Reference Request Page 2

Admissions

Statement from Referee:

Number of years that you have known the applicant: _______________________________________________

In what capacity: ___________________________________________________________________________

Please write your opinion on the academic ability of the applicant and suitability for the programme they have

applied for in the following space:

Name of Referee _________________________________ Signature _________________________________

Position held _____________________________________ Date _____________________________________

Organisation/Institution Name and Address ___________________________

Official stamp of

institution or attach a

______________________________________________________________

business card

______________________________________________________________

Telephone number: ______________________________________________

Fax number ____________________________________________________

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Parent category: Business