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CeFiMS Application Form (Distance Learning Programmes only)

You may submit your application now by providing the information required here and clicking SUBMIT APPLICATION. A fully completed application will enable us to respond quickly, giving you a conditional decision by email.

We suggest that you look carefully at all parts of the form before starting to complete it.

The forthcoming application deadlines are:

4th June 2013 for a July 2013 start

All supporting documentation must be received by the application deadline.

Applicants will normally be contacted within ten working days of submitting an application.

Note that fields marked with * must be filled in.

SECTION ONE : Personal Details
Title Mr Ms Mrs Other (specify) *

Personal Details


Enter your name as it appears on your passport.
The name you provide here will be registered with the University of London International Programmes and should be identical to the name you provide in any subsequent Exam Entry Forms as this is the name which will appear on your final degree or diploma certificate.
Ensure that it is your full name (including given names in full) as stated on your identification document.
Surname *
First name *
Gender
male female *
Date of Birth / /
Day/Month/Year e.g. 24/03/1974 *
Nationality *
Country of permanent residence *
Address Line 1 *
Address Line 2
Town / City
State / Province *
Zip / Postcode *
Country *
Telephone Numbers
(including country code)		 Home *
Work
Mobile *
Email address *

SECTION TWO: Programme Choice
Select the Programme you would like to study

Individual Professional Awards
(Only complete this section if you are selecting Individual Professional Awards)
Code
Title
Code
Title
Code
Title

SECTION THREE: Education and Employment

First degree - (tick the checkbox to fill in this section)

 *

Qualifications

Enter the details of your first degree and any relevant qualifications here. If you have any further qualifications you believe will affect your application, you should refer to them in the Personal Statement at the bottom of the application.

Fraudulent results
You must give the exact grade you received for your qualifications. Discrepancies may result in your application being withdrawn.
Name of University *
Title of degree *
Grade/GPA *
Subjects Studied *
Start Date (month/year) /
Award Date (month/year) / *

Other degree or diploma - (tick the checkbox to fill in this section)
Name of University
Title of degree
Grade/GPA
Subjects Studied
Start Date (month/year) /
Award Date (month/year) /

Professional qualification 1 - (tick the checkbox to fill in this section)
Institution / Awarding body
Title of qualification
Grade/GPA
Subjects Studied
Mode of Study Full-time Part-time
Award Date (month/year) /

Employment / Organisation Name
Job Title
Employer
Employer's address
Mode of work Full-time Part-time
Start Date (month/year) /
Main responsibilities

SECTION FOUR: How did you hear about us? This section is compulsory *
Where did you first learn about this programme? Advertisement
The Economist
Other advert - Please state
Referral
Family/Friend
Colleague
Student/Alumnus
Other referral - Please state
Online
University of London International Programmes website (www.londoninternational.ac.uk)
SOAS website (www.soas.ac.uk)
CeFiMS website (www.cefims.ac.uk)
Train4dev website (www.train4dev.net)
British Council website (www.britishcouncil.org)
Search Engine - Please state
Blog - Please state
Other website - Please state
Educational Partner
World Bank
World Bank Staff Association Member
ACCA
University of Tripoli
CEEF
CETA
Other Agent - Please state
Other Source
SOAS Open Evening
University of London Open Evening
Higher Education Fair - Please state where
British Council - indicate which country
Other source - Please state

SECTION FIVE: Personal Statement (approx. 500 words). This section is compulsory *

Your application must include a detailed 500-word personal statement. Your personal statement should include your reasoning for wanting to study with CeFiMS on the particular programme you are applying for and a relevant account of your academic background and present job or career. It is important that your statement is as comprehensive as possible.

SECTION SIX: Before sending this form

Declaration

By submitting this form you are declaring that the information submitted by you is, to the best of your knowledge, correct. You will be required to provide evidence of all academic qualifications, including grades, declared in this form. Failure to do so will prevent your application from being successful.

You are not at present registered as an External, Internal, Occasional or Associate student at the University of London.

By submitting this form you are agreeing to the University of London processing personal data on this form or other data which the University of London may obtain from you or other people or organisations whilst you are applying for admission. You agree to the processing of such data for any purpose connected with your studies or for any other legitimate purpose.

After you click the submit button, the form will be sent. If you entered an email address into the 'Personal Details section, a copy will be sent to you automatically.