The University of Edinburgh

Application for Admission
as a Postgraduate Student

-	Before completing this form please refer to the guidance given on the school website (http://www.informatics.ed.ac.uk/postgraduate/apply.html) and read the Notes on Completion of the Application Form (the numbers in the Notes refer to the numbered sections on this form).

-	Although we make decisions about acceptance throughout the year, we encourage you to apply as early as possible, and at least three months before the proposed start of your studies. 

-	If you are also applying for one of our scholarships then please refer to the application deadlines indicated on our website (http://www.informatics.ed.ac.uk/postgraduate/apply.html)

-	After completing this form, including the checklist below, please return it to the relevant office:

FOR TAUGHT MASTERS:

MSc Admissions Co-ordinator
Informatics Teaching Organisation
University of Edinburgh
Appleton Tower
Edinburgh EH8 9LE

FOR PhD/MPhil/MSc by Research:

Administration Officer
Informatics Graduate School
University of Edinburgh
2.44 Informatics Forum
Edinburgh EH8 9AB

		

-	Supporting documents enclosed (please tick):

	 Degree transcript (and translation)
	 References
	 English language test results
	FOR TAUGHT MASTERS	FOR PhD/MPhil/MSc by Research
	 List of specialisms 	 Research proposal

All documents should be originals or, if appropriate, certified copies. Photocopied, scanned or emailed documents will not be accepted.
	
FOR OFFICIAL USE ONLY	

Surname……………………………………………………………..Dr/Mr/Mrs/Miss/Ms
	
Other Names ……………………………..
	Degree ……………………………..	
Entry Date …………………………………	Inst/Spec …………………………..	

Application for Admission as a Postgraduate Student 

 	Please complete in TYPESCRIPT or BLOCK LETTERS using 
	black ink

A. Personal Information

1. Surname/family name………………………………………………………………..	Dr/Mr/Mrs/Miss/Ms

Other names…………………………………………………………………………….

 Married or  Single 	 Male or  Female

2 a. Correspondence address (INCLUDING POST CODE) (see note 2).…………………………………………
…………………………….…………………………….……………………………...………………………….
…………………………….…………………………….…………………………………………………….……

Valid until………………………………………………….…………………………….………………………….
Tel no…………………………………………………	Fax no…………………………………………………...
(INCLUDING NATIONAL /AREA CODE) 	(INCLUDING NATIONAL /AREA CODE)

b. Permanent address (INCLUDING POST CODE) (see note 2). …………...…………..…………...………….………...
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Tel no…………………………………………………	Fax no…………………………………………………...
(INCLUDING NATIONAL/AREA CODE) 	(INCLUDING NATIONAL /AREA CODE)

c. Mobile phone number……………………………	d. Email address……………………………………….

3. Date of birth………………………………………...	4. Country of birth………………………………………

5. Nationality …………………………………
.
6 a. Country of permanent residence (see note 6) …………………………………………………………………..
b. Have you always lived in this country? 						YES or NO
If your answer is no, please list the countries you have lived in and the dates you were resident there.

TOWN/CITY AND COUNTRY 	DATES (MONTH AND YE AR)
……………………..…………………	………………………………………………………….
……………………………………….	………………………………………………………….
………………………………………..	………………………………………………………….

7. Next of kin (see note 7)……………………………………………………………………………….……..….

    Address (INCLUDING POST CODE) …………………………………………………………………………………..
……………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………..
Tel no…………………………………………………	Fax no. ………………………………………………….
(INCLUDING NATIONAL/AREA CODE) 	(INCLUDING NATIONAL/AREA CODE)

8. Matriculation no. (see note 8) ………………………………………………………………………………………….

9. Please tick the box opposite if you have had any relevant criminal convictions (see note 9) 		   

10. Physical or other disability or medical condition which might necessitate special arrangements or facilities

Nature of disability (see note 10 and enter code) 	Code

Please give an indication of any adaptations or special support and facilities you may require…………………..
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………

