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Student Information Form

Personal details

First Name

Family Name

Gender

Date of Birth

Nationality

Country of Birth

Contact Number

Permanent home address (in English):

UK address including post code (if available):

Immigration Details (for student who has/had studied in UK before)

Date of first entry to the UK

Date of most recent entry to the UK

Do you need Visa to stay in the UK?

If the answer is yes

What is your visa status?

When is your current visa expiry?

Have you ever been refused a visa to the UK?

Education Background

Course Title

Level of study, (eg.NQF Level, High School, Bachelor, Master)

Name of Institution and Country

Final/ Predicted Result

Current Course Modules (for students who do not have transcripts now)

Name of the course

Work/Internship experience (if available)

Job Title

Name of organisation

Address of organisation

Dates: From

Dates: To

Duties

References (One for UG, two for PG):

Choose one

Name

Position

Work Email

Phone number

Relationship to you

Name of Institution

Address of Institution

Emergency contact Details

Name

Relation

Phone number

Address (in English)

Additional Information

Student Information Form

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Office Address

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