References

Please provide the names of two persons (referees) from whom you are enclosing letters of recommendation. If you have
professional experience, one reference must be from your most recent employer. If you have no professional experience, both
references must be from past tutors or teachers. Both references must be from non-family members.
First Reference Second Reference
Name: Name:
Address: Address:

Profession: Profession:
Relationship to applicant: Relationship to applicant:
Tel. No: Tel. No:
Fax No: Fax No:
Email: Email:

Application Checklist
Please include the items listed below with your application. Please ensure that you enclose original or attested copies of all
documents listed. If your education was not conducted through the medium of English please enclose certified translations of Griffith College Dublin
International
all educational documentation. Please note that incomplete applications will not be processed and will be returned to the applicant.
1. Fully completed application form
2. Application fee of €50 (This fee is NOT required for students who are already resident in Ireland)
3. CV/Resume detailing your academic/work history, year-by-year, with no gaps
4. Attested copies of High School/Second Level award certificates (including transcripts detailing all grades achieved)
5. Attested copies of University/Third Level award certificates (where applicable). Provisional certificates must be provided
if award has not yet been issued. Transcripts of results for all subjects taken as part of the course must also be provided for each
year of the course
6. TOEFL/IELTS score sheets or other internationally recognised English language test scores and/or proof that education was
conducted in English (letter from School/College required)
7. Two reference letters in sealed envelopes, signed on the flap by the referee
8(a). Copy of passport pages detailing passport number, personal details, photograph, date and place of issuance and all visa stamps
8(b). Students resident in Ireland are required to bring the following additional items to the International Office with their
application documentation:
(i) GNIB Card (“Green Card”) (ii) Passport These items will be copied for GCD records and will not be retained by the College Application Form
(iii) Letter from language school or institution where you are currently studying stating when you started this course, when you
are due to complete the course and your attendance level on the course

Declaration
I certify that the information given in this application form is correct and I hereby undertake to comply with all regulations of
Griffith College Dublin. I also accept that Griffith College Dublin reserves the right to change any of the details and/or validation
bodies given in any of its course brochures and that the availability of the course for which I have applied is dependent on student
demand. I understand that if English is not my native language I will be required to sit an English language examination, on a date
to be decided by GCD, prior to entry onto my chosen programme.
I understand that if my English language level is not of a sufficient standard for entry onto my chosen programme, I will be redirected
to an English language or Foundation course at GCD. I understand that the charges for these classes are separate from the original
course fee.
I understand that course fees are non-refundable except in the case of a visa refusal on appeal, in which circumstances the fees will
be refunded less an administration fee.

Signature: Date: (DD/MM/YY) / /

For Office Use Only

Agent: GCD Ref: Ireland Abroad

Submitting your application

Upon completion please return this form with all of the supporting documentation listed in
the Application Checklist to: Griffith College Dublin
The International Office, Griffith College Dublin, South Circular Road, Dublin 8, Ireland. Griffith College Dublin [Link] Griffith College Dublin | South Circular Road | Dublin 8 | Ireland
Personal Details (PLEASE USE BLOCK CAPITALS) Educational Details - Continued

University/College Education
Title: Ms. ✔ Mr. Mrs. Other First Name(s): SAI HARENE
Name of University/College:
Family Name: RAMESH
Address:
Date of Birth:(DD/MM/YY) 21/11/2005
/ / Nationality: INDIAN
Home Country Address: P NO. 1, DHANALAKSHMI STREET EXTN, POSTAL NAGAR, NEMILICHERY, CHROMEPET,
TAMIL NADU- 600044 Course Title/Award:
Awarding Body:
Home Country Telephone No: +91 6380207462
rameshsaiharene@[Link] Attended From: (DD/MM/YY) / / Attended Until: (DD/MM/YY) / /
Email Address:
Date of Final Examinations: / / Overall Grade %
Correspondence Address:
(If different from above)

Additional/Postgraduate Qualifications
Passport No: W4710807 Date of Expiry:(DD/MM/YY) 16/09/2032
/ /
Name of University/College:
Place of Issue: CHENNAI Date of Issue:(DD/MM/YY) 17/09/2022
/ /
Address:
Parent/Guardian/Next-of-Kin Contact Details:
Name:
Course Title/Award:
Address:
Awarding Body:
Attended From: (DD/MM/YY) / / Attended Until: (DD/MM/YY) / /
Telephone No:
Date of Final Examinations: / / Overall Grade %
Are you currently resident in Ireland? Yes No ✔ (If yes, please see item 8(b) on Application Checklist)

