Statesman University

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E-mail : info@statesmanuniversity.com
Website : www.statesmanuniversity.com
International Student Application
Part I - Personal Information
Legal name
First name
Degree(s)
Profession and Qualification
Date / place of birth
Nationality
Permanent Street Address
City & ZIP
State
Country
Tel.
E-mail
Passport-Number
Gender
First language
Foreign languages
Study language
Are you currently enrolled in college
How did you first learn about us
Have you ever submitted to Statesman University
E-mail : info@statesmanuniversity.com | Website : www.statesmanuniversity.com
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Part II Student´s previous education and plans
List in chronological order all secondary schools, colleges, universities, and/or professional postsecondary schools
you have attended /
INSTITUTION
LOCATION
DATE
MAJOR
DEGREE EARNED
E-mail : info@statesmanuniversity.com | Website : www.statesmanuniversity.com
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Part III – Programme of Study
Do you wish to apply for
Diploma Program
Graduation Program
Post Graduation Program
What is your field of interest (major)?
Please fill in above the exact study area and degree you want to pursue with
If accepted, I do hereby apply for enrollment
I agree to pay Tution Fees as per the agreed terms and conditions.
I have read and understand the terms and conditions.
Upon careful review, I freely submit this application for consideratin. I am not in violation of any of the laws of my country.
I am fully aware of the consequences of presenting misleading or false information. All of the information I have provided is a
bsolutely correct and I authorize Statesman University International Programs to conduct any and all information verification
reviews as needed.
I am fully aware that if my application is accepted, any funds paid will not be refunded due to issues beyond the control of the
Statesman University.
I have read and fully understand the innovative, alternative concepts of education utilized by the Statesman University. I have read
carefully and hereby make application for admission to the Statesman University. I hereby certify under oath that the information
provided in this application is true, accurate and complete, to the best of my knowledge and I understand that any misrepresentation
or omission will void my application, result in dismissal and loss of any funds paid. The Statesman University will not refund any
tuition or any fees paid in case of false or misleading information. I understand that this application and all other records gathered
for my admission files are confidential and will not be disclosed to me or any other person, except at by your written request or
judicial order.
I understand that I am responsible for ascertaining whether or not course and/or degree programs at Statesman University International Network System, will meet any and all licensing, certification, and/or job requirements. I understand that Statesman University
International Network System is not a job placement service organization and that there are no services for job placement. I understand that all employers have their own rights to define job requirements and qualifications for jobs and hiring and that Statesman
University International Network System does not guarantee job placements or acceptance of courses or degrees by any employers
or potential employers. I further understand that there are no guarantees provided by the University related to acceptance of courses,
credits or degrees for entry into or by another University. I understand that each University has rights to establish its own policies,
standards and requirements related to acceptance of credits, courses and degrees and I understand that it is my responsibility to
ascertain whether or not a University or Institutes will accept courses, credits or degrees that are earned at Statesman University.
I further understand that since my program might be a nonofficial professional degree “own degree” most of our programs are recognized to be used nationally; not meaning the Statesman University guarantees its acceptance globally. International programs are
not regulated by the national ministry of education.
Please sign your Full name and Passport-number on the line below
Date
Signature
E-mail : info@statesmanuniversity.com | Website : www.statesmanuniversity.com
Passport No.
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Enclosures & Application checklist
Fully complete the application form
Duly signed form
Copies of all previous studies (transcripts, diploma supplement).
All applicants are required to provide a resume or CV with 2 Pictures passport type.
Fully complete Sworn Declaration.
Please, return this form to
E-mail : info@statesmanuniversity.com | Website : www.statesmanuniversity.com
OR
A GENIUS GROUP GLOBAL INITIATIVE
Dubai : +971-600 544 543, Sharjah : +971-600 544 544
Email : info@iimts.com | Web : www.iimts.com, www.iimts.edu.in
This application cannot be processed until you sign and date the agreement, and send the original.
Note: Please allow up to ten (10) working days to process your application and assessment.
FOR STATESMAN UNIVERSITY - OFFICE USE ONLY
Received & Approved by:
Affiliated Center Number:
Assigned Student ID No.:
Database Control No.:
E-mail : info@statesmanuniversity.com | Website : www.statesmanuniversity.com