For Office Use Only App No.: MIBF O Admitted Application Form for Admission Master of Science in International Banking & Finance Programme (Full-time) O Rejected O Waiting Assessed by: Please complete the application form in English, and in BLOCK letters using black/blue ink Please also read the Programme Prospectus and notes before completing the application form For supporting documents, submit photocopies and two reference letters together with your application for evaluation All original documents will need to be presented for registration (* Please delete where inappropriate.) Personal Data Full name in English: Name in Chinese: _ *Gender: Male / Female (Surname first) (same as on ID) (If applicable) Date of Birth: / / *HKID / Travel Document No.: ( ) Nationality: _ (DD / MM / YYYY) (For non-local only) Address: (In English) Tel.: E-mail: _ Double-Master Programmes (This section is to be used only by applicants who wish to apply for Double Degree Programmes) For information regarding Double Degree Programmes, please refer to http://www.ln.edu.hk/econ/mibf/NewStudents/DoubleDegreePrograms.php Please indicate your preference with a 1, 2, or (1 = most preferred, = least preferred) École Supérieure des Sciences Commerciales d’Angers (ESSCA) University of Leicester Autonomous University of Barcelona (Universitat Autònoma de Barcelona, UAB) Lucerne University of Applied Sciences and Arts (HSLU-W) Public Examination Results (Please attach copies of supporting documents) Public Examination (e.g DSE, Sections/Subjects IELTS, TOEFL, GMAT, CET6) Grade Attained Date of Award (MM/YY) Undergraduate / Postgraduate Education (Please attach copies of transcripts) From To Name of Institution and Programme of Study and Study Mode Date of Award (MM/YY) (MM/YY) Country Classification of Award (FT/PT) (MM/YY) Professional Qualification (Please attach copies of supporting documents) Name of Awarding Institution and Country Professional Qualification Date of Award (MM/YY) Work Experience From (MM/YY) To (MM/YY) Name of Organization Department/ Section Position Supplementary Programme Applicants who cannot meet the MIBF entry requirements (e.g IELTS 6.5) are invited to first apply for the Postgraduate Diploma in Business Programme jointly offered by the Division of Graduate Studies (DGS) of Lingnan University and Lingnan Institute of Further Education (LIFE) The English requirement for the Postgraduate Diploma in Business Programme is IELTS 5.5, and graduates of this programme are not required to attain IELTS 6.5 for the admission of MIBF Programme Please refer to http://life.ln.edu.hk for more details Please select one: □ Please send my application information to LIFE if I not meet the MIBF entry requirements □ Please give me more information about the Postgraduate Diploma in Business Programme □ None of the above Other Information (Please attach supplementary documents if any) Statement of Purpose for Studying the Programme (Please attach a separate page) 10 Referees At least two referees who should be competent to comment on your academic potential Name: _ * Title: Mr / Miss / Mrs / Ms / Dr / Prof Name: * Title: Mr / Miss / Mrs / Ms / Dr / Prof Position: _ Position: _ Name of Institution: Name of Institution: _ Tel and Email: _ Tel and Email: 11 Declaration of Relationships Do you have any personal relationships with any employees of the University who assume administrative/teaching role in the programme, e.g you are a family member, a relative, or a close friend of any relevant employee of the University or your family member is a close friend of any relevant employee of the University? □ Yes Name of the relevant staff member: _ Relationship: □ No I not have any personal relationships with any employees of the University who assume managerial/teaching role in the programme application 12 Declaration 12.1 I declare that the information given in support of this application or any attachments is accurate and complete, and understand that any misrepresentation of false information given will result in the disqualification of my application for admission to termination of study by the University if admitted 12.2 I authorize the University to obtain, and the Hong Kong Examinations and Assessment Authority and other relevant authorities to release, all information about my results in public examinations, and all information about my academic and/or professional qualifications 12.3 I authorize the University to use my data to carry out checks on matters relating to my application and any records of my previous studies at other institutions 12.4 I understand that, upon my enrolment in a programme, the data will become part of my student record and may be used for all purposes relating to my study in accordance with the procedures of the University Signature of Applicant _ Date * The University reserves the right to offer or further amend the details to the programme Personal Information Collection Statement: The purpose of collecting personal data by means of this form is to process your application for admission to the MSc in International Banking and Finance (MIBF) Programme In order to serve the specified purposes, the personal data collected may be transferred to the Registry for record keeping The personal data collected will not be disclosed to third parties other than the afore-specified one without your approval, or unless required by law Unless indicated otherwise, all personal data requested in this form is required for its purposes If such data is incomplete or inaccurate, we may not be able to process your application for admission As a data subject, you have the right to request access to and correction of the personal data under the Personal Data (Privacy) Ordinance For such requests, please contact the MIBF Programme Office at 2616 7167 or mibf_admission@LN.edu.hk