Address in Ireland:
How did you first hear about GCD?
Telephone No. in Ireland: Mobile No. in Ireland: Website/Internet Irish Newspaper
GNIB No. in Ireland: Date of Issue:(DD/MM/YY) / / Date of Expiry: / / Agent/Representative in your Home Country Friend/Family
Agent/Representative in Ireland Former Student of GCD
Courses Applying for: 1) MSc in Pharmaceutical Quality Systems Validation and Technology
Please consult the GCD Prospectus Newspaper in your Home Country Other (Please Specify):
2) MSc In Pharmaceutical Business and Technology

Educational Details - Please see Application Checklist on the back page for a list of the supporting documentation required Statement of Purpose
English Language - (PLEASE USE BLOCK CAPITALS)
Is English your first language? Yes No ✔ Please write a short paragraph about yourself in the space provided below. Please write clearly and accurately in block capitals.
Your Statement of Purpose should include the following:
If not, please indicate any internationally recognised English language tests you have taken and the scores obtained. Please include
a certified copy of these certificates with your application. 1) Reasons why you have chosen to study at GCD 4) Details of any relevant work or professional experience
TOEFL (paper/computer/internet) Score obtained 2) Reasons for your choice of course 5) Your future career plans
3) Why you wish to study in Ireland
IELTS Score obtained
TOEIC Score obtained
Cambridge Score obtained
✔ Other (Please Specify) DET Score obtained 115

High School/Second Level Education

School Name: ROSILY MHSS CHITLAPAKKAM
Address: TAMIL NADU, INDIA

Attended From: (DD/MM/YY) 04/04/2022

/ / Attended Until: (DD/MM/YY) 20/03/2023
/ /

Examinations Taken
Exam. 1) 10th Exam. 2) 12th
Exam. Date: (DD/MM/YY) 29/03/2021
/ / Exam. Date: (DD/MM/YY) 20/03/2023
/ /
Awarding Body: STATE BOARD OF SCHOOL EXAMINATION, TAMIL NADU
Awarding Body: STATE BOARD OF SCHOOL EXAMINATION, TAMIL NADU
(Please attach additional sheet to this application form should you require more writing space)
Personal Details (PLEASE USE BLOCK CAPITALS) Educational Details - Continued

University/College Education
Title: Ms. Mr. Mrs. Other First Name(s):
Name of University/College: Bharath Institute Of Higher Education & Research
Family Name:
Address: TAMIL NADU, INDIA
Date of Birth:(DD/MM/YY) / / Nationality:
Home Country Address:
Course Title/Award: Bachelor of Science ([Link].) in Biotechnology - PURSUING
Awarding Body: Bharath Institute Of Higher Education & Research
Home Country Telephone No:
Attended From: (DD/MM/YY) 2023 / / Attended Until: (DD/MM/YY) 2026 / /
Email Address:
Date of Final Examinations: / / Overall Grade % Pursuing
Correspondence Address:
(If different from above)

Additional/Postgraduate Qualifications
Passport No: Date of Expiry:(DD/MM/YY) / /
Name of University/College:
Place of Issue: Date of Issue:(DD/MM/YY) / /
Address:
Parent/Guardian/Next-of-Kin Contact Details:
Name:
Course Title/Award:
Address:
Awarding Body:
Attended From: (DD/MM/YY) / / Attended Until: (DD/MM/YY) / /
Telephone No:
Date of Final Examinations: / / Overall Grade %
Are you currently resident in Ireland? Yes No (If yes, please see item 8(b) on Application Checklist)

Address in Ireland:
How did you first hear about GCD?
Telephone No. in Ireland: Mobile No. in Ireland: Website/Internet Irish Newspaper
GNIB No. in Ireland: Date of Issue:(DD/MM/YY) / / Date of Expiry: / / Agent/Representative in your Home Country Friend/Family
Agent/Representative in Ireland Former Student of GCD
Courses Applying for: 1) International Agent
Please consult the GCD Prospectus Newspaper in your Home Country ✔ Other (Please Specify):
2)

Educational Details - Please see Application Checklist on the back page for a list of the supporting documentation required Statement of Purpose
English Language - (PLEASE USE BLOCK CAPITALS)
Is English your first language? Yes No Please write a short paragraph about yourself in the space provided below. Please write clearly and accurately in block capitals.
Your Statement of Purpose should include the following:
If not, please indicate any internationally recognised English language tests you have taken and the scores obtained. Please include
a certified copy of these certificates with your application. 1) Reasons why you have chosen to study at GCD 4) Details of any relevant work or professional experience
TOEFL (paper/computer/internet) Score obtained 2) Reasons for your choice of course 5) Your future career plans
3) Why you wish to study in Ireland
IELTS Score obtained
TOEIC Score obtained
Cambridge Score obtained
Other (Please Specify) Score obtained

