When completing your application, please ensure the following: 1)All relevant sections are completed in full. 2)Photocopy any documents to support your application, OR, you may wish to scan them and upload them with your application (see page 2). 3)Include two Referees. 4)If a section does not apply to your application, please enter ‘N/A’.

Title: Select Mr Mrs Miss Ms Dr Prof Other Surname: First Name: Middle Name: Sex: Male Female Marital Status: Single MarriedOther Age:  Date Of Birth: [(DD/MM/YYYY), e.g 01/01/2009] Country Of Birth: Nationality:  Passport Number:

If you live outside UK. Please Type "N/A" in section below. Address: Town: City: Country: Post Code: Tel:  Fax:  Mobile:

Address: Town: City: Country: Select country N/A Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaidjan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibuti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guyana Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Polynesia Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Lucia St Vincent and Grenadines Samoa San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Korea Spain SriLanka Sudan Suriname Swaziland Sweden Switzerland Syria Tadjikistan Taiwan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands(British) Virgin Islands(USA) Wallis and Futuna Islands WesternSahara Yemen Yugoslavia Zaire Zambia Zimbabwe Post Code: Tel:  Fax:  Mobile:

E-mail Address:

What is your ethnic origin: Select Ethnic Origin Asian or Asian British-Bangaladeshi Asian or Asian British-Indian Asian or Asian British-Pakistani Asian or Asian British-Any other Black or Black British-African Black or Black British-Caribbean Black or Black British-Any other background Chinese Mixed White and Asian Mixed White and Black African Mixed White and Caribbean Mixed Other White-British White-Irish White-Other Any Other

Do you consider you have disability:Yes No

If Yes, please provide details:

What subject do you wish to study? Please Select OTHM Level 4 Level 2 Certificate for Door Supervisors Diploma In Business Information Systems, Level 4 Advanced Diploma in Business Information Systems, Level 5 PGD Business Management, Level 7 Diploma in Accounting and Finance - ICM Diploma in Business Management - ABE Advanced Diploma in Business Management Level 5- ABE Diploma in Business Information Systems - ABE Advanced Diploma in Business Information Systems - Certificate in Administrative Management - IAM Diploma in Administrative Management - IAM Advanced Diploma in Administrative Management - IAM Business Management with progression to Bachelors degree from any British University PGD Business Management (Level 7) with progression to MBA from British University Postgraduate Diploma in Business Management Diploma in IT Postgraduate Diploma in Information Security & Ass Diploma in Professional Computing and Information Advanced Diploma in Professional Computing and Inf Professional Certificate in IT (Level 4) - BCS Professional Diploma in IT (Level 5) - BCS Professional Graduate Diploma in IT (Level 6) - BC PgD Information Security and Assurance (ISA) Leadi BSc in Computing and Information Systems - Univers PgD Information Security and Assurance (Level 7) - Master of Business Administration (MBA) - AIBA Bachelors of Law (LLB) - University of London Professional Certificate in Marketing - CIM Professional Diploma in Marketing - CIM OTHM Level 5 Professional Diploma in Tourism and Hospitality - OHTM OTHM Level 6 Professional Higher Diploma in Tourism and Hospitality - OHTM General English - Trinity College The ILM Level 2 Award in Team Leading The ILM Level 3 Award in First Line Management The ILM Level 4 Award in Management The ILM Level 5 Award in Management Customer Service NVQ Level 2 Business Administration NVQ Level 2 Information Technology (ITQ) Level 2 ESOL (English for Speakers of Other Languages), Li Preparing to Teach in the Lifelong Learning Sector A1 Assessor Award qualification

When do you wish to start your course? [(DD/MM/YYYY), e.g 01/01/2009]

University/College Address Qualification Grade Date

Please give details of your employment: Employer's Name Address Occupation Date Please give details of any training courses you have attended: Course Title: Date: Course Title: Date: Course Title: Date:

In the space below please write a brief statement to outline your reasons for applying to the London Business College:

To apply for any course at the London Business College you must have a basic proficiency in English. For international students an IELTS qualification or equivalent is essential. For details on the specific English qualification required for the course you apply for, please see entry requirements:

IELTS(band)/TOFEL(Score):

Please provide the details of two Referees. A reference may be requested in confidence to reflect your academic ability and suitability for the course you have applied for:

Name: Name: Town: Town: Country: Country: Post Code: Post Code: Telephone: Telephone: Relationship to you: Relationship to you:

How did you hear about the College?:

Recommended by a friend: Agent: Advertisement: Other (Please specify):

Please give details of how you intend to finance your studies: Do you require a student visa? Yes No

Address: Name: Town: City: Country: Post Code: Tel:     Fax:     Mobile:

1) ) Enrolment on a course at the London Business College constitutes a binding agreement on the student to attend all classes, lectures and examinations, and abide and comply by the College rules and regulations. As a student you will also be expected to submit all written work before the deadline and pay the prescribed registration fees, tuition fees, charges and any additional fees before the specified deadline. 2) Applicants who satisfy entry requirements and pay the advanced tuition fees will receive a letter with an unconditional offer (OR should this be, receive an unconditional offer letter) to study at the London Business College. 3) Students must initially pay a non-refundable Administration fee of £125. This is followed by payment of the advanced Tuition fees upon acceptance by the College. 4) Fees and charges must be paid in full to the London Business College. Students will not be permitted to commence the respective course or semester until fees and charges are paid in full. 5) Outstanding Tuition fees can be paid by instalments with agreement from the Administration Office. 6) For courses leading to qualifications awarded by the University of London, ABE, BCS, IAM, ICM, SIRM, ACCA, CIM etc, students must pay Registration and Examination fees directly to the awarding body before the specified deadline. 7) If a student’s application for Visa is refused, the College will refund the student’s tuition fees less a £125 Administration charge, provided all the following conditions are met: a) the student has not entered the UK. b) the student provides the College with the original ‘Refusal Letter’ issued by the British Embassy or High Commission. c) where a student has lodged an appeal, the fees will only be refunded after the College receives documentary evidence that the appeal has been dismissed. d) the original Letter of Acceptance and the receipt for fees paid must be returned to the College. 8)The College endeavours to start each course on the specified date, and reserves the right to delay, modify or withdraw any course after the published start date for any reason without prior notice. An alternative course or subject will be made available or a pro-rata refund of the course fees returned. 9) The College takes attendance extremely seriously. Overseas students (non-EEA) on a student Visa must attend a minimum of 15 hours full-time per week, and where attendance is less than 80% the College will not issue an Attendance Certificate. 10)If a student is absent through ill health, a medical certificate must be supplied. 11) The College will not tolerate any student in breach of Immigration Rules. 12)Students must notify the College immediately if there is any change in personal details to those provided in the Application Form. 13) The information in the College’s prospectus is correct at the time of going to press and students are advised to contact the College to confirm course availability and fees. 14) A student supplying false information will hinder admission to the College. 15) The information supplied in the Application Form will be used by the London Business College for enrolment and reporting purposes, and some of the information will be stored electronically.

I confirm that I have read and completed all relevant sections in this form and declare that the statement made by me is correct and honestly provided. In signing my application form I agree to be bound by the London Business College’s terms and conditions, as stated above.

I Agree   I Disagree