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IICSE University

Application Form IICSE University

For Undergraduate and Postgraduate Studies ...a liberal arts education.
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Application Form for Direct Admissions

Before you begin application, please take note:
1. All necessary fields must be filled. Incomplete application may be delayed.
2. The payment of fees must be paid before completing this form. You will receive a “Transaction ID” into your
email immediately after your payment is received. Forms without a “Transaction ID” shall not be treated. Please
enter your “Transaction ID” at the appropriate field (PART A) below.
3. You will receive your Admission Letter together with supporting document, immediately after your completed
application is received and processed.
All necessary fields must be filled correctly:

PART A: Payment Details

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Date of Payment:
Amount Paid:
Method of Payment:
(e.g. PayPal, Card, Bank, etc)
Teller / Transaction ID:
Coupon Code (optional):
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PART B: Applicant’s Details

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Student’s Full Name:

Mailing Address:
City/Town:
Country of Residence:
Residential Continent:
(e.g. USA, UK, Africa, Asia, etc.)
Date of Birth: Please tick [√] one:
Nationality: Male: [ ] Female: [ ]
Country of Residence:
Email Address:
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PART C: Highest Educational Institution Attended

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Name of School:
Address of School:
Highest Qualification:
Year of Admission:
Overall Final Grade: Year of Graduation:
e.g. Cum Laude, Second Class
Lower, Credit, Pass, etc.

Direct Admission Form: 1 of 2

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PART D: Program Applying For

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Program Applying for:

e.g. Bachelor of Arts, MBA, PhD
Course Applying for:
e.g. Law, Accounting, Nursing, etc. Insert your passport-size
Normal Program Duration: photograph here
(e.g. 9 months, 3 years, etc)
Specify your desired
Duration of Study (optional):
Starting Date (Month/Year):

PART E: Breakdown of Fees for All Programs, including Doctoral Research Degree programs:
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We charge a one-time Application Processing Fee of $45 and an Exam Processing Fee of $50 per exam to
cover the cost of processing the examination.
Application Processing Fee = $45    payable before admission
   Exam Processing Fee (per exam) = $50 per exam    payable per exam
   Graduate Portfolio Fee = $200 upon graduation    payable after graduation
Upon graduation, a student is expected to pay Graduate Portfolio Fee of $200 as shown above. Graduate Portfolio
contains the University Degree, a Recommendation Letter and Transcripts showing Statement of Results.
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PART F: Refund Policy:

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Application Processing Fee is refundable if admission is denied. No refunds will be granted or given for
cancellation or withdrawal from study.
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PART G: Accreditation:
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IICSE University is fully accredited by the QAHE. The QAHE is affiliated with California University
Foreign Credential Evaluator which offers Evaluation Report and Diploma to the QAHE members’
graduates. You are advised to confirm the acceptability with your government employment education
authorities before applying for study with us.
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PART H: Please Tell Us, How did you get to know about IICSE University?
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Please tick [√] one: Internet [ ], Friends [ ], Staff [ ], Student [ ] Others specify:
If Friend, Student or Staff is ticked then, write the names of the Friend, Student or Staff here:

By sending this application to the IICSE University officials, you certify that, to the best
of your belief, agree to the information provided above. Date:

Applicant’s Signature
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FOR OFFICE USE ONLY RESERVED COLUMN

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All Rights Reserved. mi513-A .

Send the completed Application Form via ‘email attachment’ to: study@iicseuniversity.org

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