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General Enquiries Tel: +44 (0)2921 252333    Email: info1@unidirectory.org 
 
 

Online application
Please fill in each section to the best of your ability.
 
Your details:    
Title:  
Surname:  
Previous surname:  
First names:  
Date of birth:  
Country of birth:  
Nationality:  
Passport Number:
 
Course Preferences:
If applying for more than one course list them in order of preference. If you are looking for admission on to an English course before entering a degree course then list both.
 
Level you are applying for:
Course or subject:  
Other course or subject:  
Month/year of entry:  
Do you require an English course?
!
 
 
Contact details:    
Are you currently in the UK?:
Address (in home country):  
Telephone:  
Fax:  
Email:  
 
 
Qualifications:
Remember to send a copy of your certificates of qualification to us with this application.
School/University
with address:		  
 
Name of qualifications:  
Date obtained:  
Result:  
 
School/University
with address:		  
 
Name of qualifications:  
Date obtained:  
Result:  
 
Work Experience:
Please list most recent and relevant experience to this application.
 
Employer Name:  
From:  
To:  
Job title and description:  
 
Employer Name:  
From:  
To:  
Job title and description:  
 
Funding:
Who will pay for your tuition fees for the duration of the course?
How will you fund your studies?:
!
Give sponsor details here:  
 
English language:
Please indicate what English Language qualifications you have and provide us with documentary evidence.
English Test:  
Score:  
Date Taken:  
 
Referee details:
Please give the names and addresses of two referees. The referees must have knowledge of your academic or professional ability. You must forward actual references to us before we can proceed with your application.
Referee 1
Name:  
Position:  
Address:  
Telephone:  
Fax:  
Email:  
Referee 2
Name:  
Position:  
Address:  
Telephone:  
Fax:  
Email:  
 
Personal Statement:
Please indicate why you have chosen the relevant courses and how you think it will benefit your career. Also include any additional details to support your application. It is important to give a good answer here to improve your chances of admission.
 
Statement:  
 
 
Further Information:
Do you currently have a Student Visa to the UK?
!
 Yes No
If yes give expiry date of visa:  
Do you have any specific need or disability?   Yes No
If yes give details here:  
 
Do you have any criminal convictions?   Yes No
 
   

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