MSc in Project Management -Application Form Post Graduate Degree Programmes 2014/2015

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1 Office use only: Application No MSc in Project Management -Application Form Post Graduate Degree Programmes 2014/2015 Passport size photograph 2 x 2 inches (51 x 51 mm) in size PERSONAL DETAILS Name with Initial: Full Name: (Block Capital) Date of Birth : NIC/ Passport No Sex : Male Female DD MM YYYY Nationality : Correspondence Address : Mobile Phone : Residence Phone : Web: Country of Birth: Permanent Address (If different from present) District : (For Statistical purpose only) EDUCATION DETAILS: Please enter the name of each college/university and include, if applicable, the institution you are presently attending. Please continue on a separate sheet if necessary. University / College / Institution & Country Duration From (MM/YYYY) To (MM/YYYY) Course title/major content (Degree / Diploma) Rank / GPA Date Awarded (or TO BE awarded)

2 EMPLOYMENT DETAILS: Position Organization Nature of Work (Brief description of duties) Duration LANGUAGE PROFICIENCY LEVEL OF ATTAINMENT IN ENGLISH / OTHER LANGUAGES If English is not your first language please specify in the space below the standard you have attained. Formal Qualifications (e.g. GCSE or TOEFL) Grade Date Other experience of using the language (please give details) FINANCES: How will your studies be financed? Options Sources

3 PERSONAL STATEMENT / FURTHER INFORMATION Information in support of your application, such as details of responsibilities held, voluntary work, membership of societies and other interests relevant to your application may be given below: SPECIAL NEEDS Please give details of any physical or other disabilities (If none please write None' or N/A ) How did you find out about this programme? Paper advertisement Online Campaigns TV/Radio E-flyer Event Other.. (For research purposes only) CERTIFICATE OF AUTHENTICITY: I certify that the passport sizephotograph attached to this Application Form is a true likeness of the applicant. Signature: Date:

4 FIRST REFERE DETAILS (MUST BE COMPLETED) You are required to supply an academic reference with your application. Please supply the name of your referee below. Please note that it is your responsibility to contact the referee. (Applicants with relevant full-time work experience may use their current employer as their referee.)note: Family members, friends or classmates are NOT permitted to act as referees. NAME OF APPLICANT: Title (Rev / Mr / Ms): Name of Referee: Relationship with the referee (e.g. : Lecturer / Manger ) Job Title : Address: Country : Telephone Number: Fax Number: Address: SECOND REFERE DETAILS (MUST BE COMPLETED) You are required to supply an academic reference with your application. Please supply the name of your referee below. Please note that it is your responsibility to contact the referee. (Applicants with relevant full-time work experience may use their current employer as their referee.)note: Family members, friends or classmates are NOT permitted to act as referees. NAME OF APPLICANT: Title (Rev / Mr / Ms): Name of Referee: Relationship with the referee (e.g. : Lecturer / Manager ) Job Title : Address: Country : Telephone Number: Fax Number: Address:

5 PLEASE NOTE: YOU MUST INFORM SLIIT COMPUTING (PVT) LTD OF ANY CHANGE IN YOUR PERSONAL DETAILS. KEELE 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 GUIDELINES TO THE CANDIDATES: You have to the application, documents and the scanned copy of the payment slip to either of the addresses given below. / Or Handover the application and the relevant documents to: Assistant Manager - Student Affairs SLIIT Computing (Pvt) Ltd Sri Lanka Institute of Information Technology No. 371, Duplication Road [R A De Mel Mawatha] Colombo 03 Registration Fee Applicants must enclose a fee of Rs Method of Payment Deposit exact amount into SLIIT Computing account: Bank : Bank of Ceylon, Account Number: Branch : Colombo 03 Or Bank : Sampath Bank Account Number: Please mention your name and MSc in PM registration Fee in the deposit slip. Documentation Submit the softcopies of the following documents. Your Curriculum Vitae Educational or Professional qualifications If you have obtained a first degree: Scanned copy of the degree certificate (.pdfformat ) Scanned copy of the transcript (.pdfformat ) If you have working experience: Scanned copy of a letter from your company (or any other relevant document). If you have followed a profession certification course: Scanned copy of the certificate (.pdf format) Scanned copy of the transcript (.pdfformat ) Photograph (passport size pasted on the top of the application) Scanned copy of the Passport or National Identity card Scanned copy of the payment Slip (Indicating your name and MSc in PM registration Fee ) Please call / if you need further assistance.

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