MIA-Application-for-Training-in-the-UK

Personal details: (write in capital, please)

Full Name: *

Date of Birth: *

Nationality: *

Gender: *

Marital status: *

Passport number: *

First

Middle

Last

Address for correspondence: *

Permanent address if different: *

Telephone:

Mobile:

Email *

Have you studied or trained in the UK before (if yes, please state the dates and places): *

Proposed area of training:

(Example: Business Administration, Leadership, Human resources, Finance, Hospital Administration, Computer sciences, Oil & Gas, Petrochemical Industries, English Language, etc): *

Proposed Duration of Training: (weeks): *

Required Accommodation during the course: *

For families (please state number of beds required): *

Proposed starting date

Financial arrangements:

How will your fees be financed? (Government, Employer, Self-payer, Others):

Sponsor name: *

Contact Name: *

Tel: *

Fax: *

Address: *

Email: *

Academic qualifications (optional):

Degree or professional qualifications & subject:

University or College Attended:

Date (from – to):

Grade or degree:

Other Qualifications (optional):

Degree or professional qualifications & subject:

University or College Attended:

Date (from – to): (copy)

Grade or degree: (copy)

Training:

(Please give details of previous training course):

1- Place of training:

Subject:

Date:

Qualification:

2- Place of training:

Subject:

Date:

Qualification:

3- Place of training:

Subject:

Date:

Qualification:

Professional qualifications: (optional)

Work Experience

Please give details of work experience and employment (in chronological order):

1- Job title:

Nature of work

Name of organization

From:

To:

2- Job title:

Nature of work

Name of organization

From:

To:

3- Job title:

Nature of work

Name of organization

From:

To:

English Language proficiency: (optional)

Please give details of your English qualifications or evidence of your proficiency in English:

Awarding Organisation

Award and/or Course Title

Date of Award

Please give your IELTS/TOEFL Scaled Scores (Total Score: Here):

Reading:

Listening:

Speaking:

Writing:

Applicant’s Signature: (no signature if sent by email)

Further information

Please state any further information you may wish to offer in support of your application. (Example: Specialized course(s) required):

Declaration:

I certify to the best of my knowledge the information contained in this application is correct.

Date:

How did you hear about MIA?