------Proposed Level and date of entry to the Postgraduate Certificate in Financial Management ………20…….

Surname …...:…………………… Current Employment…………………………..

Forenames………………………… Position Therein:……………………………...

Home Address: Name and Address of Employer:

……………………………….. ……………………………………………….

……………………………….. ………………………………………………

………………………………. ……………………………………………...

Tel. No. ……………………… Tel. Nos. …………………………………..

Mobile ……………………… E-mail …………………………………….

Date of Birth …………………. Gender ……………………………………

EDUCATIONAL HISTORY
  1. Professional Qualifications

Awarding Institution / Dates / Qualifications / Main Subjects

b. School Qualifications

Dates / Qualifications Achieved (with grades}
c. Post-school Qualifications
Dates / Title of Award and Subjects Studied / Class of Award

______

Who is paying your fees towards the course ? Self …… Sponsor ……..

If sponsored, provide details and undertaking by Sponsor:

UNDERTAKING BY SPONSOR

I/We hereby agree that, subject to RBZ regulations, I/We shall be paying for and sponsoring all/part fees for the above applicant towards his/her studies on thePostgraduate Certificate in Financial Management offered by the OLC in association with the UoG.

I/We agree that should there be delays in acquiring the necessary foreign currency/drafts from the banks, I/we shall arrange for the fees to be paid by other appropriate means by due date.

Signature ……………………………. Date ………………………………

Name………………………………. Position ……………………………….

Address…………………………………………………………………………………

Career Record

This section must be completed. Please give details below in chronological order. (Your current responsibilities are of particular significance)

Date / Employer / Position and responsibilities

Career Aspirations

Why do you believe you will benefit from this qualification at this stage?
How would you like to see your career develop over the next 15years?
What are your long –term career plans?
Please describe your main interest and leisure activities outside work, including any related responsibility?
INDICATIVE INFORMATION

1Please indicate where you received information about thePostgraduate Certificate in Financial Managementoffered by OLC in association with UoG, and why you particularly wish to undertake its studies.

  1. Have you considered studying for any other local degree? If so, elaborate.
  1. Are you currently undertaking any other post-grad studies? If so, elaborate.
  1. Have you full time access to internet facilities? If so, elaborate.
  1. If married, have you thoroughly discussed the ramifications of this Programme with your spouse? Please elaborate..
  1. Have you thoroughly discussed the ramifications of this Programme with your Employer? Please elaborate
  1. Do you travel much as part of your work? If so, how often?
  1. Are there any work-related or domestic issues likely to interfere with, or hinder, your studies? Elaborate.
REFERENCES

You are required to provide the names of two referees, one academic and one employment related. It is your responsibility to ensure that references are sent directly to us by your referees on the forms provided. If in doubt about the suitability of a referee, please enquire from OLC office.

First Referee

Name: …………………………………. Address…………………………………

Institution and Position ………………. ………………………………...

…………………………………………. ………………………………..

Tel No. …………………………………

Second Referee

Name ………………………………… Address ……………………………..

Institution and Position ………………. ………………………………

………………………………………….. ……………………………

Tel No. ………………………………..

Undertaking

If accepted on thePostgraduate Certificate in Financial Management, I shall meet all the requirements of fee payments by due date and agree to abide by all the rules and regulations, relating to the course, as stipulated by the Open Learning Centre.

I further certify that all the information given above is correct.

Signed …………………………………. Date …………………

Full Name ………………………………………………………..

Please return this form, duly completed, to

Director,-

Open Learning Centre

95 Fife Avenue. Harare.

Tel: (263-4) 796160/1

Fax: (263-4) 796164

E mail <