Salutation MrMrsMissMsDrOther
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Date of Birth
Age —Please choose an option—Below 2222 - 2728 - 3334 - 4041 - 4647 - 5253 - 59Above 60
Gender MaleFemale
Place of Birth (Town)
Place of Birth (Country)
Nationality —Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe
Marital Status
I am Applying For: PowerPhD
Address
City
Country —Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe
Phone 1
Phone 2
Email
University attended
Degree obtained
Country
Year Graduated
Is English your first language ? YesNo
What are your long-term career goals?
Do you have a disability, an impairment or a long-term medical condition, which may affect your studies? YesNo
Name of the Company you are working:
Title or position
Joining Month/Year
Industry —Please choose an option—Banking & FinanceLogisticsTravel & TourismHealthcareConsultancyOil & GasReal Estate ConstructionEngineeringRegular StudentsNot workingCommerceMediaTelecommunicationsTransport (aviation / road)UtilitiesPharmaceuticalConstructionITManufacturing & RetailHospitality and EntertainmentEducationAutomobileGovtFMCG
Passport-Sized Photo
CV/Resume
Copy of degree/transcripts/grade sheet
Copy of Passport
Copy of Visa or Residence ID
If you do not have the required documents at the moment, please provide a submission date.
Alternatively, you can email your documents to your respective admission officer.
Submission Date of Documents
LinkedIn Profile URL
How did you first learn about PowerPhD Institute?
Have you applied to the PowerPhD Institute before ? —Please choose an option—YesNo
If yes please quote your application or student number
Admission Officer's Email Address
By submitting your application, you acknowledge and agree to comply with the policies, procedures, and regulations of PowerPhD Institute as outlined below: I hereby apply for admission to the selected program at PowerPhD Institute. I confirm that I have read, understood, and accept the terms, conditions, and regulations that govern the admission process, academic engagement, and institutional operations. I certify that the information I have provided in this application is true and accurate to the best of my knowledge. I understand that acceptance into any academic program is conditional upon my satisfying the entry requirements set forth by PowerPhD Institute and its administration. I agree to fulfill all financial obligations to PowerPhD Institute by the payment deadlines specified in the invoices provided to me. I understand that non-compliance with financial requirements may result in the restriction or cancellation of enrolment, access to services, and withholding of academic results or graduation eligibility. I acknowledge that if I do not formally withdraw from a module or program within the notified withdrawal deadline, I will be held liable for the full tuition fees associated with that enrolment. I understand that if I fail any module and need to retake or re-enrol in it to complete my program requirements, I will be required to pay the associated module fees for re-enrolment. I further acknowledge that if I extend beyond the standard duration of my program without formal approval, I may be charged additional extension fees, contingent upon satisfactory academic progress and fulfillment of set academic milestones. I understand that PowerPhD Institute reserves the right to update, modify, or amend any policies, procedures, and financial guidelines as necessary, and such changes will apply to all students without exception. I accept full responsibility for ensuring that the modules I select and enrol in align with the academic and structural requirements of the degree program I am pursuing. I acknowledge that PowerPhD Institute will primarily communicate with students via institutional email, and I am responsible for checking my assigned student email address regularly. I will also notify the Institute promptly if there are any changes to my personal or contact information. I am responsible for becoming familiar with, and adhering to, all relevant student policies, academic regulations, and administrative protocols established by PowerPhD Institute. I consent to the collection, processing, storage, and controlled release of my personal, academic, and administrative information by PowerPhD Institute in accordance with applicable privacy, confidentiality, and data protection policies.
To deliver a high standard of academic and support services, we may engage with third-party providers. In such instances, we will ensure that all third parties are bound by strict confidentiality agreements, and that only essential information required to deliver the agreed services is shared. Your application and continued enrolment indicate your consent to the responsible use and disclosure of your personal data in line with institutional, academic, and regulatory requirements. To deliver a high standard of academic and support services, we may engage with third-party providers. In such instances, we will ensure that all third parties are bound by strict confidentiality agreements, and that only essential information required to deliver the agreed services is shared. Your application and continued enrolment indicate your consent to the responsible use and disclosure of your personal data in line with institutional, academic, and regulatory requirements.
I declare that the information provided in this application for admission to PowerPhD Institute is accurate and complete to the best of my knowledge. I have read and understood the applicable admission criteria, privacy policy, and program structure details. I acknowledge that it is my responsibility to seek academic guidance and support when needed, particularly with regard to enrolment, module selection, or program changes. I agree to make all required tuition and administrative payments in advance for each academic term. I understand that by enrolling at PowerPhD Institute, I am subject to all academic and administrative regulations, policies, and standards applicable to the program, and I agree to comply with them throughout my period of study.
Payment Frequency —Please choose an option—MonthlyQuarterlySemi AnnuallyOne Time Payment
Installment Day —Please choose an option—7th of the Month14th of the Month21st of the Month Installment Start Month —Please choose an option—JanFebMarAprMayJunJulAugSepOctNovDec
Fees once paid will not be refunded under any circumstances.
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Date of Submission
