Bursary Scheme - The Central Bank of Malta

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Central Bank of Malta - Bursary Scheme
Application Form
I. PERSONAL DATA
Applicant
Title
First Name (s)
Surname
Maiden Surname
Date of Birth (dd/mm/yyyy)
Place of Birth
Present Nationality/(ies)

Current address			Permanent address	(if different)
House Name/No.			House Name/No.
Street			Street
Town			Town
Post Code/City			Post Code/City
Country			Country

Home Phone			Mobile
Office			Fax
E-mail Address
Marital Status


II. APPLICANT'S EDUCATION AND TRAINING
Secondary Education
School Name/City/Country	From mm/yy	To mm/yy	Final certificate / diploma	Major subjects


University Education
University/Institution Name/City/Country	From mm/yy	To mm/yy	Final degrees/ diplomas/titles obtained	Major subjects



Higher Vocational Education
Institution Name/City/Country	From mm/yy	To mm/yy	Final degrees/ diplomas/titles obtained	Major subjects


Further Professional Training/Courses
Institution Name/City/Country	From mm/yy	To mm/yy	Courses Taken	Certificate awarded/ Titles obtained



Masters/Ph D/doctoral thesis and publications
Masters thesis		Expected date
Ph D/doctoral thesis		Expected date
Title
Please list any other publications

Research Projects being undertaken

Aims of future career

Please indicate your level of knowledge of English

Reading:

Writing:

Speaking:

Computer Skills (hardware, software packages, operating systems)

III/ APPLICANT'S EMPLOYMENT RECORD
Current or most recent employer
Employer Name	Employer Address	Exact title of your position and place of work	From mm/yy	To mm/yy


Description of Duties & Responsibilities

Referees

Please give the names of two persons who are not related to you, who are familiar with your personal and/or professional skills and from whom we could ask for testimonials directly (such as character reference, professional experience, standard of qualifications, etc)
Name/Function	Address	Tel/Fax	Email

Please press Submit button to submit your application.

The Bank guarantees that any personal data processed within this form shall be in accordance with the requirements of the Data Protection Act (Cap 440).