Monash-Cambridge Degree Pathway Application Form Submission of form: Undergraduate students Postgraduate students In person or mail: Student Services, Faculty of Law, 15 Ancora Imparo Way, Monash University, Wellington Road, Clayton VIC 3800 Student Services, Monash University Law Chambers (MULC), 555 Lonsdale Street (Corner of Crombie Lane and Lonsdale Street), Melbourne VIC 3000 Email: 1. Login to ask.monash 2. Select the Ask a Question tab 3. Choose Student Administration from the Category drop-down list 4. Type or copy/paste the following phrase into the question field: Law Cambridge University law-pgstudents@monash.edu All sections MUST be completed otherwise your application will not be processed Section A - Personal details Student ID number Surname Given Names Date of Birth / / Title: Miss / Ms / Mr or Other - Postal Address for ______________________________________________________________________________ correspondence Postcode: ___________________________ Student email address @student.monash.au Home number Student status (tick) Mobile number International student (home country) ______________________ Domestic student Section B - Course details Course Name Course Code Course Start Date Current Year of Study Expected completion date Course Status (circle) Please insert year you intend on starting at Cambridge: ________ full time / part time Section C - Applicant’s Declaration On signing this application form I declare: 1. 2. 3. 4. 5. 6. That I meet all of the faculty student eligibility requirements for this pathway agreement That the information provided on this form and the information given to support my application is correct and complete I acknowledge that my application will be returned to me should it not be completed correctly That in order to avoid financial and/or academic penalties it is my responsibility to remain informed of principal dates and census dates relative to my enrolment and accept any penalties applied in the event I do not comply That I will represent Monash University in a manner that does not compromise the integrity or reputation of the University and Faculty in any way during this study I acknowledge that Monash University Faculty of Law reserves the right to vary or reverse any decision on the basis of incorrect or incomplete information. Student signature: __________________________________ Date:__________________________ All applicants will be notified by email of their approval to apply to Cambridge University PRIVACY The information on this form is collected for the primary purpose of applying for the program which includes assessment of your application and sending you related correspondence. If you choose not to complete all the questions on this form, it may not be possible for the Faculty to process your application. If you wish to access or inquire about the handling of your personal information contact the University Privacy Officer: privacyofficer@adm.monash.edu.au.