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ABRIDGED MBA
INTAKE: OCTOBER - DECEMBER 2012
APPLICATION FORM
Selection procedure
The Admissions Committee will make a first judgment based on the application submitted by
the candidate. Selection is made on the basis of the present application form.
Admission requirements
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PASSPORT PHOTO
1. Biographical data
Mr.
Mrs.
Ms.
Tel ...............................
E-mail............................
Company ..........................................................................................................
Position ............................................................................................................
Business address .............................................................................................
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Fax ..............................
Tel ...............................
E-mail ...........................
Read
Written
Spoken
2. Academic Background
Please list your degrees, starting with most recent.
First Degree
Main Subject
Institution
Dates
3. Professional Experience
Please list your professional experience, starting with most recent.
Position or mission
Company
Dates
How many years (years + months) have you been working in total?
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4. Motivation
Please state:
a) Why you wish to participate in the Accelerated Management Programme, and
b) How would this programme benefit your career and personal development.
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5. Areas of Interests
What are the main issues you would like to see highlighted in the programme?
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Finance: ............................................................................................................
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Billing Data
Programme Fee: 600
If you intend to pay by private means, do you want the invoice to be sent:
to your personal/home address
to your attention, to your business address
to your email address
If the invoice is to be addressed to your company, please fill in the blanks here
below:
Name of the person to whom the invoice should be
sent
Position and
department...
VAT Number (if applicable)..
Purchase order or any other identification number..
Address (if different from your business address)
...
Zip code ........................................... City
Signature
Date