La bureuacratie africaine

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  • Publié le : 29 novembre 2010
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7 Yianni Frederickou Str., Pallouriotissa, 1036 Nicosia, Cyprus or P.O.Box 24729, 1303 Nicosia, Cyprus
Telephone: +357 22 431355, Telefax: +357 22 438234, E-mail: info@frederick.ac.cy , Web Site: www.frederick.ac.cy

Application Form
1. Applicant
Surname Name Father’s Name

2. Personal Data
Birth Date: _____ / _____ / _____
Day Month Year

Sex: Male

Female

Identity Card No.:_____________

Country of Birth: ________________________ Country of Residence: ______________________________ Permanent Home Address: ____________________________________________________________

____ ____________________________________________________________

__________________________ ____________________________________________________________

__________________________ Tel.:_____________________ Fax.: ____________________ E-mail: _____________________________ Address for correspondence (if different from above): ___________________________________________ ____________________________________________________________

__________________________ ____________________________________________________________

__________________________

3. Passport Particulars
Passport No.:__________________ Country of Issue: _________________ Nationality: _______________ Date of Issue: ________ / ________ / ________
Day Month Year

Date of Expiry: _________ / _________ / ________
Day Month Year

4. Programme of Study
Title of Programme of Study: ____________________________________________________________

___ Alternative Programme of Study:____________________________________________________________

Admission Status: Award: Enrolment: Freshman Bachelor’s Degree Semester: Fall _________ Transfer Master’s Degree Spring _________ PhD Summer _________

5. Education
Names of schools attended – most recent first (Secondary, Higher, College, University) From Month Year Month To Year

6. Other Qualifications
Examinations passed and levels: (GCE, IGCSE,Accounting, Language etc.) ____________________________________________________________

__________________________

7. Special Needs
Please state if you have any disability or long-term medical condition. ____________________________________________________________

__________________________ ____________________________________________________________

__________________________

8. HobbiesState your main hobbies (Music, reading, swimming, football, cricket, travelling, etc.) ____________________________________________________________

__________________________

9. Father’s Particulars
Father’s Full Name: ____________________________________________________________

__________ Address: ____________________________________________________________

_______________________________________________________________________________

__________________________ Tel.: _______________________ Fax.: ____________________ E-mail: ___________________________

10. Sponsor’s Particulars
Sponsor’s Full Name: ____________________________________________________________

_________ Address: ____________________________________________________________

_______________________________________________________________________________

__________________________ Tel.: _______________________ Fax.: ____________________ E-mail: ___________________________ Please state the relationship to the applicant: (father/mother/brother/uncle etc.) : ____________________

11. Guardian’s Particulars
Guardian’s Full Name: ____________________________________________________________________ Address: ____________________________________________________________

___________________ ____________________________________________________________

__________________________ Tel.: _______________________ Fax.: ____________________ E-mail: ___________________________ Please state the relationship to the applicant: (father/mother/brother/uncle etc.) : ____________________...
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