OFFICE OF THE REGISTRAR
APPLICATION FOR ADMISSION
THE UNDERSIGNED:
| SURNAME___________________________________ |
HOME ADDRESS_________________________ |
| NAME ______________________________________ |
________________________________________ |
| PLACE OF BIRTH_____________________________ |
________________________________________ |
| DATE OF BIRTH______________________________ |
Tel. No. Home_____________________________ |
| NATIONALITY_______________________________ |
Tel. No. Office_____________________________ |
| HEIGHT_____________________________________ |
FAX.____________________________________ |
| COLOUR OF EYES____________________________ |
PROFESSION ____________________________ |
| COLOUR OF HAIR____________________________ |
MARITAL STATUS _______________________ |
|
PASSPORT/I.D. __________________________ |
ACADEMIC QUALIFICATIONS, OFFICES HELD, CULTURAL ACTIVITIES: _____________________
______________________________________________________________________________________
______________________________________________________________________________________
Conscious of the requirements and duties requested of Members in accordance
with Art. 9 of the Statute, hereby asks to be admitted as a Member of the
UNIVERSITAS.
| SIGNATURE_______________________________ |
DATE________________ |
Documents to be enclosed:
| Curriculum Vitae |
[ ] |
| 3 passport size photos |
[ ] |
| Birth Certificate |
[ ] |
International Chancery: 51, Santa Lucia Street, Valletta VLT 1182 - MALTA
Tel: +356 2122 0511, Fax: +356 2122 0621
|
