China Europe International Business School (CEIBS)
Advanced Management Programme (AMP)
Registration Form
Application Checklist
Copies of academic certificates
One letter of recommendation
One recent ID-size Photograph
A current CV
Fields marked * are compulsory

1. Personal Information

Dr. 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

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