High School/Second Level Education

School Name:
Address:

Attended From: (DD/MM/YY) / / Attended Until: (DD/MM/YY) / /

Examinations Taken
Exam. 1) Exam. 2)
Exam. Date: (DD/MM/YY) / / Exam. Date: (DD/MM/YY) / /
Awarding Body: Awarding Body:
(Please attach additional sheet to this application form should you require more writing space)
References
Please provide the names of two persons (referees) from whom you are enclosing letters of recommendation. If you have
professional experience, one reference must be from your most recent employer. If you have no professional experience, both
references must be from past tutors or teachers. Both references must be from non-family members.
First Reference Second Reference
Name: Name:
Address: Address:

Profession: Profession:
Relationship to applicant: Relationship to applicant:
Tel. No: Tel. No:
Fax No: Fax No:
Email: Email:

Application Checklist
Please include the items listed below with your application. Please ensure that you enclose original or attested copies of all
documents listed. If your education was not conducted through the medium of English please enclose certified translations of Griffith College Dublin
International
all educational documentation. Please note that incomplete applications will not be processed and will be returned to the applicant.
1. Fully completed application form
2. Application fee of €50 (This fee is NOT required for students who are already resident in Ireland)
3. CV/Resume detailing your academic/work history, year-by-year, with no gaps
4. Attested copies of High School/Second Level award certificates (including transcripts detailing all grades achieved)
5. Attested copies of University/Third Level award certificates (where applicable). Provisional certificates must be provided
if award has not yet been issued. Transcripts of results for all subjects taken as part of the course must also be provided for each
year of the course
6. TOEFL/IELTS score sheets or other internationally recognised English language test scores and/or proof that education was
conducted in English (letter from School/College required)
7. Two reference letters in sealed envelopes, signed on the flap by the referee
8(a). Copy of passport pages detailing passport number, personal details, photograph, date and place of issuance and all visa stamps
8(b). Students resident in Ireland are required to bring the following additional items to the International Office with their
application documentation:
(i) GNIB Card (“Green Card”) (ii) Passport These items will be copied for GCD records and will not be retained by the College Application Form
(iii) Letter from language school or institution where you are currently studying stating when you started this course, when you
are due to complete the course and your attendance level on the course

Declaration
I certify that the information given in this application form is correct and I hereby undertake to comply with all regulations of
Griffith College Dublin. I also accept that Griffith College Dublin reserves the right to change any of the details and/or validation
bodies given in any of its course brochures and that the availability of the course for which I have applied is dependent on student
demand. I understand that if English is not my native language I will be required to sit an English language examination, on a date
to be decided by GCD, prior to entry onto my chosen programme.
I understand that if my English language level is not of a sufficient standard for entry onto my chosen programme, I will be redirected
to an English language or Foundation course at GCD. I understand that the charges for these classes are separate from the original
course fee.
I understand that course fees are non-refundable except in the case of a visa refusal on appeal, in which circumstances the fees will
be refunded less an administration fee.
SAI HARENE RAMESH 24/03/2026
Signature: Date: (DD/MM/YY) / /

For Office Use Only

Agent: GCD Ref: Ireland Abroad

Submitting your application

Upon completion please return this form with all of the supporting documentation listed in
the Application Checklist to: Griffith College Dublin
The International Office, Griffith College Dublin, South Circular Road, Dublin 8, Ireland. Griffith College Dublin [Link] Griffith College Dublin | South Circular Road | Dublin 8 | Ireland
 Applicant Immigration History Form
✔
1. Have you ever applied / refused by any Country OR Countries Yes / No

2. If YES, which visa category you had applied Study / Tourist / Other

If other please mention _____________________________________________________

3. If YES, which country you had applied _____________________________________

4. Reason of Refusal_______________________________________________________________________________________
_________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

5. Have you submitted your refusal letter with this Admission Application Yes / No

6. If NO please explain why?

_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

I solemnly declare that the above mentioned information is true and best of my knowledge. If the
college found any false information submitted by me to the college. The college has the right to
cancel my admission at any stage and forfeit any deposits I have made to the college.

24/03/2026
Date______________________

Applicant Signature
SAI HARENE RAMESH
Applicant Full Name: __________________________________
21/11/2005
Date of Birth: __________________________________________
W4710807
Passport No.: __________________________________________