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Personal Details:

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Title: *

Surname: *

First Names:*

Date of Birth:*

must be this format: (dd/mm/yyyy) e.g. 13/08/1978

Nationality:*

Passport No:

Address: * (This address will be used for all communications)
* (Correspondence or Agent Address)

Country: *

Permanent Address: (Only if different than above)

Country: (Only if different than above)

Tel: Mobile:

Email:* Fax:

Visa Status:*
I am currently residing in the UK, do not require visa or have a valid visa
I am not currently residing in the UK, need to apply visa from my home country

Course Details:

Course:*

Would you like to study Pre-Course English Language before your Degree or Masters course?
YesNo This is only suitable for Degree and Master course will start every April, June and September. Separate £950 applies.

Study Mode:* Full-Time Part-Time
If you require student visa to study in the UK, you can only apply for full-time courses.

Your IELTS/TOEFL score: (if any) English proficiency requirement (For more information on acceptable English proficiency level please click here)

Commencement: * June 2011 July 2011 Sept 2011 Jan 2012
Degree & Masters courses will only start in Sept, Jan & July sessions.

Previous Educations:

1:	Please list all your GCSEs or equivalent qualifications here.
	Institution/Awarding Body: Started: Finished: Qualification: Grade/Mark Obtained:

2:	Please list all A and AS-Levels or equivalent qualifications here.
	Institution/Awarding Body: Started: Finished: Qualification: Grade/Mark obtained:

3:	Enter other qualifications.
	Institution/Awarding Body: Started: Finished: Qualification: Grade obtained:

Employment History: (The most recent)

1:	Employer: Position held: Started: Finished:

2:	Employer: Position held: Started: Finished:

References:
Please give the name and address of two referees. Ideally these should include your current employer and an academic referee.

1:

2:

Personal Statement: * (Personal Statement is a mandatory field and should answer the following questions.)

Why have you chosen this institution and the course?

What do you intend to do once you have completed the course with us?

Have you previously been refused a visa or entry to the UK? If yes, under what circumstances?

Do you plan to bring your dependants to the UK with you? If yes, How Many?

How do you plan to fund your course fees and living costs in the UK?

Do you have any special needs such as disability, please state.

Do you have any pre-existing medical condition/pregnancy, please state.

How did you hear about us?:* (e.g. Google/Agent's Name)

Declaration: I confirm that, the best of my knowledge, the information in this form is correct. I have read the college prospectus/brochure. I understand and agree to abide by the Terms and Conditions set out there which I accept as conditions of this application. * I Agree