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Higher Education Enrolment Form

Personal Details

Qualifications

Employment

Terms



Personal Details

SurnameField is required
First ForenameField is required
Other Forenames
Known As
TitleField is required
Date Of BirthField is required
Legal GenderField is required
Gender Identity
Please indicate your sexual orientation as best described by the options below
Please indicate your religion or faith using the options below
Please select what best describes your socio-economic class (if under 21 years, your parents socio-economic class)Field is required
SOCField is required
MobileField is required
Email
Email (enter again)
   


Nationality, Equality and Diversity

NationalityField is required
Please indicate your ethnic background as best described using the options below Field is required
What is your country of residenceField is required
Have you lived in the UK or EEA country for the 3 years preceding your course?  

If you have not been a resident of the UK/Ireland for 3 years you may not be entitled to funding - we will need to collect more information from you to determine your eligbility

Visa Type
Date of Entry into the UK (If non UK or EU resident)
Visa Expiry Date

Please enter your postcode or partial address below & click the find button. Then select your address from the resulting list:

Search:


Search Results

Property/StreetField is required
Area
Town
County

Alternative Term Time Address

If you are living away from home during your studies, please provide the details of your Term Time address below

House number / Street name
Area
Town/City
County

Please select which address to use for correspondence:


Which type of Accomodation is this?

Accomodation Type

Emergency Contact/ Next of Kin

Primary Contact

Emergency Contact NameField is required
Emergency Contact RelationshipField is required
Emergency Contact Phone numberField is required
Emergency Contact Email Address

Secondary Contact

Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone number
Emergency Contact Email Address

Learner Support

Do you have any disabilities or learning difficulties?
 

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