11. First Language (see note 11)……………………………………………………………………………………………

B. Academic Qualifications Held or Pending

Degrees or Diplomas held or pending (see Note 12)

	Undergraduate degree (already held or pending)	
12a	University or College	Dates of Attendance	Qualification Obtained	Class of Degree Obtained	Date of Award	Principal Subject (if two principal subjects of approximately equal weight, give both	

							

							
b.	Other degrees and diplomas (in chronological order)	

							

							
c.	Teaching Subject Qualifying Courses (for applicants for (additional) teaching qualification only) (see note 12)	
	University or College	Dates of Attendance	Subject	Level	Date of Award	

						
						
	GTC registration no (see note 12)	
	Previous incomplete or failed programmes of study	
13.	Degree programmes which you have previously failed or did not complete	
	University or College	Dates of attendance	Subject	Reason for non-completion	

					

C. Professional Qualifications and Experience

14. Details of professional qualifications……………………………………………………………………………………
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………….
.
15. Details of your career to date (most recent first)
DATES 	EMPLOYER 	POSITION/NATURE OF RESPONSIBILITIES
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………….

16. Details of specialised knowledge, technical training or postgraduate experience relevant to your application
.………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………

17. Has any of your work been published? Please give details, if necessary on a separate sheet
.………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………

18. Do you have a reading knowledge of any other language(s)? If so, state which certificate(s) you hold

LANGUAGE 	CERTIFICATE(S) HELD
.………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….
.………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………….

D. Referees

19.	Names and addresses of two persons willing to provide academic references (see note 19)
Name………………………………………………..	Name…………………………………………………..…
Position…………………………………………….	Position……………………………………………………
	Address (INCLUDING POST CODE)…………………	Address (INCLUDING POST CODE)………………………
	……………………………………………………………………………………………………………………………
………………………………………………...…………………………………………………………………………..
…………………………………………………………………………………………………………………………….

Tel no………………………………………………...	Tel no…………………………………………………….
(INCLUDING NATIONAL/AREA CODE)	 (INCLUDING NATIONAL /AREA CODE)
Fax no……………………………………………….	Fax no…………………………………………………………...

(INCLUDING NATIONAL/AREA CODE)	(INCLUDING NATIONAL/AREA CODE)

E-mail……………………………………………	E-mail…………………………………………………………...

Letters from the above two referees are enclosed or  will be sent directly to the University by the referees

E. Proposed Study

20a. How do you intend to study?  Complete either section (i) or section (ii) below:

	(i) Taught degree programme:	MSc/MBA/MMus/MTh/MSW/MTeach/Other (please specify)…………………
    	
	Name of degree programme?…………………………………………………………………………………………
	(Please refer to the Postgraduate Prospectus for a list of all taught degree programmes)

(ii)	Research degree programme:  MSc/MTh by Research        MPhil            PhD         Other (please specify)

	In which School?……………………………………………………………………………………………………….
	
	In which College?……………………………………………………………………………………………………….

20b.Method of study:  Full-time          Part-time         Distance learning (only available for specified programmes)

20c.Proposed start date:  Month ………………………Year………………………………………………………………          

20d.Are you a member of staff of The University of Edinburgh? 					 YES  NO

20e.Are you a member of staff of another university?						 YES  NO

20f.Do you wish to be registered as a visiting (ie non-graduating) postgraduate student? YES (Please tick if applicable)

21. Proposed field of study (see note 21)………………………………………………………………………………………………
………………………………………………………………………………………………………………………………...
………………………………………………………………………………………………………………………………...
………………………………………………………………………………………………………………………………...

22. How did you learn about the degree programme? (see note 22)…………………………………………………….………
………………………………………………………………………………………………………………………………...
………………………………………………………………………………………………………………………………...
……………………………………………………………………………………………………………………………………………...23. Please give the names of any academic members of staff of the University with whom you have discussed your application…………………………………………………………………

24. Are you applying to other universities: if so, which?

	University………………………………………………………………	Degree programme…………………………………….

	University………………………………………………………………	Degree programme…………………………………….

