Postgraduate application form - The University of Nottingham ...

Postgraduate application formPlease make sure that all the required fields are completed and all supporting documents are attached and sent to the addressgiven on the last page of the form.1. Please state the course you are applying fora) Research degree SchoolMPhilPhDb) Taught degree (eg masters/diploma)Full-time or part-time study (tick one) Full-time Part-timeProposed date of admission2. Personal detailsTitle: Mr Miss Mrs Ms Other (please specify)Forename/s (as per NRIC/passport)Surname/family name (as per NRIC/passport)Date of birth (day/month/year)D D M M Y Y Y YPassport/NRIC No.GenderMaleFemale Marital status Single MarriedFor Malaysian only Race ReligionNationalityCountry of permanent residenceCorrespondence address (please note this is the address to which the University will send all correspondence)TownState Postcode CountryEmail addressTelephone (daytime/work)(Evening/home)FaxMobilePermanent home address (if different from address above)TownState Postcode CountryEmail addressFaxTelephone (daytime/work) (Evening/home) MobileReference No.

3. Academic history (please enclose a copy of your transcript)Undergraduate qualificationsStartDateEndFull-Time or Part-TimeInstitution name and locationDegree/major obtainedClass/GPA/finalaverage[M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y]Other information relevant to your academic history:4. English language qualifications(Enclose a copy of your English language qualifications. Please specify which test you have taken with the results and thedate you took the test/or will be taking the test)Type of testScoreDate obtainedOthers(please specify):[M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y]5. Referees (please list the two people who have completed your reference forms)First refereeNamePositionOrganisationAddressSecond refereeNamePositionOrganisationAddressTelephoneFaxTelephoneFax

6. Personal statement supporting your applications (applicants for taught degrees only)Outline of research interest (applicants for research degrees only)7. Career history (Please give details of employment and/or professional experience, latest first. Continue on a separate sheet if necessary.)DateStartEndNature of work and position heldName and address of employer[M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y][M][M][Y][Y][Y][Y]

8. OthersHow will your course be financed? (Self or sponsored. If sponsored, please give relevant details)SelfOrganisation/government sponsoredDo you have disability? YesNoIf yes, please provide further detailsDo you have any criminal conviction? YesNoIf yes, please provide further detailsWhere did you learn about The University of Nottingham Malaysia Campus and its programmes? (Please tick one box only)Advertisement(please state newspaper/journal)Radio Exhibition/careers fair Personal recommendation University brochureCareers office School Internet British CouncilCollege/institutionAgentPlease check that your application is complete and that you have enclosed all the relevant documentsTranscript of previous studies Copy of NRIC/passport English language qualification certificateApplication fee (for international applicants only)Two references in a signed and sealed envelope9. DeclarationI certify that the information provided above is correctSignatureDateD D M M Y Y Y YWhen completed please return to:Admissions OfficeThe University of Nottingham Malaysia CampusJalan Broga43500 SemenyihSelangor Darul EhsanMalaysiat: +6(03) 8924 8000f: +6(03) 8924 8002w: www.nottingham.edu.myThe University collects information about its students for various academic, administrative, health and safety reasons. The information is processed in accordance with theMalaysian Personal Data Protection (PDP) Act 2010, and is disclosed to third parties only with the individual's consent or to meet statutory obligation. The informationprovided on this application form will be stored electronically and used for administrative purposes by the University.

Postgraduate reference form: IPart 1: To be completed by the applicantPlease complete part 1 at the foot of this form (in BLOCK CAPITALS and black ink). Two reference forms are required when applyingfor postgraduate study.Send the reference forms to your referees requesting that the reference be completed. Once completed, your referees will need to sealthe reference in an envelope, sign across the seal on the back of the envelope and return the reference back to you. You should then sendyour references in the sealed envelopes, along with the application form, to The University of Nottingham Malaysia Campus. We are unableto process your application without your references.Part 2: To be completed by the refereeThe person named below has applied to study at The University of Nottingham Malaysia Campus. Could you kindly provide us with areference on the applicant's academic and general suitability to undertake the proposed course of study by completing part 2 on thereverse side of this form, or by attaching to the form a written statement on letter-headed paper. It would be of great assistance if, inaddition to any general statement, you could indicate the following in your reference:(a) how long you have known the applicant and in what capacity(b) for applicants whose first language is not English, their standard of proficiency in written and oral English(c) the qualifications already obtained or expected to be obtained(d) how the applicant's achievements compare to those of his/her peers(e) the applicant's suitability for further study, including any distinct strengths or weaknessesYour reply will be treated in confidence by the University.Please return this form to the applicant in an envelope, signed across the seal to ensure confidentiality.Part 1: ApplicantYour name (as per NRIC/passport)Your addressProposed course and divisionProposed date of admissionName of referee

Postgraduate reference formThe University of NottinghamMalaysia CampusPart 2: Reference (please continue on a separate sheet if necessary)Name of refereeTitle/statusAddressTelephoneFaxEmailSignatureDatePlease provide the official stamp of the university/college or other official stamp.When completed please return to:Admissions OfficeThe University of Nottingham Malaysia CampusJalan Broga43500 SemenyihSelangor Darul EhsanMalaysiat: +6(03) 8924 8000f: +6(03) 8924 8002e: admissions@nottingham.edu.my (Malaysian applicants)int-admissions@nottingham.edu.my (international applicants)w: www.nottingham.edu.my

Postgraduate reference form: IIPart 1: To be completed by the applicantPlease complete part 1 at the foot of this form (in BLOCK CAPITALS and black ink). Two reference forms are required when applyingfor postgraduate study.Send the reference forms to your referees requesting that the reference be completed. Once completed, your referees will need to sealthe reference in an envelope, sign across the seal on the back of the envelope and return the reference back to you. You should then sendyour references in the sealed envelopes, along with the application form, to The University of Nottingham Malaysia Campus. We are unableto process your application without your references.Part 2: To be completed by the refereeThe person named below has applied to study at The University of Nottingham Malaysia Campus. Could you kindly provide us with areference on the applicant's academic and general suitability to undertake the proposed course of study by completing part 2 on thereverse side of this form, or by attaching to the form a written statement on letter-headed paper. It would be of great assistance if, inaddition to any general statement, you could indicate the following in your reference:(a) how long you have known the applicant and in what capacity(b) for applicants whose first language is not English, their standard of proficiency in written and oral English(c) the qualifications already obtained or expected to be obtained(d) how the applicant's achievements compare to those of his/her peers(e) the applicant's suitability for further study, including any distinct strengths or weaknessesYour reply will be treated in confidence by the University.Please return this form to the applicant in an envelope, signed across the seal to ensure confidentiality.Part 1: ApplicantYour name (as per NRIC/passport)Your addressProposed course and divisionProposed date of admissionName of referee

Postgraduate reference formThe University of NottinghamMalaysia CampusPart 2: Reference (please continue on a separate sheet if necessary)Name of refereeTitle/statusAddressTelephoneFaxEmailSignatureDatePlease provide the official stamp of the university/college or other official stamp.When completed please return to:Admissions OfficeThe University of Nottingham Malaysia CampusJalan Broga43500 SemenyihSelangor Darul EhsanMalaysiat: +6(03) 8924 8000f: +6(03) 8924 8002e: admissions@nottingham.edu.my (Malaysian applicants)int-admissions@nottingham.edu.my (international applicants)w: www.nottingham.edu.my