Family Name
Stepan
  First Name
Ivanov
Male Female Date of Birth: Year
1975
  Month
05
  Day
14
Nationality
Russian Federation
Occupation
restaurant chef
Mailing Address
27/2 Yanvarskiy pr., apt.16
City
St.Petersburg
Postal Code
154069
  Country
Russian Federation
Home Phone
+7 812 3225808
  Work Phone
+7 812 3225809
Mobile Phone
+7 812 3225810
  E-mail
info@iqconsultancy.ru
Status: I am a new student     I have enrolled previously
EDUCATION

Укажите Ваше последнее место обучения (или настоящее место обучения, если Вы являетесь студентом на данный момент).
  College / University   Diploma / Degree   Dates
1.
Politechnical University
 
BA in International relations
 
1996-2001
2.
           
 
           
 
           
ENGLISH PROFICIENCY Since the program is taught in English, your level of English must be appropriate.

Если Вы не сдавали международных экзаменов по английскому языку - заполните только поле Your Mother Tongue.

If you have not studied your entire Degree in English or have worked for over 3 years in an English speaking environment. Please provide one of the following certificates and scores:

TOEFL Score:  
           
  (GIHE’s TOEFL testing code number is 7337)
or Cambridge First Certificate score:  
           
  or I.E.L.T.S. score  
7.0
PROFESSIONAL EXPERIENCE

Укажите Ваше последнее место работы (или настоящее место работы, если Вы работаете на данный момент).

If you have not studied your entire Degree in English or have worked for over 3 years in an English speaking environment. Please provide one of the following certificates and scores:

  Company   Position Held   Dates
1.
Restaurant "Bon Appetite"
 
cook
 
2001-2003
2.
Restaurant "Food"
 
chef
 
2003-present
IMPORTANT Please return this form duly filled in and enclose the following:
Application form duly completed,dated and signed, 2 good quality Passport Photographs, Copy of the passport, Detailed Curriculum Vitae (Resume), Study Plan (signed & dated), Post Study Plan (signed & dated) (only for Non-European Union passport holders), Official copy of a recognized English language certificate, Certified copy of latest academic transcripts, Certified copy of Degree (with official translation in English or French) , Copy of work certificate if available, Referral letter of professional or academic nature, GIHE medical certificate, Official Bank guarantee (only for Non-European Union passport holders), Letter from financial sponsor (only for European Union passport holders).

APPLICATION FEE Please debit my credit card of CHF. 100.-

Поле APPLICATION FEE не заполняется online!

Распечатайте анкету и внесите данные в поле APPLICATION FEE DETAILS от руки. Тем самым Вы даете разрешение на оплату регистрационного сбора университета в размере 100 швейцарских франков. Если по какой-либо причине Вы не хотите осуществлять платеж по кредитной карте, Вы можете сделать это банковским платежом. В этом случае Вам нужно перевести регистрационный сбор в размере 100 швейцарских франков на следующие банковские реквизиты:

Beneficiary : G.I.H.E.
Banque Cantonale Vaudoise
1001 Lausanne
Switzerland
Account No : C5006.72.77
SWIFT : BCVL CH 2L
Clearing : 767
IBAN No: CH03 0076 7000 C500 6727 7

Если Вы перечислили регистрационный сбор (100 швейцарских франков) банковским платежом, необходимо также отправить с остальным пакетом документов подтверждение платежа, предоставленное Вам банком.


Visa     Eurocard/Mastercard     American Express
Card number   
     
/
     
/
     
/
     
Expiry date   
     
/
     
Security code number
     
/
     
Name on Card:  
      
(on the back of the credit card)

PROGRAMS & ACCOMMODATION

MBA in Hospitality, Tourism and Services Industry: I would to enroll on the:

  Marketing Specialization

with Accommodation   without Accommodation   
Leadership Specialization

Other Room and Board Options:

  I would like the 5 day meal plan (only applicable for non-residential students): 1750.- frs/semester
I do not require any meals (only applicable for non-residential students)
  I would like a smoking room I would like a single room, if available, for a supplement of:
  I would like a non smoking room     CHF. 3,500.- per semester (Bulle)

Laptop Option

  I will bring my own laptop which meets the Institution’s requirements
I would like to purchase the laptop through GIHE
TERMS & CONDITIONS

Application Fee: an application fee of CHF. 100.- is required with each application form. Complete credit card information must be provided. This fee is not refundable.

Pre-payment: Upon acceptance of your application, a pre-payment of CHF. 3,000.- must be made within 30 days from the date of the acceptance letter in Swiss francs by bank transfer, cheque or credit card. This pre-payment confirms your place in the program and is deducted from the first semester’s invoice. Pre-payment is refundable if a written cancellation is posted by 15th of May.

Damage Deposit: A refundable damage deposit of CHF. 1,000.- is required to cover any damage caused to GIHE property by the student during his/her studies. It is payable at the time of the first semester invoice and is refundable 3 months after completion of the academic program.

Payments: Payments should be made in full and in Swiss francs no later than 6 weeks prior to the beginning of each semester by bank transfer, cheque or credit card. Students will not be permitted to begin their studies until payment for the semester has been received. Swiss Resident permit, academic degrees are only delivered / awarded only when all fees and charges have been paid.

Refund Policy: The tuition fees paid for each semester are non refundable. If a student is dismissed or withdraws from the program, only the fees covering the accommodation and full board are reimbursed (proportional to the number of weeks remaining in the semester). GIHE reserves the right to review and modify the tuition fees of each semester at any time and without prior notice.

Health Insurance: Accident insurance coverage is included in the tuition fees. However, health insurance is not. It is your responsibility to obtain proper coverage for the entire duration of the program. Advice can be given through the Admissions office.

Other Expenses: It is estimated that students require a minimum of CHF. 350.- / 400.- per month to finance their out-of- pocket expenses such as snacks and drinks, entertainment, personal supplies, laundry, etc.

STATEMENT I hereby confirm that I have filled in the application form correctly, have read and understood the entire content of this document, as well as the academic program leaflet and agree to comply with the financial terms and conditions.
Place and Date:
St.Petersburg, 02/01/09
  Signature:
Stepan Ivanov
Glion Institute of Higher Education - Admissions Department - Rue du Lac 118 – CH-1815 Clarens - Switzerland
Tel: +41 (021) 989 26 77 - Fax: +41 (021) 989 26 78 - E-mail: info@glion.ch - Website: www.glion.edu