GSB APPLICATION INFORMATION DOCUMENT

Please note: The following is mandatory additional information to be completed for all UCT GSB Programmes

A signed hard copy of this document needs to be included with the certified documents to be couriered or hand-delivered to the GSB.

Submissions sent via email will not be accepted.

Postal Address: Contact details:

GSB Admissions Call Centre:

Graduate School of Business +27 86 082 8472

University of Cape Town

Breakwater Campus Admissions:

Portswood Road +27 21 406 1491/1175

Green Point +27 21 406 1338/9

Cape Town 8001

South Africa Website: www.gsb.uct.ac.za

We would be grateful if you could help us with our marketing by answering this section.

WHERE DID YOU HEAR ABOUT THE PROGRAMME?

Please select:

Other (Please specify):

PROGRAMME SELECTION

Select the applicable programme:

Please indicate the year for which you are applying:

PERSONAL DATA

Applicant Number (if applicable):

Surname:

Given Names:

Name by which you are normally known:

Address to which all correspondence should be sent:

Telephone No (Home): Telephone No (Work):

Fax No (Home): Fax No (Work):

Email: Mobile Number: 1.

EMPLOYMENT PROFILE

Have you enclosed your full CV?

Present employer/organisation:

Postal address of employer:

Your current position:

Your current annual salary package:

Number of years’ fulltime work experience:

Number of years’ experience in a managerial capacity:

JOB FUNCTION

Please select:

Other (please specify):

COMPANY SECTOR

Please select:

Other (Please specify):

FINANCIAL CONSIDERATIONS

Have you discussed your attendance on the programme with your organisation?

Is your company sponsoring you?

Company sponsor contact person

Contact person email address

Contact person phone number

Have you discussed with your employer the time and financial requirements for the programme?

If not, please give details of how you propose to pay for the programme and support yourself for the duration of the course:

Have you applied for any UCT GSB funding?

Indicate the funding applied for

Are you obliged to return to the organisation and if so, on what basis?

EMBA only: Is your organisation prepared to provide you with facilities and/or access to undertake an in-house consulting project during the final year of the programme?

2.

EDUCATION PROFILE

Please ensure that all certified copies of University degree certificates and full transcripts, or proof of

qualifications from other establishments, are enclosed with this application pack or forwarded as soon as possible.

Major field of study at University

List your highest qualification in chronological order:

Institution and Location Dates of attendance Degree/Qualification Year Received

To

To

TESTS AND ASSESSMENTS

MBA

All MBA applicants are required to write the GMAT (www.mba.com) and it is recommended that you do this as early as possible prior to the application deadline.

MBA applicants; have you already taken the GMAT?

If yes, have you enclosed your results with this application?

If no, please provide the GMAT booking date:

EMBA

EMBA applicants; please complete either option 1 or 2, depending on your chosen assessment route.

EMBA OPTION 1. GMAT

EMBA applicants; have you already taken the GMAT?

If yes, have you enclosed your results with this application?

If no, please provide the GMAT booking date:

EMBA OPTION 2. MCPA and NBT

EMBA applicants; have you already completed the MCPA?

If no, please provide the MCPA assessment date:

EMBA applicants; have you already completed the NBT?

If no, please provide the NBT booking date:

PGDip in Management Practice

Only those PGDip applicants applying via RPL are required to write the NBT. In certain cases, the GSB

Admissions reserves the right to waive the NBT requirement.

PGDip applicants; have you already completed the NBT?

If no, please provide the NBT booking date: 3.

CONFIDENTIAL EVALUATOR’S FORMS

Please list your chosen evaluators (except MPhil):

Evaluator 1: Evaluator 2:

Company: Company: Position in Company: Position in Company: Telephone: Telephone:

Mobile No: Mobile No:

Email Address: Email Address:

STATEMENT OF INTEGRITY

I hereby certify that I have provided accurate information in this application. I authorise all persons or entities to provide any relevant information in their possession to the University of Cape Town or its agent for use in considering me for admission or verifying my credentials for admission, and I expressly waive any required notice to me. I understand and agree that any misrepresentation or omission of facts in my application will justify the denial of admission, the cancellation of admission, or expulsion. This application is my own, honest statement to the Admissions Committee.

Signature: Date:

CHECKLIST

Please do not send your GSB application documents directly to the University of Cape Town. This will delay your application process considerably. Before couriering your application pack, please ensure all the items listed below have been submitted:

The UCT online application

The GSB Application Information Document

Enclosed a full CV

Enclosed a full academic record (certified copies). Not applicable for UCT graduates.

Enclosed GMAT score (If applicable)

Enclosed 3 completed motivations

Enclosed proof of payment of Application Fee (See details below)

Enclosed a copy of an Identity Document (certified copy)

If a foreign applicant:

All items listed above, as well as those listed below are applicable for international applicants:

Enclosed certified English translations of supporting documents

Enclosed the TOEFL score (if applicable)

Enclosed a certified copy of passport

Application Fee Payment Methods:

1. Direct deposit at any branch of Standard Bank.

2. Internet banking direct transfer.3. Telegraphic or wire transfer (from outside South Africa).

4. Debit and credit card payments (we do not accept American Express or Diners Cards).

Banking Details:

Beneficiary: University of Cape Town – GSB Account No 9 Bank: Standard Bank SA Ltd

Branch: Rondebosch, Western Cape Branch Code: 025009

Account No: 072953004 Swift Code for international payments: SBZAZAJJ

GSB Reference Format: GSB/ Surname/ FirstName 4.

Source: [Please select:]Source other: Source programme: [Please select:]Resource Year: Source student number: Source surname: Source Names: Source known as: Source address: Source telephone (h): Source telephone (w): Source fax (h): Source Fax (w): Source email: Mobile number: Source CV: [Please select:]Source employer: Employer address: Current position: Salary package: Work experience: Management Experience: Job function: [Please select:]Source other (2): Company sector: [Please select: ]Other (sector): Attendance: [Please select:]Company Sponsoring?: [Please select:]Company sponsor contact person: Company sponsor contact email: Company sponsor contact phone: Financial requirements: [Please select:]Payment details: [Please select:]Applied for GSB Funding?: [Please select:]Funding Application: [Please select:]Work obligation: Project support: [Please select:]Major field of study: Institution 1: From date 1: To date 1: Qualification 1: Year received 1: Institution 2: From date 2: To date 2: Qualification 2: Year received 2: Have you already taken the GMAT?: [Please select:]Have you enclosed your GMAT results?: [Please select:]GMAT booking date: EMBA GMAT: [Please select:]EMBA GMAT Results: [Please select:]EMBA GMAT date: MCPA: [Please select:]MCPA Date: EMBA NBT: [Please select:]MCPA NBT Date: PGDip NBT: [Please select:]PGDip NBT Date: Evaluator 1 name: Evaluator 1 company: Evaluator 1 position: Evaluator 1 telephone: Evaluator 1 mobile: Evaluator 1 email: Evaluator 2 name: Evaluator 2 company: Evaluator 2 position: Evaluator 2 telephone: Evaluator 2 mobile: Evaluator 2 email: Signature: Date: UCTOnline: [Please select:]GSBAID: [Please select:]CV: [Please select:]Academic Records: [Please select:]GMAT Score: [Please select:]Motivations: [Please select:]POP: [Please select:]ID: [Please select:]English Translations: [Please select:]TOEFL: [Please select:]Passport: [Please select:]Save to computer: