China Europe International Business School (CEIBS) Advanced Management Programme (AMP) Registration Form Application Checklist Copies of academic certificates One letter of recommendation Two recent ID-size photographs A current CV Fields marked are compulsory 1. Personal Information Dr. Mr. Mrs. Ms. Last Name First Name Date of birth Place of birth Country Nationality 2. Permanent Address Street P.O. Box Town/City Post code Country Home phone Mobile phone Fax E-mail (must be valid until program start) 3. Business Address Company Name Job Title Street P.O. Box Town/City Post Code Country Home Phone Mobile Phone Fax E-mail (must be valid until program start) 4.Source of Funding Percentage funding by company % Percentage funding by self % Percentage funding by other sources % Statement of Accuracy: I hereby certify that the information contained in this application is complete and correct to the best of my knowledge. Date: Applicant's signature (Please provide your full name): * Please keep us informed, should your contact information change during the application process. How would you prefer us to communicate with you? By post By e-mail By telephone Submit