Online Application

Online application form for admission to International Diploma in Mental Health Law & Human Rights.

Last date for Application - 30TH JUNE 2010 .

Personal Information

Title:

First Name:

Middle Initial:

Last Name:

Sex:

Male

Female

Nationaliity:

Date of Birth:

Contact Information

Email:

Phone Numbers

Phone Numbers with country code & area code

Residence Phone:

Office Phone:

Mobile:

Postal Addresses

Residence Address:

Office Address:

Permanent Address:

Enter permanent address only if it is different from the Residence Address mentioned above

Disability / Special Needs

Do you have any special needs?:

Yes

If yes, mention details:

Education & Work Experience

Education:

Mention University, Degree, Grade & Year for your Graduate and Post Graduate Education

Work Experience:

Please list your positions in reverse chronological order, starting with your current one. If all positions are in the same organization, please list the promotional sequence.

Please mention Name of Organization, Title or Position and From & To Dates (Month/ Year) for each position

Statement of Purpose

The Admissions Committee members will read your statement with great care. Your statement should be written by you alone and represent your original work. The statement should be typed, double-spaced, and no more than 250 words.

In your statement please discuss:

Your background: how your experiences (education, work, etc.) have prepared you for this program;
Your objectives in taking this program: your professional goals, interests you have;
Your decision in applying to this program: why you think there is a good fit between your objectives and our program.

Statement of Purpose:

Fees

Tuition fees for international students are EURO 5500.

A limited number of students of Indian origin and residing in India will be offered a reduced tuition fee based on economic criteria.

Full tuition payment for those accepted into the program is due no later than 31st July 2010.

Those applicants accepted for the program will be notified with necessary instructions regarding payment at the time of their confirmed participation in the program.

Paid by:

Self

Sponsoring Organization

Please mention who will make payment of the program fee. If sponsoring organization, please fill in details of sponsoaring organisation below.

Sponsoring Organization

To be filled by Sponsored candidates

Sponsoring Organization Name:

Contact Title:

First Name:

Middle Initial:

Last Name:

Position:

Email:

Address:

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Math Question: * 2 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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Online Application

International Diploma in Mental Health Law & Human Rights

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