AFFIX PASSPORT PICTURE OFFICE USE ONLY STUDENT ID: INTERNATIONAL STUDENT APPLICATION FORM FOR STUDENTS STUDYING AT PARTNER INSTITUTIONS COURSE NAME Please tick one MSc. Accounting and Finance MSc. Procurement, Logistics and Supply Chain Management MSc. Human Resource Management and Development MSc. Management Month/Year of Entry 1
1. Personal details Title/given name(s) Country of Birth First name (as appears on passport) Nationality Gender Male Female Ethnic origin (Race) Surname / family name (as appears on passport) Postal Address Other Name/ family name (if changed) Date of birth (day, month, year) Mobile (include country code) Area of Permanent residencial address Landline (include country code) Email 2. Disability (01) known disability (02) Blind/partially sighted (03) Deaf/hearing impairment (04) Wheelchair user/ mobility difficulties (05) Personal care support (06) Mental health difficulties (07) Unseen disability, e.g. diabetes, epilepsy, asthma (08) Two or more impairments and/ or disabling medical conditions (09) Autistic Spectrum Disorder (10) A specific learning diffucluty e.g. dyslexia (11) A specific learning diffucluty such as dyslexia, dyspraxia or AD(H)D (12) A social/communication impairment such as Asperger s syndrome/ other autistic spectrum disorder (13) A long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy (14) A mental health condition, such as depression, schizophrenia or anxiety disorder (15) A physical impairment or mobility issues, such as difficulty using arms or using a wheelchair or crutches (16) Deaf or a serious hearing impairmnet (17) Blind or a serious visual impairment uncorrected by glasses (18) A disability, impairment or medical condition that is not listed above (19) Information refused (20) Information not sought (21) t known 2
4. Criminal convictions Do you have any criminal convictions? Tick as appropriate If, please give details and dates 5. Previous university attended Continue on additional sheets if required Please list all your previous university education achievements below, including your current course of study if enrolled. Gaps in your educational history or missing documents may result in your application being delayed or declined. Start and end date of course Course title, including awarding body Grade Institution Country where course was studied Final certifcate enclosed 3
6. Previous student of UoS Have you previously applied to study at the UoS? If, provide application number Is English your first (non-african) language? 7. Further/Secondary Education Continue on additional sheets if required Please list all your education achievements (secondary and post-secondary) below, including your current course of study if enrolled. Gaps in your educational history or missing documents may result in your application being delayed or declined. Start and end date of course Course title, including awarding body Grade Institution Country where course was studied Final certifcate enclosed 4
8. Personal statement/statement of purpose Please type on a separate sheet of paper. Your statement should be approximately one A4 page in length and include information on your skills, interests, hobbies, reasons for applying and past experiences. 10. Declaration I confirm that, to the best of my knowledge, the information I have given is correct and complete. I have read the instructions, in particular those relating to this section. I understand what it says and I agree to abide by the conditions set out there, which I accept as a condition of application. I agree that the University of Salford, Manchester, UK can process my information for my application and internal research Signed: Date: Checklist, please tick when added to application form: Completed and signed application form Passport sized photograph with your name written on the back (please attach with stapler) Certified true copy of certificate of highest qualification (if available at time of application) enclosed Transcript for highest qualification (if available at time of application) enclosed CV enclosed 5
AFFIX PASSPORT PICTURE OFFICE USE ONLY STUDENT ID: INTERNATIONAL STUDENT APPLICATION FORM FOR STUDENTS STUDYING AT PARTNER INSTITUTIONS Course Name Please tick one MSc. Accounting and Finance MSc. Procurement, Logistics and Supply Chain Management MSc. Human Resource Management and Development MSc. Management Month/Year of Entry 1. Personal details Title/given name(s) Surname / family name (as appears on passport) First name (as appears on passport) Previous surname/ family name (if changed) Gender Male Female Date of birth (day, month, year) Postal Address Mobile (inc. country code) Landline (inc. country code) Email Area of Permanent residence Country of Birth Nationality Ethnic origin 6