International Application Form
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6INTERNATIONAL APPLICATION FORM
PLEASE NOTE:
This form is to be used by international applicants applying
from outside the UK via a UEL advisor or at an overseas
event only.
NOTES FOR COMPLETING THIS APPLICATION FORM.
Please ensure that you complete all of the compulsory sections marked* and all other questions relevant to you.
Please complete this form either electronically by typing in the boxes provided or by writing clearly in black ink.
If you have any problems completing this form email
admissions.international@uel.ac.uk
1. Programme you are applying for
Please note applicants requiring a Student Visa can only study full-time.
* Level of study (please tick ONE only)
Undergraduate
Taught Postgraduate
Other (Please specify)
* Full programme title eg MSc Toxicology, BA (Hons) Journalism
* Start month
* Start year
* Which entry year/level are you applying for?
(For undergraduate study only)
(Please tick ONE only)
(Please tick ONE only)
(Please tick ONE only)
September
2014
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February
2015
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2. Personal details
* Have you previously applied for or studied a UEL course
including at a partnership insitution? (Tick only ONE)
* Title (e.g. Mr, Mrs, Miss, Ms, Dr etc)
Family Name (BLOCK CAPITALS)
Yes
No
If yes please enter your 7 digit UEL reference/student number.
Given Name(s) (BLOCK CAPITALS)
If you are applying through a UEL Advisor please give the company
name
* Date of Birth (DD/MMM/YY - eg: 04/MAR/84)
* Gender (Tick ONE only)
Male
Female
3. Your current address
The details must be the applicant's. Advisor's stamp if applicable must be placed on the back of this from.
* Address (BLOCK CAPITALS)
* Postcode / Zip Code (if applicable)
* Country
* Town
Your contact details
Mobile number (including country dialling codes)
*
Telephone number (including country dialling codes)
*
E-mail address (please write clearly and in BLOCK CAPITALS)
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