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St Clements University Myanmar College
Application Form.
Name of degree
Your full Name
(As you would like it to appear on the
certificate)
Title/rank/salutation/other
Gender
Paragraph Text
Paragraph Text
Date of Birth
Nationality
Profession
Physical Address
Postal – Mailing Address (if different)
Postal – Mailing Address (if different)
Fax
Telephone
Skype
Email
1st Professional Referee* (Please provide full name and contact details including email address)
2nd Professional Referee* (Please provide full name and contact details including email address)
Please provide a detailed Statement of Motivation
SECTION II (Particulars of Education) School, College or Secondary Institutions attended/ Subjects Taken/ Qualifications Obtained/ Starting date to Completion Date
SECTION II (Particulars of Education) University, Polytechnic, College or other Higher Institutions Attended* attended/ Subjects Taken/ Degrees/ Diplomas/ Certificates / Professional Qualifications Obtained/ Starting date to Completion Date
SECTION III (Employment History: Please list in Reverse chronological order)* Current Occupation
SECTION IV (Continuing Professional Development (CPD) &/or In‐Service & On‐the‐Job Training Courses: Please list in Reverse chronological order)
Course Title/Course Provider/Subject Studied/Date Completed
SECTION III (Employment History: Please list in Reverse chronological order)* Employer/ Position Held ‐ Title/Duties in Brief/Period of Service
Attach CV
Attach Certificate
Attach Certificate
DECLARATION Please check [X] or uncheck appropriate boxes & email completed Application Formtogether with scanned Transcripts, CV, & any statements or supporting letters
DECLARATIONS
I hereby apply to become a student of St. Clements University and undertake that if admitted, I shall comply with the regulations and also pay the required fees. I hereby confirm that I have duly read and accept the Terms & Conditions outlined in the
DECLARATIONS
I hereby confirm that I have duly read and accept the Terms & Conditions outlined in the Student’s Handbook.
Enclosures
CV
Statement of Professional Experience
Transcripts
Attach Transcripts
Attach scanned copy of your signature
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