POSTGRADUATE APPLICATION FORM



|ADMISSIONS APPLICATION FORM | |

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|MBA Top Up | |

|MBA Top Up with progression from Level 7 Postgraduate Diploma | |

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Please complete in typescript or black ink and return to info@.uk

1. PERSONAL DETAILS

|Title (Mr/Miss etc.) |Nationality |

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|First name(s) |Country of birth |

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|Middle name |Country of |

| |permanent residence |

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|Surname | |

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| |Date of birth: |

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| |Day |

|Contact address | |

| |Month |

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| |Year |

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| |Sex (enter ‘x’) |

| |male |

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| |female |

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|Postcode | |

| |Permanent address (if different from contact) |

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|Country | |

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|Day time tel no | |

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|Evening tel no | |

| |Postcode |

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|Mobile | |

| |Country |

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|Fax (if any) | |

| |Tel no (including country and area code) |

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|Email | |

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| |Fax |

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2. PROPOSED PROGRAMME OF STUDY

|Title of programme |MBA Top Up |

|(Tick Only One) |MBA Top Up with progression from Level 7 Diploma - You will pay only £4000 in advance– a |

| |discounted fees |

|Reference Number if known | |

|Intake (Tick only One) |January |

| |February |

| |March |

| |April |

| |May |

| |June |

| |July |

| |August |

| |September |

| |October |

| |November |

| |December |

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3. EDUCATION

Please give details of your university/college education (i.e. first degree/diploma and higher degree/diploma)

|Qualification |Title of programme/ |Name of institution |Country of institution |

|(e.g. BA, BD, BSc, |field of study | | |

|MA, MSc) | | | |

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Professional/other relevant qualifications

|Title of qualification |Name of awarding body |Date from/to |Grade/Level |Type of membership (if apt.) |

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4. LANGUAGE

|Is English your first language? □Yes □No |

|Is/was English the language of instruction for your first degree? □Yes □No |

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5. EMPLOYMENT DETAILS

|Name and address of current employer (where appropriate) |Position held |Date from/to |

|and past employer(s) | | |

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6. FINANCE

Please make fee payment to Cambridge Management and Leadership School

• MBA Top Up – Dissertation only - £3500

• MBA Top Up with progression from Level 7 Diploma - £4000

HSBC Bank

Account Number: 94378458

Sort Code: 40-16-08

IBAN: GB71HBUK40160894378458

Swift/BIC Code: HBUKGB4103J

Please enter your name or student ID as the reference. After you have made the payment, please email details of the payment, full name and course name to: info@.uk

Pay fees once you will receive an offer letter for MBA Top Up

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7. CRIMINAL CONVICTIONS

If you have been convicted of a criminal offence, excluding either a motoring offence for which a fine and/or maximum of three penalty points were imposed or spent sentences, you are required to declare this by indicating yes on your form.

|Do you have any criminal convictions? Please tick the appropriate box: |Yes | |No | |

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8. PERSONAL STATEMENT

Please use this space to summarise your academic interests and your reasons for choosing your intended course of study. You may continue on or attach a separate page if necessary (No more than 500 words)

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9. Disability, dyslexia or long-term medical condition (Tick As appropriate)

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|None |

|You have a specific learning difficulty(for example dyslexia) |

|You are a blind or partially sighted |

|You are deaf or have impaired hearing |

|You use a wheelchair or have mobility difficulties |

|You have mental health difficulties |

|You have a disability that cannot be seen, for example, diabetes, epilepsy or a heart condition |

|You have two or more of the above |

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10. Document checklist

Please check that your application is complete and that you have enclosed all the relevant documents or the admissions process could be delayed.

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|Fully completed application |

|Copies of all previous studies (transcripts, diploma supplement) or work experience letter |

|CV to reflect your work experience |

|Passport Colour Cop or an approved Photo ID e.g. National ID of your country. |

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11. DECLARATION

I confirm that the information given on this form is true, complete and accurate and no information requested or other material information has been omitted. I consent to Cambridge Management and Leadership School processing my personal data in accordance with the data protection policy & MBA Top Up/MBA Top Up with progression from Level 7 Diploma admission requirement.

|Signed | |Date | |

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