Vous êtes sur la page 1sur 2

White

1. 2. 3. 5. Science ComputerandInformationSciences PublicHealth

Health

Application for admission


POST-SECONDARY STUDIES
Year of commencement Degree/quali cation Institution Country/state Year completed/ or last attempted

All o cial statements submitted must include failures (if any).

Are you currently awaiting results of post-secondary studies undertaken this year? If yes, please indicate the date the results will be available: Name of institution and quali cation: Are you seeking credit transfer for previous study?

Yes
Day Month Year

No /

Yes

No

If yes, please request the Application for Credit for Previous Study from the Prospective Students O ce on +27 11 950 4009.

ENGLISH LANGUAGE PROFICIENCY (See also Table A Alternative English language requirements)
Was English the language of instruction in previous studies completed? If no, I will sit/have sat for an English language pro ciency test: English test name: Date taken: / / Result (if known):
Day Month Year

Yes TOEFL

No IELTS

A certi ed copy of the test is required.

Other (provide details):

IMPORTANT CHECKLIST
Have you completed the application form? Have you attached a certi ed copy of your Identity Document? Have you included certi ed copies of academic transcripts, quali cations, English language pro ciency, etc? Have you written your email address clearly? O ce use only

Declaration and Signature


I declare that the information provided by me is true and complete in every particular. I acknowledge that Monash reserves the right to seek information from relevant bodies as to the standing of my claimed quali cations and to vary or reverse any decision regarding admission made on the basis of incorrect or incomplete information.

Signature : ___________________________________Date ________/________/_________


Day Month Year

O ce use only Date received: ______________________________ Selection decision:


Application checked and captured:
NOTE

CO

Decision: ___________________________________ Sign: _______________________________________ Date: ______________________________________ Captured by: _______________________________ Letter date: ________________________________
NOTE

Decision: ___________________________________ Sign: _______________________________________ Date: ______________________________________ Captured by: _______________________________ Letter date: ________________________________
NOTE