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Application Form

Have you previously made contact with the department for which this application is intended?

Yes - by letter Yes - via the WWW No

1. (Select one) Postgraduate Certificate (PG Cert) Postgraduate Diploma (PGDip) Master's Course

2. Title of Course

3. Full-time Part-time

4. Surname/Family Name

5. Previous name: (if applicable)

6. Other Names

7. Title: Miss Mr Mrs Ms

8. Male Female

9. Nationality

10. Date of Birth (day-month-year)

11. Home or Permanent Address

Telephone number: Fax number:

E-mail address - please be sure to fill in this field as we do not capture your email address automatically:

12. Address for Correspondence (if different from above)

Telephone number: Fax number:

E-mail address:

13. Month and year in which you intend to register on the course

14. Qualifications relevant to this application already obtained. Candidates will need to produce originals or certified copies of relevant certificates and transcripts at registration. It is helpful and speeds up processing, if candidates from outside Canada could send a photocopy of their degree transcript with the application (or separately if applying via e-mail, to the academic department stating name and address and when and where the electronic form was sent)

Include the following details for each qualification:

  • Type of Degree or Diploma
  • Class and Subject(s); Division/GPA Score
  • Date of award
  • Institution

15. Give details of degree or other qualifications which you expect to obtain prior to attendance on the above course at IASSE.

Include the following details for each qualification:

  • Type of Degree or Diploma
  • Duration of course
  • Degree or Qualification
  • Hons. or Ordinary (if appropriate)
  • Expected date of result
  • Institution

16. Give details of any other relevant course attended but not listed above.

Include details of:

  • Type of course
  • Result
  • Subject(s)
  • Dates attended
  • Institution

17. English Language:
If your first language is not English what qualifications or other evidence of attainment in English Language do you have?

18. How do you intend to fund your studies?
Eg: industrial/government/research Council/Other

19. Details of work experience
Include dates, name of employer, position, nature of work

20. Any other experience/information which you consider relevant to this application.
If applying for the Postgraduate Diploma/MSc course in Computing, please provide details of any experience you have had of computing, including in particular experience of programming.

21. Have you applied for registration for a course elsewhere? Yes No

If YES give details

22. Do you have any physical or other disability which might necessitate special arrangements or facilities?

Yes No

If YES, it would be helpful if you could forward to the Course Admissions Tutor further details of your disability. Tutors are requested to consult with the University's Coordinator for People with Disabilities, who may contact you, if appropriate.

23. Give the names, addresses and status of two referees (at least one of whom should be from the institution from which you obtained your academic qualifications) who can comment on your ability and capability for advanced study.

Referee 1

Referee 2

24. How did you hear of this course?

I certify that the information given above is correct

Full name

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