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Application for Admission as a Postgraduate StudentWe want to process your application as quickly aspossible. It is therefore essential that all sections of the form are completed to ensure that yourapplication can be processed efficiently. Please read the Guidance Notes to Applicantsbefore completing the form in BLACK ink. Please use CAPITAL letters.For Registry Use OnlyScreenedInitialsDOCCFEESQUALSDecision ProcessedApplicant No:MAS Course Code:1. Proposed Postgraduate Programme 1.1 In which School(s) do you wish to study?1.2Please indicate the programme for which you would like applyTaughtMA MScMBAMScEconLLMMThMMusMPHPGDip PgCertOtherFull Title of Taught ProgrammeResearch PhD MPhil MDMChMScD (by Research)Subject, Research Area or Research Project Title Professional DoctoratesDClinPsyDHSDSWDEdPsyEngDEdDDNurs1.3Do you wish to study full-time?part-time?1.4Please state the month and year that you wish to start your studyPlease note that the majority of Taught programmes start in September each year. The University permits Research programmes to start on one of the following dates: 1 Oct; 1 Jan; 1 April; 1 July (subject to the approval of the School). 1.5If you are a member of staff at Cardiff University, please tick this box(Please see Section 1.5 of the Guidance Notes)2. Personal Details (Please use CAPITAL letters)Last name* First name(s)*Title (Mr/Mrs/Miss/Ms/Dr/Other)Country of BirthDate of BirthCountry of Residence Nationality* Please ensure that the name on this form matches the name on your passport2.1 AddressThe Home address will normally be used when we write to you. We may also contact you by email, so please provide a current email address. Please notify us in advance if these details change.Home (Permanent) Address Correspondence Address (if different from Home Address)Postcode/Area codePostcode/Area codeCountryCountryTelephone number Telephone number(including national/area code)(including national/area code)Mobile number (UK applicants only)Mobile number (UK applicants only)Fax number (including national/area code)Fax number (including national/area code)Please indicate the dates your correspondence address should be used:FromtoEmail Address (Please provide a current valid email address)2.2 Criminal ConvictionsIf you have a relevant criminal conviction, enter X in the box(See Section 2.2 of the Guidance Notes for Applicants for a definition of relevant criminal convictions)SHUWENCHENMSCHINA08/05/1988CHINACHINESE130000215332CHINAP.R.China0086-21-392061560086-139431800090086-138017753940086-21-39206158goldenarrowhqukpass.orgMMus CompositionXRo o m 10 3, Bu i l d i n g 42 , Yi n h e Co m m u n i t y , H u i z h a nSt r e e t , , Ch a n g c h u n , Ji l i n Pr o v i n c e , 130 0 0 0 CH I NAG o l d e n A r r o w , F1 M a s i o n 3, La n e 2 31 Lv D i A v e n u e ,H u a q i a o In t l Bu s i n e s s Pa r k , K u n s h a n , 2 15332 PR Ch i n aX3.Academic and Professional QualificationsAll applicants should send copies of academic and professional qualifications obtained, translated into English where appropriate.3.1 Most Recent/Current Academic QualificationsPlease give details of your most recent/current undergraduate or postgraduate degree:University/CollegeDegree/QualificationDegree SubjectDate Degree Awarded/(including full address and(including grade)Results Expectedcountry in which studying)Length of Course (years)Dates of AttendanceFromToMode of Study (tick as appropriate)Full-timePart-timeDistance Learning3.2 Other Academic Qualifications CompletedPlease list any other relevant academic qualifications obtained from the age of 16 onwardsUniversity/CollegeQualification Date ObtainedFull-time, Part-time or(including address and country)(including grade)Distance Learning3.3 Professional Qualifications Please provide details of professional or other qualifications received or pendingName of QualificationDate Achieved/To Be TakenMethod of Study Name and Address of(part-time/full-time/Educational Institution/distance learning)Awarding Body3.4 Membership of Professional Institutions (if applicable)Please state the name of the institution of which you are a member, your level of membership, the date you became a member, its expiry date (if applicable) and your registration number.408/200706/2011XN/AN/ANo r t h e a s t No r m a l U n i v e r s i t yNo r t h e a s t No r m a l U n i v e r s i t y , 52 6 8Re n m i n St r e e t , Ch a n g c h u n , Ji l i nPr o v i n c e , PRCP. R. Ch i n aBA ( 3. 2 1)M o n e y a n d Ba n k i n g ,I n v e s t m e n t i n Se c u r i t i e s ,Co r p o r a t e Fi n a n c e ,A c c o u n t i n g o f Fi n a n c i a lI n s t i t u t i o n s0 1/ 2 0 0 8N/ A4.Employment InformationPlease give details of any current/previous employment history (with dates) which may support your application. In addition to the completed application form, you may include a typewritten CV (no more than two sides of A4).EmployerPositionNature of Work (please state whether FT/PT)Dates5.Funding: How do
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