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January

September

Personal Details

Family Name: Other Names:

Male/ Female: Date of Birth:

Nationality: Country of Birth:

Age on 1stSeptember of Year of Entry:

Email Address:

Address for Correspondence

Telephone Number (Including country code):

Home/Permanent Address

Telephone Number (Including country code):

Future Study (after the one year foundation course)Which subject do you plan to study after the foundation course?

Combined Offer(foundation courseplus degree)If you meet the admission requirements for the combined offer, please indicate for which of the following

programmes you would like to be considered. For a detailed list refer tohttp://www.sefp.qmul.ac.uk/degrees.pdf

Tick Programme Title Code Duration Final Qualification Possible Start

Biological Sciences, with Foundation Year CCX1 4 years BSc September

Chemistry, with Foundation Year FFX1 4 years BSc September

Chemistry, with Foundation Year FFY1 5 years MSci September

Physics, with Foundation Year FFX3 4 years BSc September ; January

Physics, with Foundation Year FFY3 5 years MSci September ; January

Environmental Science, with Foundation Year FFX7 4 years BSc September

Mathematical Sciences, with Foundation Year GGX1 4 years BSc September ; January

Mathematical Sciences, with Foundation Year GGY1 5 years MSci September ; January

Computer Science, with Foundation Year GGX4 4 years BSc September ; January

Computer Science, with Foundation Year GGY4 5 years MSci September ; January

Engineering, with Foundation Year HHX1 4 years BEng September ; January

Engineering, with Foundation Year HHY1 5 years MEng September ; January

Electronic Engineering, with Foundation Year HHX6 4 years BEng September ; January

Electronic Engineering, with Foundation Year HHY6 5 years MEng September ; January

Materials Science, with Foundation Year JJX5 4 years BEng September

Materials Science, with Foundation Year JJY5 5 years MEng September

Application for admission to the International Science

and Engineering Foundation Programme (one year)Please Complete this form in English. Please write clearly and complete all sections.

http://www.sefp.qmul.ac.uk/degrees.pdfhttp://www.sefp.qmul.ac.uk/degrees.pdfhttp://www.sefp.qmul.ac.uk/degrees.pdf

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