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1 International Headquarters: Heron House, St Peter, Jersey JE3 7BY, Britain. Tel: +44 (0) Website: Application for Registration into Distance Learning Programme Application Reference: AFAP230412G/ [Please quote this number together with your name in all your correspondence with the College] (2-3 Year Baccalaureate / Business Administration Programme) (Please tick or indicate the Programme Specialisation of most interest to you): Business Administration (BBA) English & Administration (BA Eng) Hospitality Administration (BSA) Management & Administration (BAA) Financial Administration (BFA) Materials & Logistics Administration (BLA) Commerce & Administration (BCom) Financial Administration (BFA) Human Resource Administration (BHA) Marketing Administration (BMA) Human Resource Administration (BHA) Project Administration (BPA) (12-24 Months Diploma Programme) (Please tick the programme of your choice) Administrative Management Hospitality Management Business Administration Business Accounting & Finance Business Development Executive Assistance Human Resource Development Materials Management Personal Details Full Name Previous Name (if applicable) Previous CIC Membership Numbers (if any) Gender: Male [ ] Female [ ] Please Affix your Passport Picture Here Nationality Date of Birth Town & Country of Birth Do you have a disability or long term medical condition that may affect your studies? YES [ ] NO [ ] If yes specify Full Postal Address: Country Town/City Region: Address Cell Phone Number Home Tel. No Emergency Contact (Name) TEL

2 Employment Work experience; state employer, start & finish dates, positions, work activities In addition to this summary, please attach a more detailed CV and employer work references (if available) to your Application form. Duration From To Name of Employer Position Main Duties (clerical, administrative or managerial/supervisory activities Education Please provide details of your education school, institute, college, university. Qualifications: You must attach documentary evidence for all courses studied: i.e. copies of Diplomas, Degrees, etc. awarded on examination success - and transcript/contents if available. (Do NOT add copies of certificates for computer courses, first-aid courses, etc.) S N Name: Name of Institution (School, College, University, Institute) From Year To Year Name of course studied, with details of major studied and class of honours (if applicable) Duration 1 Address: Town/City: Name: 2 Address: Town/City: Name: 3 Address: Town/City:

3 Reference Please provide us in the space below name and address of a person you know and believe will be able to advise us on your intellectual and / or managerial abilities through their contacts with you. Please do not provide details of spouse, relatives or friends who may only know you from personal experience. Preferably, academic or professional reference. Name of Reference Position/ Occupation Address Work City/Town Contact of Referee Address: Telephone: In what context do you know the referee and for how long. Check List Don t delay the processing of your application. Before submitting your application, ensure that have you: Completed all sections of the application form? Attached all required supporting documents such as CV, transcripts, and Certificates? Attached Three (3) Passport Sized Photograph (White Background) A valid Identification Card ( Voter ID / Passport / Driver s License) Letter of sponsorship / Release (if applicable) Read the declaration and signed the Application for Admission form? Declaration and Signature I hereby certify that the information given in the application form (as well as all documentation supporting it) is complete and accurate to the best of my knowledge and belief. I understand and agree that the provision of false or misleading information may result in the cancellation of this application and/or withdrawal of any offer and/or enrolment with immediate expulsion from the college at any stage of the academic session. I have read and do hereby provide content to the Terms & Conditions and all relevant information as stated in the application form and information brochure for registration into the college. I authorise the College to verify any information provided by me and to release details of my academic records as requested by other education institutions to assist and corroborate the processing of applications I may make to such institutions. Full Name: Signature of Applicant Date:

