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pg application

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									UNIVERSITY OF EAST ANGLIA
Postgraduate Application Form
1. Registration Sought
(a) Masters (classroom/lab based) degree: __________________________________________

(b) Research (Masters/MPhil/PhD) programme: ___________________________________________ - research subject area/topic of study: Year of entry: ___________________________________________ ___________________________________________

2. Personal Details
Family Name _______________________ Given Name(s) _____________________________

Correspondence Address: Telephone (including country code): Postcode: Email Address: Fax:

Home Address (if different): Telephone (including country code): Postcode: Email Address: Sex: Date of birth (dd/mm/yy): Country of birth: Male Female Fax:

_______ / _______ / _______ ____________________________________________________

Country of nationality: Country of ordinary residence:

________________________________________________ ________________________________________________

The International Office, The Registry, UEA, Norwich, NR4 7TJ ENGLAND Tel: +44 1603 593728 Fax: +44 1603 458596 Email: pg.application@uea.ac.uk

www.international.uea.ac.uk/apply/postgrad.htm

3. Qualifications
ACADEMIC QUALIFICATIONS: Please only list your university qualifications by level (Bachelor / Masters/ PhD)
Degree Qualification (Bachelor, Masters, PhD) Average Grades Name of University and city Dates of Study From - To (mm/yy) (mm/yy) Major Subject of Study

Was the language of instruction in English? YES NO

ENGLISH LANGUAGE QUALIFICATIONS Is your first language English? YES NO If NO, please select which English language exam you have taken (if any) and your most recent score: TOEFL IELTS CAMBRIDGE EXAMS OTHER____________ Date _________ Date _________ Date _________ Date _________ Result: _________ Result: _________ Result: _________ Result: _________

PLEASE NOTE: In most cases, if English is not your first language you will need to submit evidence of your English language ability. If needed, we recommend you take an internationally recognised examination no later than April of the year you are planning to begin your studies.

4. Employment and Experience
Please provide a brief curriculum vitae or resumé giving details of your present full-time employment and any previous employment relevant to the proposed study. Include positions held, dates, and the type of work.

5. Research Degrees
(MA/MSc - Masters by Research, MRes - Master of Research, MPhil/PhD (Doctoral Degree) - Please refer to the application guidance notes for a fuller explanation of degree types. (a) Please include an outline, in less than 100 words, of your primary research interests. (b) Are your research interests flexible? If so, please give an outline in less than 50 words, of your secondary research interests. (c) It is helpful to the application process, if you can give the names of 1 or 2 research faculty members, working at UEA, in your research area or a closely related field (please visit the International Office website - www.uea.ac.uk/international to access details of faculty research in your subject area. Look under 'What can I study?' links on your country page for the relevant links). Note: On receiving your application, academic departments may require a more detailed research proposal. (Please refer to the application guidance notes on how to prepare a draft research proposal). If you have already completed a detailed proposal, please send it by email to pg.application@uea.ac.uk or separately by post with a printed copy of this application form.

The International Office, The Registry, UEA, Norwich, NR4 7TJ ENGLAND Tel: +44 1603 593728 Fax: +44 1603 458596 Email: pg.application@uea.ac.uk

www.international.uea.ac.uk/apply/postgrad.htm

6. Objectives Briefly describe in no less than 50 words for each (you may write a Statement of Purpose and attach it to this application if you prefer – if so, please note below that the statement is attached) (a) your reasons for pursuing postgraduate study ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

(b) your reasons for choosing this course ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

(c) your long-range career objectives or goals ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

7. Other Applications Please list other universities you are applying to: ________________________________ ________________________________ 8. Further Information Please indicate how you first learned of UEA: Education Fair/Exhibition Web British Council Advertisement Teacher/Advisor Other _________________________ _________________________________ _________________________________

If you have already contacted a member of staff at the University of East Anglia about this application please give his/her name: ______________________________________________________________

The International Office, The Registry, UEA, Norwich, NR4 7TJ ENGLAND Tel: +44 1603 593728 Fax: +44 1603 458596 Email: pg.application@uea.ac.uk

www.international.uea.ac.uk/apply/postgrad.htm

9. Referees Please give the names and addresses and positions of the two persons to whom you have given the Reference Forms (see guidance notes). They should be able to testify to your academic ability or relevant experience and one of these should be your head of department or employer as appropriate. 1 Name: _______________________ Position: ________________________________ Institution or Company Name: ____________________________________________ Referee Email: _________________________________________________________ 2 Name: _________________________ Position: ______________________________ Institution or Company Name: ____________________________________________ Referee Email: ________________________________________________________ 10. Financial Sources Your place at UEA is not dependent on your source of funding. You will however in order to gain a visa or entry clearance to the UK need to prove that you have made the appropriate arrangements to pay for your studies (tuition fees + living costs, see your country page on our website for details). UEA provides competitive merit-based scholarships of between 10% and 50% of tuition fees for international students. Do you wish to be considered for a UEA scholarship? YES

NO

11. Disabilities Please give details of any physical or other disability, which may necessitate special arrangements or facilities for you at the University: ___________________________________________________________________________________ ___________________________________________________________________________________ 12. Criminal Convictions Do you have any criminal convictions? (see guidance notes)

YES

NO

SIGNATURE I confirm that, to the best of my knowledge, the information given in this form is correct and complete. SIGNED: ________________________________________________ DATE: ____________

The International Office, The Registry, UEA, Norwich, NR4 7TJ ENGLAND Tel: +44 1603 593728 Fax: +44 1603 458596 Email: pg.application@uea.ac.uk

www.international.uea.ac.uk/apply/postgrad.htm


								
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