Pro ogram mme Entry E y Form m Please en nsure that you h have read the ac ccompanying gu uidance notes be efore completing this form. Person nal Details s Affix a recent, colourr passport sized photograph here (do not staple) and ensure that your AL LP stamps the section be elow. (Please write in block capitals) Studen nt ID (SID): Title Dr / Mr / Miss M / Mrs / Ms M / Other (sp pecify) Surnam me Forena ame In nstitution Stam mp: Known n As Full Legal Name (as shown on passport) Maiden n/Previous Name (if ( applicable) ) Date off Birth (dd/mm/yyyy) Countr ry of Birth Nationality Gender r Female Male Contact Details Home Address A Post/Z Zip Code Home e Telephone No Countr ry Mobille No Email Address A Qualiffications (P Please provide details d of underg graduate level a and above, inclu uding profession nal qualificationss.) Name of Un niversity/Colle ege/Institute Dates (from/to) Title of Qualification obtain ned/to be obtained Date ded/to be award aw warded Progra amme of S Study (Pleas se indicate which h programme yo ou intend to stu udy. Only one box should be ticcked.) MBA MBA with w Specialism m in Human Re esource Manag gement MBA with w Specialism m in Finance MBA with w Specialism m in Marketing MBA with w Specialism m in Strategic Planning P Applic cation for Exemption n/Credit Transfer T Title off Qualification Preferred P Exem mption Additional Inforrmation: (TThis section allows you to enterr information thhat is required by the UK Highe r Education Statistics Authorityy (HESA). If I you would pre efer not to proviide this informa ation please sele ect the ‘Do not wish w to specify’ box. If you have attended d Higher Educa ation in the UK, U please pro ovide your HES SA numbe er (if known): Ethniciity: Do not wish h to specify Disabillity/Medical Co ondition/Spec cial Needs:: please selectt the appropria ate box. Yes No o Known Disability Do not wish h to specify eed If you have a disability, special ne dical condition please provid de or med full dettails Declaration n 1. 2. 3. 4. 5. C CHECKLIST: I con nfirm that to the e best of my kno owledge and be elief the informa ation given on th his form is comp plete and accura ate. ocuments I hav I con nfirm that the do ve supplied are genuine g or are ccopies of genuin ne documents. By su ubmitting this fo orm I understan nd and accept that the informa ation contained will w be logge ed by Edinburgh h Business Scho ool on a computter database and d that my details may be share ed with Edinburrgh Business School’s Partners.. I hav ve received and agree to abide by the Terms & Conditions of my Approved Learning Partnerr. I und dertake to abide e by the Rules and a Regulations and Data Shar ing Policy of He eriot-Watt University and Edinburgh Business School. Signed: _________ ______________ _____________ _____________ _____________ _____________ ________ at you have: Beefore submitting this form please check tha h Atttached a colour passport sized photograph Fuully completed all secttions of the form Ceertified/translated cop pies of all award ceertificates and transcrripts for each year of study s (uundergraduate level and above including prrofessional quualifications) Inncluded a certified cop py of your passport pa age coontaining your name and a photograph (or an nother foorm of photo ID if you do not hold a passpo ort) _____________ _____________ _____________ _____________ _____________________ Printt Name: ______ e: ___________ _____________ _____________ _____________ _____________ _____________ _________ Date Completed form m and supportin ng documentati on should be re eturned to your Approved Learn ning Partner Program P mme En ntry For rm - gu uidance notes This T form is s for the us se of studen nts studying g with one of Edinburgh Businesss School’s Approved Learning L Pa artners (ALP) who wish to registe er (matriculate) forma ally as a stu udent of He eriot-Watt University. U It should be b complete ed in full an nd returned d to your AL LP who will submit it on o your behalf. b Form ms which are not fully y completed d cannot be e processed d and will b be returned to your AL LP. Supporting S g Docume ents The T followin ng documents must be submitted d with yourr form: A recent, colou ur, passportt sized phottograph Certtified and iff applicable translated , copies of award certtificates and d full acade emic transcripts (forr bachelor degree d leve el and abov ve and/or professional qualificatio ons) A ce ertified copy y of the perrsonal inforrmation pag ge in your passport (o or other forrm of phottographic ID) Personal P I Informatio on Please P ensu ure that all sections arre complete ed in block k capitals. e.g. e Surnam me Smith; Forename John J Paul; Known As John Name N - Plea ase comple ete each section using your name e as it appe ears on you ur passportt. Known K By - Please entter the firstt name you u