For Office Use
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Wisconsin International University,USA
BEECHES GRADUATE SCHOOL OF BUSINESS, NIGERIA
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Proposed Starting Date
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ATTENTION
Please note that your application will not be processed without an application fee.
See application fee as applied to the program you wish to study on Financial Information page
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1. Surname/Family Name:
2. Other Names:
3. Title:
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5. Date of Birth:
6. Country of Birth:
7. Nationality:
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8. Home Address (including post code):
Telephone number:
Fax number:
email:
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9 Address for Correspondence (if different):
Address valid from:
Address valid until:
Telephone number:
Fax number:
email:
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10 Proposed programme of study (please complete as appropriate)
(Please tick)
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(Please tick)
Topic of Research :
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11 If you intend to conduct your research for the degree of MPhil or PhD away from Lagos, please tick
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12 Proposed source of finance (e.g. sponsor, self-funding, not yet known etc).
13 Have you applied for postgraduate study at WIU Nigeria before?If so, give programme and year for which application was made.
14 Are you applying to other Universities? If so, please give details.
15 Please state any physical or other disabilities which may necessitate special arrangements or facilities.
16 From what source did you learn of this opportunity for graduate study?
(If by advertisement, please specific which publication)
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17 Qualifications already held/to be obtained
Please enter, in chronological order, details of all courses attended since leaving school. If you are a graduate of, or about to
graduate from a university, please provide a certified transcript of your complete academic record.
DATE
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TO |
UNIVERSITY OR COLLEGE ATTENDED |
QUALIFICATIONS
OBTAINED |
CLASS OF DEGREE/
G.P.A |
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18 Details of employment.
Please give details of previous and present employment.
Do not include temporary or short term appointments unless they are particularly relevant.
DATE
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TO |
Name of Organisation/Employer |
Position Held/Occupation |
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19 Outline of research interests/reasons for application for course.
Research applicants - please give a brief outline of your proposed research topic or interests.
Applicants for taught courses - please explain why you wish to join this course and what benefits you expect to gain.
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I certify that I have completed this application form myself, and that all the information I have given is correct.
Signed:
Date:
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The word verification helps Beeches prevent automated submissions and spamming.
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