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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.
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