COURSE APPLICATION FORM

Students studying MSc/PG Diploma Petroleum Engineering should not use this form.

MSc/Diploma independent distance learning courses

School of Energy, Geoscience, Infrastructure & Society
***PLEASE ENSURE YOU HAVE READ SECTION A5 HOW TO ENROL & THE RELEVANT PROGRAMME
STRUCTURE IN SECTION A11 IN THE IDL STUDENT HANDBOOK BEFORE COMPLETING THIS FORM***
STUDENT DETAILS
Heriot-Watt  THIS MUST BE COMPLETED
Person/Student ID: (Hxxxxxxxx or 9 digits)
Title (Mr/Miss/Mrs/Ms):
SURNAME OR
FAMILY NAME: FIRST NAME:
Correspondence
Address:

Country: Postcode/Zip:
Telephone number: Email:
Programme code: Programme title:

I wish to request the following courses for 2017/18:

SEMESTER 1 OR OFFICE USE
COURSE CODE COURSE TITLE SEMESTER 2 ONLY

CHOSEN METHOD OF PAYMENT (please tick appropriate box)

If paying by credit/debit card, course selection and payment must be made
Credit/debit card online. Refer to Section A5 of the Student Handbook.
Must be in Pounds Sterling, drawn on a British bank and made payable to
Bankers draft ‘Heriot-Watt University’.
Bank transfer Refer to Section A5.2.4 of the Student Handbook for transfer details.
UK Cheque Must be made payable to ‘Heriot-Watt University’
Invoice to sponsor A copy of your financial guarantee must be enclosed with this form.

Please tick this box if you wish a receipt

(applies to payments by bankers draft or cheque ONLY).

DECLARATION
1. I certify that the information given above is correct to the best of my knowledge and that I will update the University with any change in personal or contact details during the Academic Year.
2. I recognise that it is my responsibility to ensure that I am correctly enrolled.
3. I understand that an enrolled student is required to abide by the regulations of the University and conform with its Policies, Procedures, Ordinances and Regulations.
4. I accept liability for payment of my tuition fees in the absence of a payment by an awarding body or sponsor.
5. I understand that the University may send important communications to my University email account and recognise my responsibility to check this account every few days.
6. I agree that the University may use my personal data in accordance with the University Data Protection Policy and the Data Protection Act 1998.
7. I note that fees are non refundable.

Signature: _______________________________________ Date: _____________________

Please return this form to: Student Support Team, at egis-idl-enquiries@hw.ac.uk OR School of Energy, Geoscience,
Infrastructure & Society, Heriot-Watt University, Edwin Chadwick Building, Edinburgh Campus, EDINBURGH, EH14 4AS, UK
EXAMINATION APPLICATION FORM

MSc/Diploma independent distance learning courses

School of Energy, Geoscience, Infrastructure & Society

STUDENT DETAILS
Heriot-Watt  THIS MUST BE COMPLETED
Person/Student ID: (Hxxxxxxxx or 9 digits)
Title (Mr/Miss/Mrs/Ms):
SURNAME OR
FAMILY NAME: FIRST NAME:
Correspondence
Address:

Country: Postcode/Zip:
Telephone number: Email:
Programme code: Prog. title:

I will sit the following examinations:

SEMESTER 1 OR OFFICE USE
COURSE CODE COURSE TITLE SEMESTER 2 ONLY

My preferred location for the examination is (ONE box below MUST be completed):
No charge for Edinburgh Campus;
125GBP per exam for exams located off-campus (includes Dubai Campus and Malaysia Campus)
()

other (please state town/city and country):

Edinburgh Campus or

CHOSEN METHOD OF PAYMENT (please tick appropriate box)

()

Credit/debit card Please complete the relevant payment form.

Must be in Pounds Sterling, drawn on a British bank and made payable to
Bankers draft ‘Heriot-Watt University’.
Bank transfer Refer to Section A5.2.5 of the Student Handbook for transfer details.

UK Cheque Must be made payable to ‘Heriot-Watt University’

Invoice to sponsor Sponsor name: ..................................................................................

Please tick this box if you wish a receipt
(applies to payments by bankers draft or cheque ONLY)..

OFF-CAMPUS EXAM PAYMENTS: If a student chooses to cancel an exam located off-campus, a refund cannot be
guaranteed.

Signature: _______________________________________ Date: _____________________

Please return this form to: Student Support Team, at egis-idl-enquiries@hw.ac.uk OR School of Energy, Geoscience,
Infrastructure & Society, Heriot-Watt University, Edwin Chadwick Building, Edinburgh Campus, EDINBURGH, EH14 4AS, UK