:: Post Graduate Level ::

Application For Admission


Personal Details

Family Name:*
Given Name:*
Title:*
Date of Birth:*
Gender:*


Contact Details

Address for correspondence (mailing address) *
Business Tel:
Home Tel:
Facsimile:
E-mail: *
Permanent Home Address (if different from above):

Country of Residence

Are you a permanents resident of Sri Lanka?*

Yes

If no, Nationality:

Educational Qualification

Include any course which you are currently taking and for which the outcome is not yet known. Please supply a copy of your academic transcript and certificates.

Start Date

End Date

Institution Attended & Subjects Studied

Class or Grade Awarded

Date Awarded

If Exam still to be taken, predicted outcome & date of result

First Degree

Higher Degrees

Professional Qualifications

Any Other Relevant Qualifications


Course Title:


Course Dates

Please specify the semester in which you wish to begin your studies

	Year	March	July	November


Identification Details

Please supply the following details:
ID No:
Passport No:
Passport Expiry Date:
Place of Issue:

Employment Details

Current Employment Organization	Dates	Job Title and brief description of duties

Previous Employment Organization	Dates	Job Title and brief description of duties

Declaration

I declare the information that I have supplied on this form is, to the best of my understanding and belief, complete and correct, I understand that the giving of false or incomplete information may lead to the refusal of my application or cancellation of enrolment; I give permission to obtain official record from any educational institution attended by me. I also authorize Australian College of Business and Technology to supply any relevant official records to educational institute to which I am seeking admission and to government bodies. I understand that fees may be increased. I accept liability for payment of all fees as explained in the ACBT brochure, and I agree to abide by the Refund Policy as specified in the ACBT brochure.


Applicant’s Checklist

Before forwarding your application for Admission to ACBT or its representative, please check if you have:
*Completed all sections of Application for Admission
*Read and understood the conditions of Enrolment and the Refund Policy


Other Information

How did you first learn about ACBT? Tick the relevant box.
School
Exhibition / Seminar
Direct Enquiry
Recommended by a friend or relative
Recommended by a current student
ACBT signage (car, building signs, billboard or notice board)
ACBT Web-site
Newspaper / Magazine ( please specify)
Recommended by an agent. ( please specify)
Other (please specify)