F. Financial Arrangements

25. a. What scholarships or other financial support have you already secured for your studies? (see note 24)
	SOURCE (NAME AND FULL ADDRESS) 	ANNUAL AMOUNT 	FOR HOW MANY YEARS
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………………………………..…

	b. What applications for scholarships or other financial assistance have you made or do you intend to make?
	SOURCE (NAME AND FULL ADDRESS) 	ANNUAL AMOUNT 	FOR HOW MANY YEARS
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………………………………..…
	c. In the event that no financial assistance is available, are you able to finance yourself privately?
	SOURCE (NAME AND FULL ADDRESS) 	ANNUAL AMOUNT 	FOR HOW MANY YEARS
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………………………………..…
………………………………………………………………………………………………….……

Note: Acceptance for postgraduate study does NOT imply the provision of financial assistance by the University.
You must make your own financial arrangements and you will need to provide evidence of the source from which your fees will be paid before you can matriculate.

G. Declaration

I confirm that, to the best of my knowledge and belief, the information given in this application is complete and accurate and that I have completed this form personally. I undertake to supply any further information which may be required and to inform the University of any change in the information given. I understand that if I have made a false or misleading statement or have omitted significant information, the University may amend or withdraw any offer or terminate my matriculation. I understand that, unless I am awarded a University of Edinburgh Scholarship, the University accepts no responsibility for my financial support. 

Applicant’s signature………………………………………………………………	Date…………………………………

Please reconfirm your current email address………………………………………………………….………………

For completion by the Head of School and return to College Office.  Please complete as appropriate

For Official Use Only
Recommendation by Head of School

Admission

	Accept for PhD or for MPhil* 
	(*delete as appropriate)		Accept for MSc/Dip by Research or
	MTh/Dip by Research	
	
	Field of study……………………………………..
	……………………………………………………		
	Field of study……………………………………..
	……………………………………………………	
		
	Accept for MSc/Dip by Research or
	MTh/Dip by Research 		Accept for taught masters degree
	Degree title:	
	Field of study……………………………………..
	……………………………………………………			Accept as visiting (ie non-graduating) 	postgraduate student:
	 Research 	Taught
	
	Field of study…………………………………..

Programme of Study Code 
(For a full list of current Codes please see http://www.registry.ed.ac.uk/matriculation/staff.htm)

Will the proposed programme of study involve work with children or vulnerable adults?    Yes     No 

Date of admission……………………..	Period of study……………	months	 Full-time OR  Part-time

-	SUPERVISORS 	NAME 	SCHOOL (ASSOCIATED INSTITUTION, ETC )
	Principal supervisor/programme director……………………………………………………………………………...
	Assistant supervisor……………………………………………………………………………………………………...
	Assistant supervisor……………………………………………………………………………………………………...
	Overseas supervisor (if applicable)………………………………………………………………………………………
-	TERMS OF ADMISSIONS/ CONDITIONS TO BE MET
	Academic……………	……………………………………………………………………………………………...
	Non-academic, eg English Language……….……………………………………………………………………..
	Prescribed courses …………………………………………………………………………………………...

-	ASSOCIATED INSTITUTION	Institution	Facilities Required	
a. 	Complete this section if
	applicant requires access to
	facilities at an Associated
	Institution.

			

b.	Indicate approximate proportion of study time the applicant will be required to spend at the Associated Institution
	             ……………………………………………………………………………………………………………………………………………….
-	OTHER PARTICULARS
Complete as appropriate (eg if candidate will need access to other facilities not available in the University other than those described in a. above).Completion of this section may require consultation with the Disability Office as appropriate……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
.
Leave of absence required (if expected at this time). State period, place and reason

Is home and away registration recommended?…………………………………………………………………………...
Annual research costs contribution (research degrees).  If research costs will be waived, write NIL 	£………….
Annual programme costs (masters degrees)	£………….
Compulsory fieldwork costs (masters programmes)	£………….

Signature…………………………………………………………………          Date…………………………………….
Rejection

Rejection

If the recommendation is to reject the application, the reasons should be stated briefly below.