Postgraduate Studies Application Form Page
   * question MUST be answered
 
 Name as on Birth Certificate : 
 Surname * :
 First Names * :
 
 Name under which Primary Degree conferred (if different from above):
 Surname:
 First Names:
 
 Date of Birth * :  /   / 
 
 Gender * :  Male Female
 
 Medical Condition/Disability/Specific Learning Difficulty * :  Yes No
 
 Address for Correspondence * : Rep. of Ireland Other Country
 
 
 
 
 
 Main Contact Number * :
 Mobile Telephone:
 Work Telephone:
 
 Country of Nationality * :
 Country of Birth * :
 Country of Residence * :

 Most recent Educational Institution Attended * :
 
Applicant's Current Status * : 
Current NUI Galway Student
Previous NUI Galway Student
Other Applicant
 
 NUI Galway Student Number (if applicable):   
 

Important note for Irish Aid Fellowship applicants
 If you are an approved Irish Aid Fellowship applicant, please enter code:  
 ICOS will arrange payment of the application fee on your behalf.
 
 Programme choices (your choices will be reviewed simultaneously):
 
 To search for programme codes, click here
  Closing Date Help

 
 Programme Code: 
 

 Programme Code: 

 

 Programme Code: 

 

 
>>>