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WINC-Application Form 2020

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Application for Full-Time Study

Please complete and return this form to:


Consultation with:
Western International College
P.O.Box: 16038
Ras Al Khaimah - U.A.E.

Date

This application should be accompanied by attested photocopies of relevant documents, such as certificates of your academic
qualifications. Please provide English language translations of these documents where appropriate.

Title of the course you want to apply to (please refer to WINC’s Pearson BTEC & ATHE Programme Leaflet):

Stage eg. Start Date


Year I,Year 2 (Month/Year)

Your full name (IN BLOCK LETTERS)

Your family name (IN BLOCK LETTERS)

Male Female
Your age on 1st September
Your date of birth in the year of entry to the course
Day Month Year Year Month

Your home address


Address:

Telephone (including code): Fax:

E-mail:

Address for correspondence (if different than the above)


Address: Valid until (date):

Telephone (including code): Fax:

E-mail:
Education (from the age of 11 years onwards)
Date
Name of School/College/University attended Course from: To:
Full-time

Part-time

Please list all the examinations (including any English language tests) which you have taken since
the age of 14 for which results are known:
Awarding Body Title of Examination Subjects of Examination Grade Pass/Fail Date of Award

Please list all the examinations which you have taken for which results are awaited. Also list any examination
which you may take in the near future:
Awarding Body Title of Examination Subjects of Examination Date of Examination
Please give details of any employment or training you have undertaken.
Name & Address of Employer Dates
Your Position Description of Your Main Duties
from: to:

Please use the space below to give us any other information which you believe
will support your application:

Statement of Purpose: Why you are choosing the programme of study.

You may continue on a separate sheet if you wish.


Fee Status
Country of birth Nationality Country of permanent residence

Who will pay your tuition fees? (Please tick appropriate box)
Yourself Family Member Sponsor Your Employer

Please give the name and address of the person/organization who will pay your fees, if not your self
Name:

Contact No.

Email Address:

Address:

Do you have any disabilities or particular problems that might require special arrangement during
your study at Western International College, Ras Al Khaimah, UAE

Yes No

If Yes, please give brief datails

Please give the name and address of one education referee


Name:

Address:

I confirm that to the best of my knowledge the information given on this form is correct.

Your Signature: Date:

For Office Use Only


Application Number: Date Application Received Unconditional Offer/Conditional Offer/Reject

Sent to: Date:

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