COURSE APPLICATION FORM

Students studying MSc/PG Diploma Petroleum Engineering should not use this form.

MSc/Diploma independent distance learning courses

School of Energy, Geoscience, Infrastructure & Society
***PLEASE ENSURE YOU HAVE READ PART A, SECTION 5 HOW TO ENROL & THE RELEVANT PROGRAMME
STRUCTURE IN PART A, SECTION 11 IN THE IDL STUDENT HANDBOOK BEFORE COMPLETING THIS
FORM***
STUDENT DETAILS
Heriot-Watt H00267807 THIS MUST BE COMPLETED

Person/Student ID: (Hxxxxxxxx or 9 digits)
Title (Mr/Miss/Mrs/Ms): MR.
SURNAME OR JAMAL AMIR
FAMILY NAME: FIRST NAME:
Correspondence FAIZAN GENERAL STORE, H.NO. 254 BD Near Mattan Wali Ziarat. Ghazikot.
Address:
Tehsil & District Mansehra. Khyber Pakhtunkhwa.

Country: PAKISTAN Postcode/Zip: 21300

amjaqur@gmail.com
Telephone number: +92 3469995575 Email: aj54@hw.ac.uk
Programme code: Programme title:

I wish to request the following courses for 2016/17:

SEMESTER 1 OR OFFICE USE
COURSE CODE COURSE TITLE SEMESTER 2 ONLY
D31CG Construction Financial Management SEMESTER 2

D31PO People and Organisational Management in the Built SEMESTER 2

Environment

CHOSEN METHOD OF PAYMENT (please tick appropriate box)

If paying by credit/debit card, course selection and payment must be made
Credit/debit card online. Refer to Part A, Section 5 of the Student Handbook.
Must be in Pounds Sterling, drawn on a British bank and made payable to
Bankers draft Heriot-Watt University.
Bank transfer () Refer to Part A, Section 5.2.4 of the Student Handbook for transfer details.
UK Cheque Must be made payable to Heriot-Watt University
Invoice to sponsor A copy of your financial guarantee must be enclosed with this form.

Please tick this box if you wish a receipt

(applies to payments by bankers draft or cheque ONLY).

DECLARATION
1. I certify that the information given above is correct to the best of my knowledge and that I will update the University with any change in personal or contact details during the Academic Year.
2. I recognise that it is my responsibility to ensure that I am correctly enrolled.
3. I understand that an enrolled student is required to abide by the regulations of the University and conform with its Policies, Procedures, Ordinances and Regulations.
4. I accept liability for payment of my tuition fees in the absence of a payment by an awarding body or sponsor.
5. I understand that the University may send important communications to my University email account and recognise my responsibility to check this account every few days.
6. I agree that the University may use my personal data in accordance with the University Data Protection Policy and the Data Protection Act 1998.
7. I note that fees are non refundable.

Signature: _____________ ______________ Date: ____12th Jan, 2017_____

Please return this form to: Off-Campus Team, School of Energy, Geoscience, Infrastructure & Society, Heriot-Watt University,
Edwin Chadwick Building, Edinburgh Campus, EDINBURGH, EH14 4AS, UK OR email to egis-idl-enquiries@hw.ac.uk