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Application number
Country of Birth
Forenames
Nationality
Title (Mr/Mrs/Miss/Ms)
Date of Birth
Day
Month
Year
Since Birth
Month
Year
Have you previously studied in the UK? If yes, please provide details in the qualifications section including those where no award
was achieved
Yes
No
2. Contact Details
Permanent home address
Postcode
Postcode
an address different from your permanent home address please provide details. If you are
represented by one of our agents please provide their name and address here or leave it
blank for agent stamp.)
It is essential that you provide us with a clear, valid email address as this is the method we will use to contact you.
3. Programme Details
Area of Proposed Study
Award Sought
MPhil/PhD
Doctorate of Business Administration (DBA)
Doctorate of Management (DMan)
MSc Research Methods leading to PhD (1+3)
Professional Doctorate Health, Social Care and Nursing
Mode of Study
Full-time
Date of Entry
Biological Sciences
Health Sciences
Vision Sciences
Psychology
Part-time
Distance Learning
February
October
On Campus
October
May
Year:
February
Year:
January
Year:
4. Project Area
Is this an advertised studentship?
Yes
No
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6. Qualifications
Please give details of all courses undertaken in higher education including those where no award was achieved.
Please include any pending awards.
Awarding Institution and
location/country (University/College)
Name Of Qualification
Final Grade/Award
(e.g. GPA, %,
classification)
Started
Month
Completed
Year
Month
Year
Please give details of any professional qualifications undertaken. Please include any pending awards.
Name Of Examining Body
Have you ever carried out an extended piece of work, project or dissertation resulting in a written report?
If YES, please give details:
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Result
Yes
Date
No
7. English Language
All students at the university must provide evidence of English language proficiency. If your first language is not English, you will be required to provide a valid
satisfactory English test (e.g. IELTS or TOEFL certificate) without this the university will be unable to give you a final offer.
Is English your first language?
Yes
No
If no, please give details of English language qualifications held and attach copies of certificates, if available. If you are currently undertaking an English
language course, please give details of the course and the expected completion date.
Date of Qualification
Scores/Grade
Position held:
Position held:
Dates:
9. Additional Information
Do you have a disability?
Yes
No
00 No known disability
02 Blind/partially sighted
03 Deaf/hearing impairment
08 Multiple disabilities
97 Information refused
99 Not known
If you have marked A disability is not listed above, please use the space provided to give your answer.
We will only use this information to provide you with details of our disability service. You can find further information regarding our disability services on our
website: www.gcu.ac.uk/student/disability
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Yes
No
Newspaper
Employer
Open Day/Exhibition
Friend/Family
GCU website
Other website
Enclosed
Not available/
applicable
To follow
International Applicants
7. I understand that the University works with partners to support international
students during the application process. I understand that if I am represented by
an Overseas Agent my information will be shared, and this may also involve my
information being transferred outside the EU. For international students who are
unsuccessful the University reserves the right to pass this application form to our
appropriate partners for their consideration for a relevant pathway programme.
I will inform Glasgow Caledonian University if I do not wish my information to
be shared in this way.
I have read, understood and accept the terms of the above disclaimer, I hereby
apply for enrolment and if accepted I agree to comply with the standard rules,
regulations and ordinances of Glasgow Caledonian University.
Signature:
6. I understand that personal data provided within this application will be entered
on to the Universitys computer records for the purpose of considering and
managing my application. I understand that this information will be held securely
and kept up to date, and I can ask the university to stop using this information by
submitting a written request to do so.
Please send your completed application form and supporting documents to:
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Date: