Please complete this application form digitally and return it with the following documents:

• Original or notorised photocopies of educational diplomas, transcripts or degrees (in English)

• Proof of English proficiency – no online tests

• CV

• Personal Statement

• Copy of valid passport

• 4 Passport Size Photos

Family Name (as in passport):

First Name:

Middle Name:

Select Date of birth:

Place and Country of Birth:

Present Address:

Home Tel:

Mobile Tel:

Email Address:

Select your Gender:
MaleFemale

Select your Marital Status:
SingleMarried

Country of Citizenship:

Passport Number:

Place & Date of Issue:

Embassy of Visa Application:

Course you are applying for:

What is your current occupation?:

Who is your current employer? Please include address.:

Give the name and address of all schools / colleges you have or will have attended prior to entering IH&MS UK

Language Knowledge

IELTS / TOFEL Score (no on-line tests)

Native Language

Do you have any physical disabilities, illnesses, severe allergies, problems with vision or hearing or other health issue that may affect your studies? Please provide any documentation you feel is relevant. If Yes, please specify:

How did you first learn about IHMS?

Signature:

Date: