London School of Scholars
Application Form
(for Masters Degrees, Undergraduate Degrees and Training Courses)

Please complete all the sections except shaded box and return to any of these address:
412-416 Montrose House
Eastern Avenue
Gants Hill
IG2 6NQ
TEL : +(44) 02085546444
Fax no: +(44) 02085546244		 Overseas Office:
8-3-944/15, Flat No. 303
Sri Rama Enclave, beside Bata Lane
Ameerpet, Hyderabad-73, A.P, India
Ph No: +91-40-3091 0399
Fax no: +91-40-2373 6819
  Student Ref: No. (For office use only):
1. Proposed
Course of Study
Post Graduate Diploma in Business Management">
Post Graduate Diploma in Information Systems
Extended Diploma in Strategic Management
HND in Computing and Systems Development
HND in Business
Diploma in IT
others(Please Specify)   
Has this application been discussed with a member of academic staff?    yes   no  

If yes, please mention name  

Proposed date of commencement        full time     Part time
2.Personal Details
 Title             Mr            Mrs            Miss            Others   

Family Name  

Other Name(s)      full time    Part time

Mailing Address:


Post Code:

Telephone:

Fax:
Date of Birth: (Day/Month/Year)		 Permanent Address: (If different)


Post Code:

Telephone:

Fax:

Nationality ( if dual please mention both) 

If you are from overseas and currently residing in the UK, please state your first entry date to this country and any conditions of residence stated on your passport or VISA.

Arrived: Condition(s):
3. Finance
How do you propose to finance you course of studies here?
 Private Means            Postgraduate award       Employer     Parents Others   
Please mention the name and address of the person or organisation responsible for paying your fees?
  4.Education  Title of qualification and subjects  Grades  School / College  Date obtained
  School Leaving Qualifications        
  Higher Education
(Degree etc held or currently being taken)		  Degree title obtained or expected includingmajor subjects. Enclose transcripts for overseas qualifications  Grades  University / College etc  Date obtained
         
  English Language
(Applicants whose first language is not English)		  Qualifications  Grades  Awarding body  Date obtained
         
  Professional qualification  Title or qualification (s)  Dates  Whether by direct exam or by exemption
       
  Employment History
(Please brief details of any employment)
 Name and address of employer  Title fo position and nature of duties  Date from  Date to
       
  5.Other Information
Please use this space to give a brief outline why did you choose this course. If necessary, use a seperate sheet
 
  6. Referees:
(Please give the full Name and Address of two referees)
 1.
 
  Post Code: 
  Telephone: 
  Fax: 
 2.
 
  Post Code: 
  Telephone: 
  Fax: 
  7. Criminal Convictions
 Do you have any criminal convictions against you?         Yes     No
 
 Please mention the details here
  8. Marketing Information
 How did you hear about us?
 
 Advertisement (Please specify publication) 
 
     Friends     Career Services     British Council     Advertisement     Internet
 
     Others (Please specify)  
  9. Declaration
 I certify that the information given is correct and hereby undertake, if admitted as a student of London School ofScholars, to comply with all ordinance and regulations of the institute.
 
 Date:                   Signature: 
 
 The information on this application form may be stored on a computer system.