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Personal Details
Title
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Intensive EFL/IELTS
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Full Time
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Probable Degree Subject
Finance Details
Who will Finance your study at the Midlands Academy :
Disability Needs
Please inform us if you have disability and/or if you have any special need:
Examinations
Applicant should list all the subjects taken (including any English qualifications), whatever the result, in date order. If you are awaiting the result of any examination or are about to take one write PENDING in the result column
Level
Subject
Date
Place of Study
Result
E.g. A Level
Maths, Physics, Biology
06/2007
Midlands Academy
A, A, B
Last Two Educational Establishment Attended
School / Institution
City
From
To
Full / Part time
References
Name and addresses of two referees
Name of Reference
Contact Details of Reference
Reference 1 :
Reference 2 :
Personal Statement
Please state your reasons for choosing the course, relevant experience, and career plans.
Declaration
I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I have read the Notes for Guidance, in particular those relating to this section. I also confirm that I have read and understood Midlands Academy of Business & Technology’s ‘Policies & Procedures’. I agree to abide and be bound by the terms & conditions and regulations of Midland Academy of Business & Technology. I further confirm that I am medically fit to undertake the course I have applied for and that I have disclosed any medical problem. I agree that I am jointly and severally liable for the payment of tuition fees. I also agree to pay any damages caused by me to Midlands Academy of Business & Technology properties.
