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MASTERS COURSE in MICROFINANCE APPLICATION FORM To the Chancellor of the University of Bergamo The
MASTERS COURSE in MICROFINANCE APPLICATION FORM To the Chancellor of the University of Bergamo The
MASTERS COURSE in MICROFINANCE APPLICATION FORM To the Chancellor of the University of Bergamo The

MASTERS COURSE in MICROFINANCE APPLICATION FORM

To the Chancellor of the University of Bergamo

The undersigned

SURNAME Place of birth (specify town and country) Tax code/ SOCIAL SECURITY NUMBER * Citizenship

Place of residence: Address (street and number)

FIRST NAME

date of birth

Postcode/ZIP

Town

State/Province

Country

Telephone (home)

Telephone (at work)

Mobile phone

Email

* ALL FIELDS TO BE COMPLETED, EXCEPT THE TAX CODE/SOCIAL SECURITY NUMBER UNLESS REQUIRED IN THE APPLICANT’S COUNTRY OF ORIGIN

HEREBY APPLIES FOR ADMISSION TO:

Level 1 Masters Course in MICROFINANCE

AND DECLARES TO HOLD

A non-Italian academic qualification In (subject area) Awarded by the University of

on

/

/

with the following GRADE

/

Already

recognised

equivalent

to

an

Italian

Degree

by

the

University

of

 

,

Chancellor’s Decree

of (date)

 

Submitted with all the supporting documents and awaiting recognition of equivalence to an Italian

Degree for admission to the Masters Course. This requirement is a pre-condition for enrolment.

AND ALSO DECLARES That he/she is not currently enrolled in a Diploma course, Degree course,
AND ALSO DECLARES That he/she is not currently enrolled in a Diploma course, Degree course,

AND ALSO DECLARES

AND ALSO DECLARES That he/she is not currently enrolled in a Diploma course, Degree course, Specialised

That he/she is not currently enrolled in a Diploma course, Degree course, Specialised Degree course, Doctorate, School of Specialisation or Masters Course at this or any other University or Higher Education Institution (Art. 142 of R.D. No. 1592, 31.8.1933).

That he/she is enrolled in a etc.) course in (subject area) of the University of apply for suspension of studies if admitted to this course.

(Degree, Specialised Degree, at the Faculty of but undertakes to

That he/she is aware that the penalty for submitting false information is immediate cancellation of the application and of the applicant’s academic record and loss of the right to reimbursement of fees paid.

Address for correspondence:

(Street and number) ……………………………… …………………

Town

Postcode/ZIP …… …

Country:

Tel. …………………………… Email……………………………………. (Reserved for communication with the University)

Current employment status:

Unemployed

Employed by

Full-time

Part-time

Documents enclosed:

an original or authenticated copy of the Qualification, together with an official translation into Italian, legalised and recognised (“legalizzazione e dichiarazione di valore in loco”) by the competent Italian Diplomatic Representation in the country under whose law the academic qualification was issued);

a Degree Certificate specifying the grade earned (and scoring scale) and a list of examinations passed,

with an official legalised translation into Italian.

A signed CV covering the educational and career details needed for evaluation

A signed Personal Profile form containing inform ation needed for evaluation (form available on the
A signed Personal Profile form containing inform ation needed for evaluation (form available on the
A signed Personal Profile form containing inform ation needed for evaluation (form available on the

A signed Personal Profile form containing information needed for evaluation (form available on the course webpage at www.unibg.it/masterbg);

A back/front photocopy of the applicant’s passport

Two letters of reference from the employer or academic/training institution

Written permission from the employer (only for employed candidates) on the form provided in the course webpage.

A certificate proving the applicant’s knowledge of English, unless his/her academic qualification was awarded by an English-speaking university.

………………………………

(place)

,

…………

(date)

…………………………………….

(Signature)

Under the Italian Privacy Act (DLgs No. 196/2003) the University will safeguard the privacy of candidates and treat their personal details accordingly. All data will be used exclusively for course development and for managing teaching and administration, in the interest of students and of the University and in compliance with regulations currently in force.

Where did you hear about this course?

National press

Internet – UniBG Website

Word of mouth

Local press

Mail

Other

Radio

Telephone

No reply

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