1 Personal Details

Title (Mr/Mrs/Miss/Ms etc)

Male
Female

First

Last

Do you have any criminal convictions?

Have you received any other penalty in relation to a criminal offence; for example a caution, reprimand, warning, or similar penalties in the UK or any other country?

2 Fee Status and Immigration History

Have you ever been refused a Visa to any country?

Have you been denied entry to any country?

Have you ever overstayed any type of Visa granted to you?

Company

Visa Type

Valid From

Valid To

Institution

3 Agent Details (to be completed if applying through an Agent)

Address Line 1

Address Line 2

City

State / Province / Region

4 Details of Course(s) for which you wish to Apply

Course title

Undergraduate (UG) or Postgraduate (PG)?

If you require UG Advanced Level Entry – please state Level 2 or 3 (complete Section 4a)

Month/year of entry

4a To be Completed for Entry on to Degree Level 2 or 3

Please include a transcript (detailed mark certificate) of all units of learning successfully studied, as well as detailed information which clearly states what curriculum was covered in each unit of learning.

Please tick which of the following you are including as evidence to support your claim (claims will not be considered without the required evidence):

Official certificates and transcripts
Unit descriptor

Unit outcomes/objectives
Unit syllabus

Assessed coursework/project work
Marked examination papers

5 Full Academic History and Qualifications

Please list results, including those which are pending. Please attach photocopies of your certificates and transcripts. You must give details of each institution you have studied even if you did not receive an award from that institution.

Name of institution and country

Programme of study

Level of study

Start Date of Course

End Date of Course

Did you graduate?

6 English Language Requirements

Please complete this section. It is very important to provide all the relevant details to enable us to assess your English level and determine whether you meet our entry level criteria in English. You will be required to provide evidence of your English level.

Do you have any of the English qualifications listed below? (please tick all that apply):

IELTS
CAMBRIDGE
GCSE

PEARSON TEST
NONE

7. Personal Statement

Applicants are required to provide a personal statement in support of your application. On a separate piece of paper please state your reasons for choosing this course, give details of any relevant experience, your career plans and other relevant supporting information.

8. Physical Or Other Disability Or Medical Condition

Do you have a disability or any condition which might necessitate special arrangements or facilities?

(If Yes please provide details on a separate sheet of paper)

9. How Did You Hear About Us?

AGENT
UNIVERSITY WEBSITE
EXHIBITION
SEARCH ENGINE

10. References

Names and addresses of two referees (the University may contact referees if required).

11. Data Protection And Declaration

I consent to Dencorp International's use of my personal data , including sensitive data , to allow it to fulfill its administrative obligations and to process my application. The organisation shall duly observe its obligations under the General Data Protection Regulations and any resulting legislation which are arise from this application. The information I provide on the application form will be used for the following purposes, to:

determine my eligibility
provide me with relevant information to assist me in joining the university (including information about Open Days, Scholarships/discounts and fees, enrollment at the university,my course. my faculty and the university's facilities, the local area, accommodation providers engaged through the university's approved accommodation system, internships and career opportunities, visa advice and travel advice)
enable Dencorp International to compile statistical reports.

I consent to Dencorp International sharing this information with any of it's partner education institutions and organisations.

I hereby certify that all of the above information is correct and complete, and I wish to apply for admission as a student of the University. I also declare that,

DOCUMENT CHECKLIST - DO NOT SEND ORIGINAL DOCUMENTS

Please make sure you include the following documents with your application
Copies of your Academic Certificates/Transcripts
Copy of your English Language Examination Results
Copy of current passport
Personal Statement
Previous visa and visa refusal documentation

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