Duly filled applications should be submitted with a receipt having paid, Rs. 1,000/- (as processing fee) to University Shroff (weekdays from 9.00am to 12.30pm & 1.30pm to 3.00pm) or with pay-in voucher worth of Rs. 1,000/- obtainable at any Bank of Ceylon branch to the credit of "University of Moratuwa - A/C No. 70993353"
Make arrangements to submit duly filled recommendations from two independent
referees as instructed in the form. (5th, 6th & 7th ,8th Pages of the application form)
Check whether you have attached the following:
1. Copies of certificates of academic qualifications. 2. Copies of certificates of membership/associate membership/graduateship of professional institutions. 3. Letter of consent from employer regarding leave / permission. (4th page of the application form) 4. Letter of sponsorship (if applicable.) 5. Pay-in voucher/receipt.
Please hand over the duly filled application form to the Department of Management of Technology, University of Moratuwa or send through Registered Post to:
MBA Administrative Officer
Department of Management of Technology Faculty of Engineering University of Moratuwa Moratuwa 10400
Closing date for applications is 21st July 2016
Please contact MBA Administrative Officer on Tel: 0112640433
Email: mbainmot@gmail.com for further information.
Important Dates Application Closing : 21st July 2016
Commencing Lectures : January 2017
UNIVERSITY OF MORATUWA FACULTY OF ENGINEERING DEPARTMENT OF MANAGEMENT OF TECHNOLOGY
Application Form for Master of Business Administration in Management of Technology - 2017
1. PERSONAL PARTICULARS Mr. Name in Full : (Write in BLOCK letters and underline surname/family name) Marital Status Mrs. Miss. Married Ms. Single .. Nationality National Identity Card No. Date of Birth Age Sri Lankan Year Month Day Other (Specify).. Home Address Office Address Contact Address
Tel/ Fax: Tel: Tel/ Fax: Mobile: E-mail: E-mail: E-mail: 2. ACADEMIC QUALIFICATIONS A. Post secondary Education From To Month / Year Month / Year School Attended Certificate / Diploma Year
B. Tertiary Education (Undergraduate and Postgraduate). Please attach copies of relevant certificates. From To Institution / University Degree/ Main Class/ Duration Month / Year Month / Year Attended, Country Subjects Rank Year (3 Year or 4 Year)
-1- C. TOEFL/GMAT Is English your mother tongue? Yes / No If No: a) What is the highest examination you have passed in English? b) Your language of instruction at the University / Professional body : c) TOFEL / IELTS Score (If available) : d) GMAT / GRE Score (If available) : D. Membership of Professional Bodies : From To Professional body Post Held / membership Status
E. List in chronological order any University scholarships, prizes or other awards received.
3. WORK EXPERIENCE Total Years of experience after graduation Total Years of experience after professional qualifications (eg. After MIE (Sri Lanka)) A. Previous Occupations (Please list jobs held last 5 years) From To Name & Address of firm / Month / Title / Position Nature of Work Month / Year Organization Year
B. Present Occupation Date of Name of Firm / Organization Title / Position Duties Joining
-2- 4. OTHER INFORMATION A. Other relevant information (Such as courses attended, research undertaken, publications etc.)
B. Do you have any physical or other disabilities which might necessitate special arrangements?
C. Source of finance for the study? Privately / Sponsored
If sponsored, please specify the sponsor:
D. Please describe briefly your reasons for wishing to study this course and how you see it fitting into your future career.
E. Are you registered for any other postgraduate course? Yes / No
If Yes give details:
F. Name, designation & address of two referees:
1. 2.
5. DECELARATION I affirm that all statements made by me on this from are correct. I understand that any inaccurate or false information (or omission of material information) will render this application invalid and that, if admitted and awarded a place on the basis of such information, my candidature can be terminated and I can also be subject to any penalty dictated by the rules of the University of Moratuwa.
Date : Signature :
Please send your application to :-
MBA Administrative Officer Department of Management of Technology Faculty of Engineering University of Moratuwa Moratuwa 10400.
