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U T e c h G R A D U A T E S T U D I E S H A N D B O O K

SCHOOL OF GR ADUA T E S TUD I E S R E S E A RCH AND ENT R E P R ENE UR SH I P

58

APPENDIX I

Approved by the Board of Graduate Studies, Research & Entrepreneurship, June 2008 2008/BGSRE/06/15

TELEPHONE NO Daytime/Work……………………………………….E

vening/Home………………………………………….………………….

FAX NO…………………………………………………………………………………………….…………………………………

…………………..

E-MAIL ADDRESS……………………………………………………………………………………………………………………………………….

8.

NATIONALITY……………………………………………………………………………………………………………………………………………

9.

COUNTRY OF PERMANENT RESIDENCE……………………………..……………………………………………………………………………

10. PLEASE STATE THE PROGRAMME FOR WHICH YOU ARE APPLYING:

(a)

TAUGHT GRADUATE DEGREE: (eg: Certificate/Diploma/MSc, MBA, DBA) Please state full title as given in the Prospectus:

……………………………………………………………………………………………………………………………………………………………...

(b)

RESEARCH DEGREE: (eg MPhil, PhD) Please state the degree and subject area.

……………………………………………………………………………………………………………………………............................................

(c)

FACULTY/SCHOOL:……………………………………………………………………………………………………………………

…..

11.

FULL-TIME

PART-TIME

12. PROPOSED DATE OF ADMISSION (semester/year)……………………………………………………………………………………………………...

13. OUTLINE OF PROGRAMME/RESEARCH INTERESTS

Please give a brief outline of your proposed research topic or interests. If you have a detailed research proposal (not more that 10 pages) this

may be attached. For Taught programmes, please indicate on a separate sheet (not more than 250 words) why you have chosen to apply for the

programme

13

ACADEMIC HISTORY

Higher education institutions attended and qualifications obtained or entered for (you must apply full dates.

Institution

Dates of

attendance

Qualifications awarded and class of Honours (if

any) (give Grade Point Average if applicable) or

prediction of award

Principal Subject(s) taken

A P P E ND I X