Department of Law Governance and
International Relations
Online Application Form

Postgraduate Students Only

PLEASE NOTE THAT THIS FORM SHOULD ONLY BE FILLED IN IF YOU WANT TO STUDY TOWARDS A POSTGRADUATE DEGREE AT OUR CITY CAMPUS
DO NOT USE THIS FORM IF YOU WANT TO STUDY TOWARDS A PHD
FOR PHD ENQUIRIES YOU NEED TO GET IN TOUCH WITH
PROFESSOR CRIS DIXON

This Application Form should only be used by students wishing to study on any of the following Postgraduate Courses.

In order for us to process your application efficiently please fill in ALL of the fields on the form. If a section is not relevant to your application please enter 'N/A' or 'None'.

Fields marked with a * are obligatory. Please note we cannot process an on-line application without these fields. If you do not have a personal email then please download and print out our paper application form which is in Word 97 Format and send by post to

Shahin Malik
Department of Politics and Modern History
London Guildhall University
Calcutta House
Old Castle Street
London
E1 7NT
Course Title:
Full-time/part-time
Academic Year
Title:
Surname/Family Name *
First name/Given Name *
Previous Surnames
(e.g. if changed on marriage)
Contact Postal Address *
Permanent Home Address *
If the same as Contact Postal Address, enter 'SAME'
Contact Phone Number
Contact Fax Number
Email Address *
Sex Male   Female  
Marital Status Single   Married  
Date Of Birth (dd/mm/yy)
Country Of Birth
Country Of Permanent Residence
Nationality
If not born in the UK, please state dates of entry to the UK (dd/mm/yy) First Entry:  
Last Entry:  :
Name and address of the most recent educational institution you attended, or are attending, with dates

Mode Of Attendance
(Full-Time, Part-Time etc)
Degree Course Taken, and Result Obtained (Grade, Mark or Classification)

Other educational institutions attended (after secondary school) with dates, courses studied, and results/qualifications obtained.

If you have previously attended London Guildhall University, please give your year of entry and student number (if known).
Exams already taken. (Please include: Title, Examining body, Date, Level, Pass/Fail, Grade/Marks)

Exams to be taken, or results awaited. (Please include: Title, Examining body, Date, Level)

TOEFL/IELTS score (if applicable)
Present Employer. (Please include full name and address)
Job title or description
Previous Employment. (Please include employers' names and addresses, positions held and dates)
Who will provide financial support? Yourself/Family
Your Government
Local Education Authority
Employer
UK Research Council
Training Initiatives
Other. If 'Other' Please specify below
If you have applied for, or received, sponsorship from any of the above sources, please give details. (Include name and address, and state if sponsorship has been agreed)
Please give full names and postal addresses of 2 referees *
with emails - if known
(At least 1 referee should be able to comment on your academic ability) 		Referee 1 *
  Referee 2 *
Additional Information
Please use the space below to give any additional information relevant to your application, and your reasons for wanting to study this programme.

Do you have any handicap (physical or sensory) that might affect your studies at the University, or may require special facilities or treatment? YES
NO
If yes, please give details below
You are required to state whether or not you have any criminal convictions
(except where the penalty was a non-custodial sentence carrying a fine of less than £1000).
If you check the 'Yes' button, you may be required to provide details. 		NO
YES
Where did you FIRST hear about this course?
(Please also check one or more of the boxes below)
Teacher at College/University
Careers Office
British Council
Exhibition or Fair
London Metropolitan University Postgraduate Prospectus
Internet

Press 'Submit Form' to send your application, or 'Clear Form' to start again.