wish to be e known by y. Email E Addre ess - We will contact you y regularrly by email therefore it is import rtant that you provide the t correct address an nd keep us updated w with any cha anges. Date D of Birtth - Please make sure you enter the correctt date of birth in the fformat dd/m mm/yyyy fo or example e 29 9/01/1979 (29 January 1979). Photograph P h – We scan n your phottograph into o our comp puter system ms to prod uce official forms of student s identification. Therefore,, it is imporrtant that you y provide e an origina al, colour, passport p siz zed photograph p h. When afffixing your photograph h please no o not staple e it to the fo orm. has been sttamped or Certification C n – Please ensure e thatt the sectio on undernea ath your ph hotograph h certified c by your ALP. Qualificati Q ions Please P only include infformation for f qualifica ations which h are bache elor degree e level or ab bove, including an ny professio onal qualifications. If you do nott hold any of o these qu alifications, please still submit s this form to us s as this willl allow us tto check that the pers sonal inform mation we hold h is corrrect and a matricu ulate you automaticallly when yo u become eligible. e Certified C co opies of awa ard certifica ates must b be sent with this form. A certified d copy is a copy of yo our original o qua alification which w has been certifie ed as a true e copy of th he original by your AL LP. If the name on your qualifications differs to the full legal name on this form you must submit evidence of your name change such as a marriage certificate. Home Address Please enter the address to which you wish Edinburgh Business School to send all written correspondence such as exam detail letters, your results and certificates of achievement. It is important to remember to tell us if this address changes. Programme of Study Please select only one option from the list provided. If, at a later stage you wish to change your programme of study, please contact your ALP in the first instance. Exemption/Credit Transfer Certified copies of award certificates and transcripts for each year of study (translated into English if appropriate) must be sent with this form if you wish to enquire about your exemption/credit eligibility. If you are eligible for exemption/credit we will confirm this in writing and payment of the Exemption Application Fee will become due (£125 per exemption/credit awarded). Having been awarded an exemption/credit transfer you are not required to purchase the Edinburgh Business School course or sit the examination in the exempt subject. Additional Information HESA Number (if known) - The HESA number is your identity number from your previous UK University. It is usually your old matriculation number. If you do not have one there is no need to worry, you may omit this. Ethnicity - The University encourages applications from students from all cultural and ethnic backgrounds and as part of our Equal Opportunities Action Plan we are committed to finding out and understanding as much as possible about the ethnic make-up of our student body. The information you provide here is crucial to this process. If, however, you do not wish to give this information please select “Do not wish to specify”. Disability/Medical Condition/Special Need - The University welcomes students with disabilities and will try to meet your needs. The information you provide on the form will help us to do this. If you have a disability, special need or medical conditions please provide us with full information. If you do not wish to give information please select “Do not wish to specify”. Data Sharing Edinburgh Business School, Heriot-Watt University and our partners work to deliver our programmes. To ensure that your programme is managed efficiently, the personal data you provide in this form and the information recorded as you progress in your studies will be shared amongst Edinburgh Business School, Heriot-Watt University and our partners. The full Data Sharing policy can be viewed here. When We Receive Your Form We will send you an acknowledgement by email. We will check that all the information we need to matriculate you formally as a student of Heriot-Watt University has been received. If it has not, we will write to you to request this information. If you meet the entry requirements for your programme of choice you will be matriculated as a student of Heriot-Watt University and we will send you a Student Identification Card. If you do not meet the requirements for immediate matriculation you will be matriculated automatically when you meet the requirements for the award of the Postgraduate Certificate relevant to your programme of study. Enquiries If you have any enquiries regarding your application to matriculate please contact your ALP.
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