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12. Have you any particular career in view? Yes NoIf so, specify: …………………………………………………………………………………………………………13. REFEREES(Please obtain their prior agreement. The <strong>Doha</strong> <strong>Academy</strong> <strong>of</strong> <strong>Tertiary</strong> <strong>Studies</strong> may write to them if you are shortlisted).REFEREE 1Name …………………………………………………….Occupation ………………………………………………Address ………………………………………………….Phone No. ………………………………………………..REFEREE 2Name …………………………………………………….Occupation ………………………………………………Address ………………………………………………….Phone No. ………………………………………………..14. THIS SECTION SHOULD BE FILLED IN IF YOU ARE UNDER 18 YEARS OF AGEName <strong>of</strong> parent/guardian ……………………………. Phone No. (if any) Home ……………Office ……………His/her address ………………………………………….His/Her occupation …………………………..DECLARATION OF PARENT/GUARDIANI, …………………………………………………………………………………………., parent/guardian <strong>of</strong> the above-named……………………………………………………………………………………………, <strong>here</strong>by consent to his/her signing thedeclaration below and agree to be bound with him/her for the execution t<strong>here</strong><strong>of</strong>.Date …../…../……Signature …………………………….15. THIS SECTION MUST BE FILLED IN BY ALL APPLICANTSI, ……………………………………………………………………………………………………, solemnly declare that ifadmitted to the <strong>Doha</strong> <strong>Academy</strong> <strong>of</strong> <strong>Tertiary</strong> <strong>Studies</strong>, I will(a) diligently follow the Programme <strong>of</strong> study for which I am selected to its termination;(b) inform the Registrar (Secretary), in writing and without delay, if I withdraw from the Programme;(c) conform to all the rules and regulations <strong>of</strong> the <strong>Doha</strong> <strong>Academy</strong> <strong>of</strong> <strong>Tertiary</strong> <strong>Studies</strong>;(d) pay in advance all fees and dues required and I also declare that the above information is correct.Date …../…../……Applicant’s Signature …………………………….Please return completed Application Form together with photocopies <strong>of</strong> supporting documents on or before the closingdate mentioned on the advert.Page 4 <strong>of</strong> 4

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