BBA Prog Application Form 2011-12 OCB
BBA Prog Application Form 2011-12 OCB
D H
REGISTRATION NO:
(for Heriot-Watt University use)
PERSONAL DETAILS
SURNAME/FAMILY NAME/LAST NAME * FIRST NAME MIDDLE NAME(S) TITLE (Mr/Miss/Mrs/Ms) DATE OF BIRTH (day/month/year) SEX (male/female)
Please affix a current colour passport-type photograph Please ensure that your referee signs the Certificate Of Authenticity on page 6 of this Application Form
* Please note that your surname will appear on your student identity card and will be used for all alphabetised university records
City: Postcode (if applicable): Country: Telephone No: E-mail Address: COUNTRY OF BIRTH * DOMICILE (i.e. Country Of Permanent Residence) * NATIONALITY *
* See guidance notes on page 8
SPECIAL NEEDS Please give details of any physical or other disabilities. This is especially important if alternative arrangements will be required for any of your course examinations. (If none please write None' or N/A)
Ethnicity Code*
* See guidance notes on page 8
Disability Allowance *
Disability Code *
PLEASE NOTE:
YOU MUST INFORM HERIOT-WATT UNIVERSITY OF ANY CHANGE IN YOUR PERSONAL DETAILS. HERIOT-WATT UNIVERSITY IS REQUIRED BY THE UK HIGHER EDUCATION STATISTICS AGENCY (HESA) TO OBTAIN INFORMATION IN THIS SECTION FOR ALL STUDENTS. IT WILL IN NO WAY AFFECT YOUR APPLICATION
Page 2 of 8
EMPLOYMENT
Enter present and previous employment (if applicable) starting with the most recent: Employer Nature of Work From Month Year To Month Year
Mode of Study
(*PT / FT / DL)
Date of Award
Examining Body
Examination Date
Subject
Level
Result Expected
Page 3 of 8
FURTHER INFORMATION
Other Information - Information in support of your application, such as details of responsibilities held, voluntary work, memberships of societies and other interests such as reading and sports may be given below:
Page 4 of 8
Telephone Number: E-mail Address: Fax Number: REFERENCE: This is strictly confidential, unless stated otherwise by referee.
CERTIFICATE OF AUTHENTICITY I certify that the photograph attached to this Application Form is a true likeness of the applicant. Signature: Date:
Page 6 of 8
PLEASE RETURN THIS FORM TO: External Programmes Mary Burton Building - Room G48 School of Management & Languages Heriot-Watt University, Riccarton EDINBURGH, EH14 4AS Scotland, UK
APPLICATION CHECKLIST
Have you ..