Exact e-Synergy : Exact's e-Business oplossing

  

 


Use this form to apply for one of our programs. Mandatory fields are marked with a ! .
If you want to receive information about one of our programs please send an e-mail to the appropriate department:

MBA, MSc, EMBA or GDMBA programs: mpd@msm.nl
Executive programs and Alumni Refresher Courses: ep@msm.nl
Doctoral/PHD programs: doctoral@msm.nl

Please be sure to fill in a correct e-mail address since this address will be used for further communication. If no e-mail address is available we strongly recommend to create one using one of the (hotmail/yahoo/google) providers. If that is not an option please fill in NO@MAIL.NL on the form.

If, in the past year, you completed this online application form and you received a 5 digit number, please send an e-mail with the 5 digit number and your request/questions to the appropriate department and do not complete a new application form.
Program
Please select Program: !  
Starting Year:  

 

  
Personal
Mr./Mrs./Ms., Initials: !, 
First name, Middle name: ,
Last name (surname):  !
Date Of Birth: / / (DD/MM/YYYY Example: 3 september 1971 = > 03/09/1971)
City of Birth:  !
Country of Birth:
 
 
Correspondence Address (Mandatory, = business address for Executive Programs)
Company:  
Function:  
Type of organization:
Sector:
Address line:  !
Zip code, City: ,    !
Country: !
Phone, Fax: ,   (Country code,area code, number - example: 0031 (0)40 1234567)
Mobile Phone:
E-mail:  ! Example:MyName@MSM.com
Emergency Address
Person to be notified:
Type of relation:
Phone, Fax , (Country code,area code, number - example: 0031 (0)40 1234567)
Mobile Phone:
E-mail:
 

Educational Background (list of most important programs attended - up to three - with most recent first)

1. Educational institute/university:
Start year, End year: ,
Major
Diploma/Degree:
2. Educational institute/university:
Start year, End year: ,
Major
Diploma/Degree:
3. Educational institute/university:
Start year, End year: ,
Major
Diploma/Degree:
   
Tests taken
Gmat Score, taken (year): ,


English tests (Mandatory)

  
Relative knowledge English ==> Oral:
Relative knowledge English ==> Written:
English test taken:
Test Score, taken (year): ,
   
 

Work experience (Please list your most important work experience - up to three - with your current employer first)

1. Employer:
Start year, End year: ,
Position held
2. Employer :
Start year, End year: ,
Position held
3. Employer :
Start year, End year: ,
Position held
 
I intend to finance my studies by: !
Highest Qualification:
Total years of work experience:

Please indicate how you heard about the program:




The next two questions are mandatory.
Please use approx. 300 words per question.

Choose 'Send!' to continu your request.


Notice: In case you run into technical problems using this application form please contact MSM as follows:

MBA, MSc, EMBA or GDMBA programs: mpd@msm.nl
Executive programs and Alumni Refresher Courses: ep@msm.nl
Doctoral/PHD programs: doctoral@msm.nl

If you have any questions regarding your applications please do not hesitate to contact us:

Phone: +31-43-3870808
Fax: +31-43-3870800