APPLICATION FORM

Please complete ALL sections of this form clearly and accurately.

PLEASE ADVISE YOUR COURSE OF STUDY*

Month*

Year*

STUDENT BACKGROUND*

MODE OF STUDY*

TITLE*

Name*

FIRST NAMEMIDDLE NAMELAST NAME

DATE OF BIRTH*

NATIONALITY*

PASSPORT NUMBER*

COUNTRY OF ISSUE*

DATE OF EXPIRY*

PHYSICAL ADDRESS (AS USED IN COURIER)*

EMAIL ADDRESS WHICH YOU CHECK REGULARLY*

example@example.com

MOBILE NUMBER INCLUDE COUNTRY AND AREA CODE*

Country CodeArea CodePhone Number

EMERGENCY CONTACT NAME*

RELATIONSHIP*

MOBILE*

Country CodeArea CodePhone Number

PLEASE START WITH THE MOST RECENT INSTITUTION ATTENDED

	INSTITUTION ATTENDED (WITH LOCATION)	QUALIFICATION EARNED	DATE STARTED(MM/YYYY)	DATE COMPLETED	TAUGHT IN ENGLISH (Y/N)	ADDITIONAL NOTES
1
2
3
4

NOTE: APPLICANT MAY ALTERNATIVELY ATTACH THEIR UPDATED CV ALONG WITH THE APPLICATION CONTAINING WORK INFORAMTION

PLEASE START WITH THE MOST RECENT. IF YOU ARE ATTACHING YOUR UPDATED CV RESUME PLEASE DO NOT COMPLETE. STUDENTS APPLYING AFTER HIGH SCHOOL MAY CHOOSE TO SKIP THIS SECTION.

	COMPANY NAME AND LOCATION	POSITION EMPLOYED	DURATION
1
2
3

NOTE: APPLICANT MAY ALTERNATIVELY ATTACH THEIR UPDATED CV ALONG WITH THE APPLICATION CONTAINING WORK INFORAMTION

ARE YOU APPLYING THROUGH AN AGENT OR REPRESENTATION? IF NO, PLEASE SPECIFY BELOW ALTERNATE QUESTION. IF YES, PLEASE COMPLETE BELOW:

NAME OF AGENT

EMAIL ADDRESS OF AGENT

example@example.com

FRIEND OR FAMILY (not associated with West Business School Ltd)

SOCIAL MEDIA and PHYSICAL MEETINGS

GOOGLE OR ANY OTHER SEARCH ENGINE

WEST BUSINESS SCHOOL LTD EXISTING STUDENT OR ALUMINI

IF YES PLEASE SPECIFY BELOW DETAILS:

Name of Referring Student

Program of Study

Email Address OR

example@example.com

Phone Number

Country CodeArea CodePhone Number

PLEASE LET US KNOW IF THERE IS ANY SPECIAL DISABILITY/MEDICAL CONDITION/PHYSICAL CHALLENGES OR ALLERGIES:*

STATE WHY YOU WISH TO STUDY THIS COURSE AND HOW IT WILL HELP ATTAIN YOUR SHORT AND LONG-TERM GOALS.*

PLEASE SPECIFY WHO WILL PAY THE FEES:*

PARENT OR GUARDIANSELF SPONSOREDEMPLOYERAT ANY OTHER SPONSOR

"I hereby declare that the information provided in this application form, along with the enclosures is valid. I understand that West Business School Ltd has the right to cancel my admission should they find any information to be inaccurate during application or during the course of study. The admission to the programs, and University progressions are further subject to the terms and condition of the respective universities and awarding bodies and may be subject to change with no control from WEST. Attestation protocols by the respective authorities may change in future as well. I understand that these changes are beyond the control of West Business School Ltd, and will not hold West Business School Ltd responsible or liable to such changes which may occur in future and will indemnify West Business School Ltd from any such changes beyond their immediate control. I understand that as a student who wishes to enroll for the course it is on me to confirm the regional accreditation, and attestation status from the relevant bodies of the respective countries prior to enrolling for the program. I cannot hold West Business School Ltd responsible for any such changes that may take place in the future. I am fully aware and have understood and verified the details provided by West Business School Ltd through the sources available and I am fully satisfied and confirm acceptance to the same."

The personal information provided in this form will only be processed for the purpose of the above-mentioned courses. In accordance to article 5 of the Further and Higher Education Act (CAP 607 Laws of Malta) and without prejudice to the data protection provisions established by virtue of Regulation (EU) 2016/679 (the General Data Protection Regulation (GDPR), West Business School Ltd shall grant access to the Malta Further and Higher Education Authority (MFHEA) to the information collected through this student agreement. The data shall be transmitted to the Authority within a reasonable time from when it is requested and shall be used by the Authority in pursuance of its functions.

By signing this form, I declare that, to the best of my knowledge, the information I have provided is correct. If enrolled, I agree to abide by the Regulations in force at the time.

Signature*

DATE*

Math Challenge*

APPLICATION FORM

SECTION 1: COURSE OF STUDY

SECTION 2: PERSONAL DETAILS

SECTION 3: ACADEMIC HISTORY

SECTION 4: WORK DETAILS (IF APPLICABLE)

SECTION 5: REPRESENTATION

IF YOU ARE APPLYING THROUGH AN AGENT, PLEASE ANSWER THE QUESTION BELOW. IF NO, PLEASE MOVE ON TO THE NEXT QUESTION

HOW DID YOU HEAR ABOUT US?

SECTION 6: MEDICAL HISTORY

SECTION 7: STATEMENT OF PURPOSE

SECTION 8: SPONSORSHIP

SECTION 9: DECLARATION