4 Terms and Conditions of Registration into the Programme with Cambridge International College you study in your country of residence - you do NOT need to come to the College premises in Jersey, Britain By signing and/or applying for Registration you agree to accept the following Terms and Conditions of Registration and agree to abide by all Rules and Regulations of Cambridge International College of Heron House, Jersey JE3 7BY, Britain. 1. On receipt of your Fee, and on your acceptance onto the Programme you have chosen, you will be registered with Cambridge International College as a CIC Member. Should CIC judge that you do not meet the requirements for entry onto this Programme, CIC may utilise the Fee received to provide study & training which will help bring you to the level at which you will accepted onto the Programme. 2. On registration onto the Programme you will be rapidly sent: Module One for appropriate Core Subjects by accompanied in most cases by a Self- Assessment Test with Recommended Answers if you have clearly stated an address on your Application for Registration Form. Professionally printed and produced CIC Study Materials for Core Subjects by registered airmail post, with Self-Assessment Tests and Recommended Answers as appropriate. Full Study & Training Instructions & Guidance on how you can learn and progress rapidly with CIC - with all of which you agree to comply fully. 3. Your Study Period in which to complete Study & Training on your Programme will be (BA programme)months or months (Diploma programmes) from your registration date provided you have completed payment of the agreed Fee. However, you are permitted to complete the Programme in a shorter period of time if you devote sufficient time to studies and produce satisfactory Examination Work, or your Study Period can be extended if required. End of Study Year Examinations will be sat under Approved Invigilation in your own area, supervised by an Invigilator appointed after your registration onto the Programme. 4. You will be allocated a special Membership Code which will allow you to view your personal record in the CIC Member Services website, where you can see details of recent dispatches made such as Study Material sent to you, Examinations sent to Invigilators, Answers sent to Examiners - by registered airmail post or another method - your Examination Results, and other useful information. 5. You may be set a Mid-Training Progress Test and an End-of-Training Progress Test for Core Subjects. You will have the OPTION of whether or not to submit your Work for the Tests for marking and assessment by qualified CIC Tutors in Britain as Examination practice, and receiving any additional guidance, assistance and instruction from the Tutors on your Work. If you choose to submit your Work, there is an additional Tutorial Charge for each Test 6. On successfully completing the Programme you will be awarded CIC Honours Diploma / Three-year CIC Business Administration certification for the Specialisation completed, and a detailed Transcript & Grade sheet; additionally if you provide a photograph of yourself and do not object to publication, your photograph and success will be included in a CIC Newsletter. Summary of Registration Procedures 1. Collection of Application form 5. Collection of Study & Training Materials 2. Submission of Completed Application Form 6. Periodic Seminars / Tutorials Support (Optional ) 3. Offer and Acceptance (including, payment of Tuition fee) 7. End of Study Examinations 4. Registration & Orientation for all Registered Students 8. Graduation/Collection of Certificates & Transcript

5 Tuition Fee and Payment Plan CIC 2/3 Year Business Administration Programme: FULL PAYMENT ON REGISTRATION = GB 2,025 OR US$4,050 Or 5 equal Installment of GB 425 OR US$960 every 3 months CIC Months Honour Diploma Programme FULL PAYMENT ON REGISTRATION = GB 760 OR US$1600 Or 4 equal Installment of GB 215 OR US$430 every 3 months Candidates who opt for installment payment should pay to Supreme International College on behalf of CIC. Please see below details of Account: Bank: Fidelity, Adenta Branch Account Name: Supreme International College/CIC Accounts Number: Those who opt for Full Payment on Registration may pay directly to Cambridge International College through the accounts details below: By BANK TRANSFER direct to CIC receive only Bank Accounts: Account Name: Services to Management (for Cambridge International College) Bank: HSBC Bank plc, Jersey St Helier Branch, Britain for transfers in British Pounds (GB ) send to: Account Number: Sort Code: , SWIFT/BIC Code: MIDLGB22, IBAN: GB35 MIDL for transfers in US Dollars (US$) send to: Account Number: Sort Code: , Swift/BIC Code: MIDLGB22, IBAN: GB59 MIDL Completed Application Please return the Completed application form to: The Coordinator Cambridge International College Programmes C/o Supreme International College 11 Adjeitey Loop, KJSS Plaza, Adenta/Fafraha Off Adenta Dodowa Road, Near Fidelity Bank P. O. Box AF 2878, Adenta, Accra Ghana / West Africa Tel: / ADDITIONAL INFORMATION Supreme International College is authorised to assist applicants to register as Members of Cambridge International College and to act as a central point of communication and administrative contact between Cambridge International College and Members enrolled through Supreme International College in Ghana. All applicants will be registered in accordance with Cambridge International College s standard terms and conditions. NB: Candidates who opt for seminars/tutorials support services organized by Supreme international College would have to pay extra fee.

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