Академический Документы
Профессиональный Документы
Культура Документы
postal address
telephone fax
mobile e-mail
do you have access to a personal computer? □ yes □ no do you have access to the internet? □ yes □ no
2. Organisation Details
name of company / organisation
your position
telephone fax
mobile e-mail
postal address
country
physical address
country
please provide a short description of the most important products and / or services of your organisation
4. Working Experience
IALMBA_Appl_2011_NFP
5. Application
to enrol on the
□ International Action Learning MBA® through Netherlands Fellowship Programme Scholarship
6. Invoice Address
□ personal □ business
for the attention of
7. Signature
The signatory hereby applies for registration on the programme ticked under point five of this application form and agrees that
upon acceptance of this application by BSN a legal binding agreement between him/herself and BSN is established. Should the
applicant/student have misrepresented the truth in this application form then this should be grounds for termination of this
agreement by BSN, termination of the agreement based on this misrepresentation is no cause for restitution of the programme
fees to applicant/student.
Upon signing of this application form, the applicant registers for the programme ticked under point 5 and acknowledges that
he/she has read the cancellation conditions as stipulated in Article 4 of the General Terms of Agreement of Business School
Netherlands, which have been lodged with the Chamber of Commerce in Tiel, the Netherlands under number 11026614.
company name
applicant's signature
IALMBA applications should be scanned and emailed to: registrar@bsn.eu along with the following supporting documentation
employer declaration
curriculum vitae / resume
copies of diplomas and/or certificates
copy of I.D. / passport
business card
Signature
IALMBA_Appl_2011_NFP