La bureuacratie africaine
1207 mots
5 pages
7 Yianni Frederickou Str., Pallouriotissa, 1036 Nicosia, Cyprus or P.O.Box 24729, 1303 Nicosia, CyprusTelephone: +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,