Pro ogram mme E Entry y Form m

 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.