International Offshore Application Form Offshore Cohort Royal Institute of Management Bhutan – Please complete this form if you are an International Student who is applying to study a University of Canberra course with an offshore partner. * Denotes a mandatory field. Submission details can be found on page 3. Have you previously applied to the University of Canberra Yes No If yes, please provide your previous ID number * If please specify Title * * Family Name Gender * Previous Family Name * * Given Names Date of // * * Country of Citizenship Mailing Address Home Institution – * * Address Royal Institute of Management Telephone (BH) +975-2-351013/351014 * * Post Box No. 416 Web Address * * City Simtokha, Thimphu Email * Country Bhutan Residential Address - Personal * * Address Telephone (BH) * * Telephone (AH) * * City Email * * Country Postcode Please select the course that you would like to apply for. Course * Teaching Period You must provide proof of English language proficiency as per the course requirements. * Have you attached evidence of your English language proficiency? Yes No
International Offshore Application Form Offshore Cohort – Royal Institute of Management Bhutan Please complete this form if you are an International Student who is applying to study a University of Canberra course with an offshore partner. * Denotes a mandatory field. Submission details can be found on page 3. Have you previously applied to the University of Canberra Yes No If yes, please provide your previous ID number * Title If please specify * Family Name * Gender * Previous Family Name * Given Names * Date of // * Country of * Citizenship Mailing Address – Home Institution * Address Royal Institute of Management * Telephone (BH) +975-2-351013/351014 * Post Box No. 416 * Web Address * City Simtokha, Thimphu * Email * Country Bhutan Residential Address - Personal * Address * Telephone (BH) * * Telephone (AH) * City * Email * Country * Postcode Please select the course that you would like to apply for. Course * Teaching Period You must provide proof of English language proficiency as per the course requirements. * Have you attached evidence of your English language proficiency? Yes No
Offshore-Application-Form-Bhutan-2015.docx