Personal Reference Form
Board of Graduate Studies
(1) To be completed by the applicant
Programme of study or rearch area
Department
Application Number (if already available )
Applicant’s Name Last (family) First (personal)
Title
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(Mr/Mrs/Miss/Dr etc)
Contact Details Email
Telephone
Date of Birth
DD MM YYYY
Sex Male Female
Applicant’s Signature
Signature
Date (DD/MM/YYYY)
(2) To be completed by the referee Referee’s Name Name
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Position
Institution Institution Name
Referee’s Contact Details
Email Telephone
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How long have you known the applicant? In what context do you know him/her?
(3) Asssment
Plea give below your candid asssment of the applicant’s personal and social qualities, achievements, future plans and any other
factors relevant to the application for awards from the Trusts. The Trustees are looking for applicants with outstanding academic records but also with personal qualities that mark them out as potential le爱心结
aders capable of making significant contributions to
ios怎么退款society. The Trustees attach the greatest importance to the personal reference, warmly thank referees in advance for their help and apologi that the number of applications prevents them from acknowledging receipt of this reference.香港宝莲禅寺
How highly, by the most stringent worldwide standard, would you rate the applicant for an award from the Cambridge Trusts, bearing in mind the strength of the competition?
Are the applicant’s qualifications appropriate for the cour of graduate study or rearch at Cambridge, and in what ways will the propod study be relevant to the need of the applicant’s country?
(4) Reference
Plea give below your asssment of the applicant’s leadership potential and commitment to improving the lives of others. Plea attach a parate letter if necessary.
(5) DECLARATION AND DATA PROTECTION
DATA PROTECTION ACT (1998): Plea indicate, by ticking one of the boxes below, whether or not you agree to this reference being relead to the person in respect of whom it is written, should that person ek its disclosure. If you do not indicate a preference below, we will assume that you do not agree to the disclosure of your reference if the person concerned eks its disclosure. Plea note that there might be circumstances under which the University would be required to make a disclosure irrespective of your wishes. In such a ca, your name would not be disclod. However, the University will treat your reference in strict confidence insofar as the law permits.
I DO NOT agree to the relea of this reference if the person concerned eks disclosure
I agree to the relea of this reference if the person concerned eks disclosure
I confirm that the information given above and on the appended reference letter is accurate to the best of my knowledge and understand
that the University of Cambridge may refu admission if it discovers that any information given has been falsified or is inaccurate.
Referee’s Signature Date (DD/MM/YYYY) (6) DELIVERY:
To deliver, plea:
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1) Enclo one copy of the personal reference in a SEALED envelope.
2) Sign your name across the al and cover it with clear tape.
3) Clearly write “PERSONAL REFERENCE ON BEHALF OF [CANDIDATE’S NAME]” on the front of the envelope.
4) Return the envelope to the applicant. Plea do not nd it direct to the University of Cambridge.
