Application Form – University of Port Harcourt Business School (UPBS)

UPBS Application Form

APPLICATION FOR ADMISSION TO A HIGHER DEGREE / GRADUATE DIPLOMA

SESSION: (e.g. 2022/2023)

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SURNAME (BLOCK CAPITALS):

FIRST NAME:

MIDDLE NAMES:

SCHOOL OR UNIVERSITY: LAST ATTENDED (NAME IN FULL)

UNIVERSITY DEGREE: (CURRENTLY BEING HELD)

The information requested is treated as confidential. Only the information contained on pages 2 to 4 will be computerized for Admissions Committee purposes. The information is kept until the start of the academic year. The application form and the accompanying documents remain the property of the School.

SURNAME (BLOCK CAPITALS):

FIRST NAME:

DATE OF BIRTH:

PLACE OF BIRTH:

COUNTRY:

NATIONALITY:

SEX:

Male

Female

MARITAL STATUS

Single

Married

Other

No. of Children:

Ages of Children:

NATIONAL YOUTH SERVICE/MILITARY SERVICE

Deferred

Service completed

Exempt

Other

PERMANENT HOME ADDRESS:

Town:

Zip code:

Country:

Tel:

Fax:

SOURCES OF FUNDING?

Personal

Organization

Company

CURRENT STATUS (EDUCATIONAL OR PROFESSIONAL)

Student

Employed

Other

Please give details if neither Student or Employed

EMPLOYMENT HISTORY (if employed)

Year

Company

Position Held

Job Function

Year

Company

Position Held

Job Function

Year

Company

Position Held

Job Function

Year

Company

Position Held

Job Function

SECONDARY EDUCATION

Year

Secondary

Qualification/GRADE

Secondary School Subjects passed and Grades

Year

Secondary

Qualification/GRADE

Secondary School Subjects passed and Grades

Year

Secondary

Qualification/GRADE

Secondary School Subjects passed and Grades

UNIVERSITY EDUCATION

Year

University

CGPA

Class of Degree

Year

University

CGPA

Class of Degree

PRIZES/AWARDS

Year

Prizes/Awards

Awarded by

Year

Prizes/Awards

Awarded by

LANGUAGES (see instructions):

English

Spoken

Read

Written

Diploma/score/date

French

Spoken

Read

Written

Diploma/score/date

Other(s)

Spoken

Read

Written

Diploma/score/date

Have you lived/stayed in other English-speaking countries:

Yes

Place(s)

Date(s)

Duration

Place(s)

Date(s)

Duration

Place(s)

Date(s)

Duration

PROFICIENCY IN ENGLISH (for non-native speakers):

School/university (indicate place, date, duration, qualification):

Place(s)

Date(s)

Duration

Place(s)

Date(s)

Duration

INTERESTS AND MOTIVATION:

What professional, cultural, sports and community activities do you participate in and what other interests do you have?

Have you held a position of responsibility? Under what circumstance

What type of career are you aiming at?

What future do you envisage of the business industry?

If your application is not successful what other plans do you have?

NAMES AND ADDRESSES OF TWO REFEREES .

If possible:
- An academic (Lecturer, Head of Department, Professor)
- A corporate officer (employer, training period supervisor, etc.):

First and Last Name

Position

Company / Organization

Tel. No.

Fax:

First and Last Name

Position

Company / Organization

Tel. No.

Fax:

Upload your letter stating the reasons for applying here

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Upload your Curriculum vitae of ONE PAGE ONLY here

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Upload your Copies of the Credentials i.e. WAEC, GCE & University degrees, etc and, if applicable, an attestation of attendance at an educational establishment here

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NOTE: Please note that registration and payment of fees is expected to be completed within two weeks of receipt of admission letter. Failure to do so will attract late registration.

I certify that to the best of my knowledge the facts stated on this form are correct.