Application Ref. No ENROLMENT FORM (1)PERSONAL DETAILS: Title (Mr. Ms. Mrs) _____________________________________________ Surname: _____________________________________________ First Name (s): _____________________________________________ Date of Birth: __________________ Sex: M F Nationality: _____________________________________________ Passport No./ NIRC No.: ______________________ Marital Status: __________ Correspondence Address ______________________________________________________________ ______________________________________________________________ Telephone No. (s) ______________________ Facsimile No. (s): ________________________ Handphone: ______________________ _________________________________ Permanent Address (if different from the above): Name and Address of Company: Profession: Programme: MBA Comprehensive & Practical Model (100% On-line) offered by Pebble Hills University, Ca., USA How did this MBA programmes come to your notice? ______________________________________ Payment Method Scheme: (tick one) Full Payment Route Modular Payment Route ______________________________________________________________ MASTER OF BUSINESS ADMINISTRATION

(2) ACADEMIC RECORDS: a) Please list all past schools, colleges and universities attended, professional qualification or other qualifications with the most recent first. b) Please attach all necessary documents especially transcripts (copies only). c) Use additional sheets if necessary. Give details of all current examinations and/ or courses you are taking.

(3) CAREER HISTORY A: WORK EXPERIENCE 1) Please give details of your employment history, with the most recent first. 2) Please attach certificate of employment and description of job duties for each job title. 3) Use additional sheets if necessary. B. FIELD EXPERIENCE 1) Please give details of the training, seminars, talk, symposiums, community service and others, with the most recent first. 2) Please attach appropriate certificate. 3) Use additional sheets if necessary.

Course fee (non- refundable)* 1 copy of all relevant documents (All cheques must be made payable to “TNI Consultancy” and crossed “A/c Payee”) (4) ENCLOSURES DISCLAIMER Training Provider TNI Consultancy (TNI) is an independent, self- financing and do not come under the jurisdiction of any government body. Quality Assurance All assignments (if any) are verified by an PHU’s verifier whose role is to ensure that the minimum standards are met. Accreditation TNI is affiliated to PHU and is authorised to offer their various MBA /DBA degree courses to all working adults who meet their qualification criterias. The Programmes TNI with its partnership status with PHU, offers working adults an excellent opportunity to become MBA/DBA degree holders through flexible work- based on-line distance learning modules. Recognition Pebble Hills University is accredited by International Accreditation Organization (IAO) for achievement of highest standards in Organizational Management, Business Management and Business Performance through a commitment to quality and continuous improvement in Education. IAO is associated with world's leading and nationally recognized quality assurance agencies worldwide for betterment of educational standards. Some of the current IAO partners are : Department of Adult & Higher Education, Ministry of Education (Bhutan), The National Commission for University Evaluation and Accreditation (Argentina), The National Higher Education Accreditation (Costa Rica), The Accreditation and Quality Assurance Commission (Palestine), The Agency for Development of Higher Education and Quality Assurance (Bosnia and Herzegovina), Accreditacion Agencia (Chile), The Quality Assurance & Accreditation Council (Sri Lanka), Public Agency for accreditation of Higher Education (Albania), Center for Quality Assurance and Accreditation for HEI (Libya) and Higher Education Quality Evaluation Centre (Latvia), etc. International Education Accreditation Commission recognizes IAO's accreditation standards. Non- refundable Policy The course fees are not refundable for any reason(s) whatsoever..

DECLARATION I,__________________________________________, NIRC No. ________________________________ have read and fully understood all the information contained herein and do hereby fully agree to covenant with TNI with full knowledge, and confirm that all information given on this form is complete and correct. I also agree to:- i) Abide by TNI consultancy’s Policies, Rules and Regulations at all times. ii) Pay all fees as required on time. iii) Accept that TNI Consultancy reserves the right to amend or add to existing policies, fees, rules and regulations as it deems fit. iv) Accept that TNI consultancy reserves the right to revise current fees from time to time, giving one month advance notice. Signature: _______________________________________ Date: Approval Code:TNI- ILM No._______________ June 2014