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 Divine Word University
Port Moresby Campus
Capacity Building Training Centre
PO Box 582, Konedobu, NCD, Papua New Guinea
Tel: (675) 3255668 / 70915741; Fax: (675) 3255266
Email: pomcampus@dwu.ac.pg Receipt
::::::__________________
Diploma in Business Studies Application Form
(Please print neatly and clearly)

Please ensure that you have paid your K100 Non Refundable Application Fee and here show a receipt:
Bank : BSP Commercial Centre Branch No.: 951 Account No.: 1001129000 Account name: DWU-
CBTC

Full Name: _________

(Title) (Surname First) (Given Name)

Correspondence Address: ____________________________________________________________________

_________________________________________________________________________________________

Gender: Male Female

Telephone: ______________ Mobile: Fax: ___________ Email: _____________________

Section 1. ACADEMIC ATTAINMENT (Most recent first)

Issuing Authority Academic Qualification Year

Note: Attach certified photocopies of the academic qualifications that you have listed above.

Section 2. EMPLOYMENT RECORD (Most recent first)

Institution/Firm Address Position Period

Please briefly describe the duties of your current position:
________________________________________________________________________________
________________________________________________________________________________

How will you be sponsored? Employer or Private

I declare on behalf of (name of Sponsor) _________________________________ that I am committed to

sponsoring the applicant for the duration of this Program.

Note: If you are being sponsored by employer or other sponsor’s make sure they write their name or stamp
down on an official stamp on the space provided and their signatures must be written also on the space
provided below.

____________________________________ ______________________
Signature of Sponsor Date

____________________________________ ______________________
Signature of Applicant Date

Relevant attachments needed on application (Tick the boxes to prove that you have attached the documents)

 Detailed CV

 Letter of Confirmation from Employers

 Grade 12 Certificate (highest level achieved)

 Academic Certificates (transcripts)

 2 Character Reference

Please sign to confirm you have all these documents attached

/ /
Name of Applicant Signature Date

Note: If you have changed your name or used another name before on your Academic Certificates
please provide a Statutory Declaration to confirm you’re still the same person, as well if you have
lost or misplaced your certificates and have stated them on the application (section 1) please
provide proof that you attended the institution during that particular year. E.g. Transcript or report
card
Note: Information & personal data collection statement

Mail to: Capacity Building Training Centre, Divine Word University – Port Moresby Campus, PO Box 582,
Konedobu, National Capital District, Papua New Guinea or hand deliver to: DWU Port Moresby Campus,
Sec: 34, Lot: 5/9 Croton Street along Waigani Drive.(Do not fax or email applications).

Remember to attach the receipt of the K100 application fee paid into the DWU-CBTC account and
photocopies of academic qualifications.

All claims for refund must be in writing to the Vice President stating clearly the reasons for the claim.
Each case will be considered on its own merit.

 100% refund before 20% of the content has been delivered in a particular unit
 No refund thereafter
 Refund cheque is made payable only to the original owner of the funds

Upon signing this application form, you agree to comply with DWU policies.

For office use only:

Application Received: Date / / Time

Received by:

Data Entered by: Date / / Time