PERSONAL DATAFill Your Personal Details hereName of the Degree Enter Name of the Degree Proposed Area of Specialization Enter Your Proposed Area of Specialization Name of Applicant* Enter Your Full Name Address* Physical Address City County / State / Region Postal Address AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Tel. No. (Home)Tel. No. (Office)Email Birthdate* Nationality Your Nationality Profession Your Profession Particulars of EducationParticulars of Education-IInstitutions AttendedSubject TakenCertificates ObtainedFromToParticulars of Education-2Institutions AttendedSubjects TakenCertificates ObtainedFromToParticulars of Education-3Institutions AttendedSubjects TakenCertificates ObtainedFromToParticulars of Education-4Institutions AttendedSubjects TakenCertificates ObtainedFromToParticulars of Degree/Diploma/Professional Qualifications ObtainedParticulars of Degree/Diploma/Professional Qualifications Obtained-1Name of University, Polytechnic, College or InstituteSubjects TakenQualifications ObtainedDateParticulars of Degree/Diploma/Professional Qualifications Obtained-1Name of University, Polytechnic, College or InstituteSubjects TakenQualifications ObtainedDateParticulars of Degree/Diploma/Professional Qualifications Obtained-1Name of University, Polytechnic, College or InstituteSubjects TakenQualifications ObtainedDateParticulars of Degree/Diploma/Professional Qualifications Obtained-1Name of University, Polytechnic, College or InstituteSubjects TakenQualifications ObtainedDateSECTION III: Working Experience (In Chronological Order)EmployersPosition HeldDuties in BriefPeriod of ServiceEmployersPosition HeldDuties in BriefPeriod of ServiceEmployersPosition HeldDuties in BriefPeriod of ServiceEmployersPosition HeldDuties in BriefPeriod of ServicePresent OccupationSECTION IV: Particulars of In-Service/On-the-Job Training CoursesCourse TitleWho Conducted The Course?Subjects StudiedDate Course TitleWho Conducted The Course?Subjects StudiedDate Course TitleWho Conducted The Course?Subjects StudiedDate Course TitleWho Conducted The Course?Subjects StudiedDate DECLARATION I hereby make application as a learner under the Open University Studies Programme of the Commonwealth University and I undertake that if admitted, I shall comply with the regulations, and also pay the required tuition. I hereby affirm that the information provided by me in this form is accurate. I understand that my admission may be withdrawn if I provide wrong information. I have read the refund policy of the university and I hereby accept.Applicant’s Signature*Add a photo of your signature.Date