Postgraduate Certificate in KAM Application

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Postgraduate Certificate in KAM Application

Payment is not due until you have formally been accepted by TU Dublin

Programme Title: Postgraduate Certificate in KAM (30 ECTS).

Programme Code: TU5522

Personal Details

First Name

Last Name

Your Email

Phone Number

Address

Postcode / Zipcode

Date of Birth

Passport Number

Gender

Male Female Other

Do you have a disability or significant health problem?

Yes No

Please give details below and attach medical documents

Disability file(s)

As a postgraduate qualification, applicants normally require a first degree. TUDublin does have a route for exceptional entries, but needs to be sure you can cope with such a course.

Do you have a first degree?

Yes No

An additional form will be sent to you that you must complete. This is not a formality, each case will be decided individually so you should provide as much supporting evidence as possible, including two references. Please return the form to [email protected] and [email protected] when complete with all the information you can supply.

Please give details of the highest qualifications obtained.

Study Start Date

Study End Date

Name of School / College

Qualification name

Current Employment

Start Date

Employer Name

Current Job Title

Please attach a scan or other form of your first degree certificate here (in English language).

Degree certificate upload

Additional Details

If you attended TU Dublin before, please state the programme title and student number.

Previous student number

Declaration: I declare that the information given by me on this form is true and accurate, and if accepted, I agree to familiarise myself with, and be bounded by, the regulations of the TU Dublin.

Student regulations are available from the Registrations Service or http://www.dit.ie/media/documents/campuslife/StuRegs.pdf

Applicants Signature

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