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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



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