Closing date for applications is 21st July 2016
Check whether you have attached the following:
1. Copies of certificates of academic qualifications. 2. Copies of certificates of membership/associate membership/graduateship of professional institutions. 3. Letter of consent from employer regarding leave / permission. 4. Letter of Sponsorship (if applicable.) 5. Pay-in voucher/receipt. -3- LETTER OF CONSENT FROM THE EMPLOYER GRANTING PERMISSION FOR STUDY
MBA Administrative Officer
Department of Management of Technology Faculty of Engineering University of Moratuwa Moratuwa 10400
Applicant for MBA in Management of Technology Programme in University of Moratuwa
I understand that Mr./Mrs./Ms./Miss:.......................................................................................... who is working at
our organisation has applied for MBA/PG Diploma Programme in the University of Moratuwa, scheduled to be commenced in January 2017.
If he/she is selected: i. I grant/do not grant permission for him/her to pursue studies during evenings of working days (from 5.30 pm -8.30 pm) and Saturdays (whole day) during the study period. ii. I grant / do not grant official leave for him/her for attending classes. iii. Our organization will/will not sponsor his/her course fees.
I recommend /do not recommend Mr./Mrs./Ms./Miss. for the above
Date :.........................................................................
-4- UNIVERSITY OF MORATUWA FACULTY OF ENGINEERING DEPARTMENT OF MANAGEMENT OF TECHNOLOGY
LETTER OF RECOMMENDATION FOR MASTER OF BUSINESS ADMINISTRATION
CONFIDENTIAL Note to candidates: Please enter your name below and forward this form to your referee requesting that it be completed and returned to: MBA Administrative Officer, Department of Management of Technology, Faculty of Engineering, University of Moratuwa, Katubedda, Moratuwa 10400, Sri Lanka.
1. Full Name of Applicant (Underline surname):
2. How long have you known the applicant and in what capacity?
3. What do you consider as his/her major talents or strengths?
4. What do you consider as his/her major liabilities or weaknesses?
5. What do you think are the applicants reasons for deciding to take this course? Do you think that these reasons are sound?
-5- 6. Please indicate how the applicant relates to the group in which you know him/her.
Quality/Skills Outstanding Very good Good Average Poor
(a) Intellectual ability
(b) Originality of work
(c) Managerial ability
(d) Technology interest
7. Does the applicant show any evidence of career, personality or emotional problems? If so please explain.
8. If you are the employer or manager of this candidate, how will this training benefit his/her future career within your organization and how will it contribute to your organization?
9. Any other comments :
Name of the Referee :
Signature :
Position :
Date :
Official address :
-6- UNIVERSITY OF MORATUWA FACULTY OF ENGINEERING DEPARTMENT OF MANAGEMENT OF TECHNOLOGY
LETTER OF RECOMMENDATION FOR MASTER OF BUSINESS ADMINISTRATION
CONFIDENTIAL Note to candidates: Please enter your name below and forward this form to your referee requesting that it be completed and returned to: MBA Administrative Officer, Department of Management of Technology, Faculty of Engineering, University of Moratuwa, Katubedda, Moratuwa 10400, Sri Lanka.
1. Full Name of Applicant (Underline surname):
2. How long have you known the applicant and in what capacity?
3. What do you consider as his/her major talents or strengths?
4. What do you consider as his/her major liabilities or weaknesses?
5. What do you think are the applicants reasons for deciding to take this course? Do you think that these reasons are sound?
-7- 6. Please indicate how the applicant relates to the group in which you know him/her.
Quality/Skills Outstanding Very good Good Average Poor
(a) Intellectual ability
(b) Originality of work
(c) Managerial ability
(d) Technology interest
7. Does the applicant show any evidence of career, personality or emotional problems? If so please explain.
8. If you are the employer or manager of this candidate, how will this training benefit his/her future career within your organization and how will it contribute to your organization?
