APPLICATION FORM
15th July 2017 to 28th July 2017
The programme fee of £19500.00 includes en-suite accommodation, all meals, programme
materials, tutorials and lectures for the 14-day schedule.
Section 1 - To be filled in by the candidate, please ensure sections 1 – 3 are completed before
submitting
Full Name
Preferred Name
Work Details: Present position in Firm /
Organisation
Name of Firm / Organisation
Address of Firm / Organisation
Telephone
Personal Assistant/Secretary’s
details: Name
Email
Telephone
Personal Details:Mobile
E-mail
Home address
Date of Birth
Please include a digitally scanned business card and a recent passport photo, (JPEG format)
Page 1 of 5 Application Form 2017
□ I confirm that I am proficient in both spoken and written English (for nominees whose first
language is not English
Education
(including brief details of
membership of professional
institutes, technical training,
degrees, diplomas, etc.). Please
give dates.
Career before joining present firm
Previous career with nominating
firm and present responsibilities
Applicants Signature
Date
Page 2 of 5 Application Form 2017
CONFIDENTIAL
Section 2 - To be filled in by the nominator
Full Name
Present Position
Name of Firm / Organisation
Address of Firm / Organisation
Telephone
Email
Please give a clear description of the level of this applicant, and an indication of whom he/she
reports to; any additional information about his/her present and past responsibilities that you
think relevant; your assessment of his/her ability; and some idea of what you are hoping the
School will do for him/her at this stage.
Nominator signature ____________________________________________________
Date
____________________________________
Page 3 of 5 Application Form 2017
Section 3 – PAYMENT
The programme fee of £19500.00 includes en-suite accommodation, all meals, programme
materials, tutorials, and lectures for the 14-day schedule.
Name of Firm/Organisation for
Invoice
Address of Firm/Organisation for
invoice
Purchase order number (if
required)
Page 4 of 5 Application Form 2017
Section 4 - Terms and conditions
UK Data-Protection Act 1988
By returning this form you consent to Oxford University Business Economics Programme
storing and processing the personal data you have provided. We will use this information to
provide and keep you updated about the products and services requested, for administration
and for sales analysis. We do not pass your details to third parties to use, except where you
have given such express permission. If you do not wish for your data to be stored or to receive
further communications from us please tick box
□ I do not wish for this data to be stored or to receive further communications
Please return this form: Email [email protected]
All applications submitted by email will be responded to electronically. If you do not receive an
email acknowledgement in 5 working days, please advise us so that non-delivery can be
investigated.
Post
Erin Saunders
Oxford University Business Economics Programme
Department of Economics
Manor Road
Oxford
OX1 3UQ
UK
FEES
The programme fee includes all tuition, teaching materials, meals and accommodation.
TERMS AND CONDITIONS
Following receipt of a completed application form, if accepted, a nomination is registered and
notification together with an invoice issued.
Once you have been accepted to attend by confirmation email a 25 per cent cancellation fee is
payable for cancellation more than six weeks before the programme commences. The total
fee is retained in the event of cancellation or postponement less than six weeks before
commencement date.
Consideration may, in some circumstances be given to replacement with an alternative
candidate if at least two weeks notice is given.
Page 5 of 5 Application Form 2017