BULACAN STATE UNIVERSITY

Malolos City, Republic of the Philippines www.bulsu.edu.ph

APPLICATION FOR ADMISSION

International Program
Doctor of Philosophy in Business Administration (PhD in BA) Doctor of Business Administration (DBA) Doctor of Philosophy in Educational Management (PhD in EM) Master of Business Administration (MBA) Master of Business Administration major in Finance Master of Arts in Education major in Educational Management Master of Arts in Education major in Language Education (English)

NAME OF APPLICANT: .

International Program Office

1,5,7,10F. Good Harvest Commercial Building 515 517 Nathan Road, Yaumatei, Kowloon, HongKong

Vietnam Recruitment Partner

ICCC Foreign Trade University #15, D5 Str, Ward 25, Binh Thanh District, HCMC, Vietnam

SECTION A: Personal Information

FULL Name:

(please use BLOCK letter) Photo

(as per your Identity Document or Passport). Please UNDERLINE your Surname/Family Name

Name to appear on Degree/Tesmur ______________________________________________________________________________ ID/Passport Number: Date of Birth (dd/mm/yy) / Gender: Marital Status: Widowed Correspondence Address / Male Married Female Single Divorced Nationality: Place of birth:

City Post Code Telephone No. Mobile Phone No. Permanent Address
(if different from above)

State Country Fax No. Email:

City Post Code Telephone No. Mobile Phone No. Person to contact in event of emergency Telephone No.

State Country Fax No. Email :

Fax No.

Mobile Phone No.

Email :

SECTION B: Academic and Professional Qualifications &

Membership
Tertiary Education: Degree / Award: Awarding Institution: Degree / Award: Awarding Institution: Year Awarded Year Awarded
(in REVERSE Chronological order)

SECTION B: Academic and Professional Qualifications &

Membership (Cont)
Degree / Award: Awarding Institution: Professional Qualifications: (in REVERSE Chronological order, the lastest 2 professional qualifications) Professional Award: Professional Institution: Professional Award: Professional Institution: Membership of Organization(s): Name of Organization: Member since 1. 2. 3. Mship Class/Position Held Year Awarded: Year Awarded: Year Awarded

SECTION C: Career Information

Current Occupation: Employer Name: Nature of Business:

(in REVERSE chronological order)

Position Held : Since: Duties and Resposibilities:

Previous Occupation: Employer/Nature of Business

Position/ Employment Period

Duties and Resposibilities

If the spaces provided are not sufficient for providing the information requested, please use an attachment OR provide your detailed C.V.

SECTION D: Credit Transfer / Exemption(s)

Applicants who wish to apply for transfer credites for the course(s) based on previous qualifications shall submit the relevant award diploma/Testamur and transcripts Course outline and assessement structure may also required. Please mark the appropriate box if you are applying for credit exemption (s) I ha ve a MB A, ME M or a rel ev ant Ma ste r de gre e an dI am ap ply ing for cre dit ex em pti on s for all the Ma jor an d lec tiv e Co urs es of thi s Ph D/ Ma ste r pro gra m. I

ha ve a no nbu sin ess Ma ste r de gre e but I ha ve ext en siv e bu sin ess or ma na ge me nt ex per ien ce. I am ap ply ing for cre dit ex em pti on s for all the Ma jor an d Ele cti ve Co urs e of thi s Ph D/ Ma ste

r Pro gra m. I do not ha ve a Ba ch elo r/M ast er de gre e but I ha ve ver y ext en siv e bu sin ess or ma na ge me nt ex per ien ce at se nio r ex ec uti ve lev el. I am ap ply ing for cre dit ex em pti on s for

all the Ma jor an d Ele cti ve Co urs es of thi s Ph D/ Ma ste r pro gra m. I ha ve co mp let ed on e or mo re res ear ch co urs es at ma ste r or do cto ral lev el pre vio usl y an dI wis h to ap ply for cre dit ex

em pti on( s) for on e or mo re Cor e Co urs e(s ) of thi s Ph D/ Ma ste r pro gra m. Course(s) Applied:

SECTION E: Other information, if any

If you have any other information that may help the University in assessing your application better, please provide here:

SECTION F: Applicants Declaration

I declare that the information given in this form is true and complete and upon acceptance into this program, I agree to comply with all the conditions, rules and regulations governing this program. I acknowledge that any false or misleading information given may result in the non-acceptance of my application or my exclusion from the program and the University. I authorize the University or this authorized representative, to obtain evidence from any third party as is necessary for confirmation of information that I have provided for the purpose of considering my application.

Date:

Signature:

Check List: Before sending in your application, please check

if you have:
Signed the application form in the Declaration section. Enclosed the Application Fee. Enclosed 3 Passport-size Photographs. Completed all necessary fields in the form. Enclosed your detailed C/V., if necessary. Enclosed Documentation supporting Section E, if any.

Enclosed the Cirtified True Copy of the necessary Transcripts and Diploma/ Testamur. For internal evaluation and incentive purposes, please write down the name of the staff/ coordinator/ authorized agent who have counselled you and assisted you in this application. Name: ICCC-FTU HCMC

For Office Use Only

Date Application received: Date Application sent to BSU: Date Offer/Reject Letter received: Date Offer/Reject Letter sent to Candidate: Application Fee Receipt No. received on Receipt Date

by: by: by: by: by:

Student Number:

Other