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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. The payment of fees must 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: |

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|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. USA, UK, Africa, Asia, etc.) | |

|Date of Birth: | |Please tick [√] one: |

| | |Male: [ ] Female: [ ] |

|Nationality: | | |

|Country of Residence: | |

|Email Address: | |

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|PART C: Highest Educational Institution Attended |

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|Name of School: | |

|Address of School: | |

|Highest Qualification: | |

|Year of Admission: | |

|Overall Final Grade: | |Year of Graduation: |

|e.g. Cum Laude, Second Class Lower, | | |

|Credit, Pass, etc. | | |

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|PART D: Program Applying For |

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|Program Applying for: | |

|e.g. Bachelor of Arts, MBA, PhD | |

|Course Applying for: | |

|e.g. Law, Accounting, Nursing, etc. | |

|Normal Program Duration: | |

|(e.g. 9 months, 3 years, etc) | |

|Specify your desired Duration of Study| |

|(optional): | |

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|Starting Date (Month/Year): | |

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|PART F: 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 G: Accreditation: |

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|IICSE University is an internationally accredited university, fully accredited by the QAHE. The QAHE is affiliated with California University |

|Foreign Credential Evaluator which offers Evaluation Reports and Diplomas to the QAHE members’ graduates. We are NOT recognized by the |

|Secretary of Education and we can NOT guarantee this now and in the future. |

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|To avoid discrimination, it is advisable you confirm the acceptability of IICSE University with the government and education authorities before|

|applying to study with us. Send us your completed Application Form if you would like to proceed with the enrolment. We are expecting to hear |

|from you. |

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|PART H: Please Tell Us, How did you get to know about IICSE University? |

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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: |

| |Date: |

|By sending this application to the IICSE University officials, you certify that, to the best of your belief,| |

|agree to the information provided above. | |

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|Applicant’s Signature » | |

| |RESERVED COLUMN | | |

|FOR OFFICE USE ONLY | | | |

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All Rights Reserved. mi513-A .

Send the completed Application Form via ‘email attachment’ to: study@

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