Application form

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Section 1 - Select a Course

Please note, this form is for direct applicants only. If you are applying through one of our representatives in your country, please apply through them and do not use this form.

If for any reason you want to go back to the website to check any information, just close this window. The details you have entered will be saved for the next time you load the application form.

Type of program you are studying for_*
Programme_*
Date you wish to start your course_*
Do you require English Language Preparation before your course? _*	Yes No Don't know yet
Preferred university degree choice_*

Section 2 - Student Details

Personal Details

Family name _*
Given names _*
Date of birth _*
Gender
Nationality _*
Do you have dual citizenship status? _*	Yes No
Dual or secondary country of citizenship _*
Country of birth _*
Country of residence _*
1st contact telephone/mobile _*



2nd contact telephone/mobile



Email _*
Confirm email _*
Skype Id
WeChat Id
WhatsApp Id
Subscribe _*	Select yes or no below if you would like to receive further marketing communications from us. You can unsubscribe at any time and your e-mail remains confidential. For more information please see our privacy policy Yes No
Contact preferences _*	I agree that the data provided may be shared with relevant local agents for the purpose that they can contact me to provide further information and guidance. I understand that I can withdraw my consent at any time by contacting the agent. Yes No

Address Details

Home address _*
City _*
Postcode _*
Do you currently live at this address? _*	Yes No
Current address line 1 _*
Current address line 2
Student residential city
Student residential country _*
Student residential postcode _*

Section 3 - Parent/Guardian/Emergency details

Under-18 applicants please use this section to provide information about your parent/guardian. Over-18 applicants please use this section to provide information about your emergency contact.
Family name _*
Given names _*
Relationship to student _*
Home address _*
City _*
Postcode _*
Country _*
Email _*
1st contact telephone/mobile _*
2nd contact telephone/mobile

Section 4 - Insurance and other required information

Do you have any criminal convictions? _*
If you answer "yes" you will be asked to provide a full statement of relevant facts in English

The full cost of StudyCare insurance will automatically be added to your invoice if you select it. Study Care costs £416 (€494) per year. (This price includes Insurance Premium Tax)
Do you need StudyCare? _*

Please give details of any circumstances, including allergies and any reliance on prescription medicines. Completion of this form, including acceptance of terms and conditions, gives professional staff first aiders permission to administer first aid to you if required. If you indicate you have a medical condition, disability or special need this informaiton will be passed to the student support unit at the University. Please note that consideration of how we can meet any special needs is separate from the assessment of your academic ability.
Medical/disability special needs	Characters left:

Please give details of any circumstances, including allergies and any reliance on prescription medicines. Completion of this form, including acceptance of terms and conditions, gives professional staff first aiders permission to administer first aid to you if required. If you indicate you have a medical condition, disability or special need this informaiton will be passed to the student support unit at the University. Please note that consideration of how we can meet any special needs is separate from the assessment of your academic ability.

Medical/disability special needs

Characters left:

Please read the Full Policy Terms and Conditions of Study Care insurance here and the the Status Disclosure Statement here Study Group UK Ltd (VAT number 927 5208 17) is an appointed representative of ITC Compliance Ltd which is authourised and regulated by the Financial Conduct Authority (their registration number is 313486
I confirm that I have read the Full Study Care Policy Terms and Conditions _*

Section 5 - Financial information and agreement

You need to provide proof that you are able to pay for full tuition fees, accommodation and living expenses. We will let you know if there are any scholarships and bursaries available to you but it is important that you can show you can cover the cost of your education.
Source of Funds _*
Declaration by the student, the fee payer/sponsor and parent/guardian if the student is under 18 years old Agreement by the student By checking this box I agree to the Terms and Conditions. _* Agreement by the parent or guardian By checking this box I agree to the Terms and Conditions. _* Agreement by the fee payer/financial sponsor By checking this box I agree to the Terms and Conditions. _*

You need to provide proof that you are able to pay for full tuition fees, accommodation and living expenses. We will let you know if there are any scholarships and bursaries available to you but it is important that you can show you can cover the cost of your education.

Source of Funds _*

Declaration by the student, the fee payer/sponsor and parent/guardian if the student is under 18 years old

Agreement by the student

By checking this box I agree to the Terms and Conditions. _*

Agreement by the parent or guardian

By checking this box I agree to the Terms and Conditions. _*

Agreement by the fee payer/financial sponsor

By checking this box I agree to the Terms and Conditions. _*

Section 6 - Previous education and English level

Name of School_*		Date from_*
Location_*		Date to_*
Qualifications_*

Have you previously studied in the UK?_*	Yes No
Did you require a visa?_*	Yes No
What type of visa did you have?_*
What was the visa length?
What course level was the visa for?
Have you had a previous visa refusal?_*	Yes No
What was the reason for your visa refusal?_*

If you have taken any of the tests listed, tell us the date and score.
TOEFL	Date_*	Score_*
Pearson	Date_*	Score_*
IELTS	Date_*	Score_*

If you haven't already taken an IELTS test, do you have one booked?	Yes No

Do you require residential accommodation?

Accommodation option ^*	Yes No
You will need to secure your room via an online application process (see the Accommodation pages for more information)
What type of accommodation do you require?^*

Agreement by the student or parent/guardian if student is under 18 I agree to abide by the conditions of residence. _*