International Student

Application Form
OFFICE USE ONLY: Applicant number:       Date received (DD/MM/YYYY):      

Notes for applicants

 To complete the form, enter text in the grey boxes or click in the check boxes ( ) provided. Forms must be completed electronically and
e-mailed to [email protected].
 Details entered onto this form will be transferred to the University’s student records system. This information will be treated confidentially in
accordance with UK Data Protection Legislation (see https://www.uwl.ac.uk/privacy for more information).

SECTION 1
Your choice of course
Name of course (including award title, e.g. BSc or MA):

     
If you are applying for advanced entry (APL) to one of our undergraduate courses please indicate proposed entry year: Yr 1 Yr 2 Yr 3

Please indicate your proposed start date:      /      (MM/YY)

Personal details
Title (e.g. Ms/Mrs/Mr/Dr):      
Surname (as it appears on your passport):      
First name(s) (as it appears on your passport):      
Previous surname (if changed):      
Gender: Male Female Date of birth (DD / MM / YYYY)      /     /     
Home address:      
Street:      
Street:      
City:      
Country:
Post Code/Zip code:
     

Telephone (incl. country and area code): Home:       Mobile:      
E-mail:      
Nationality (as it appears on your passport; if you      
have dual nationality indicate both):
Country of birth:      
Country of domicile or permanent residence:      

If you are currently residing in the UK, please provide your UK home address:

Home address with postcode:      

Telephone: Home:       Mobile:      

Agent details
Name of education agency:      
Contact person:      
Full address:      
     
     

Email:      
Telephone:      
Immigration details (must be completed by all applicants)
Passport number:      /     /      (DD/MM/YYYY)
Passport issue date:      /     /      (DD/MM/YYYY)
Passport expiry date:
     /     /      (DD/MM/YYYY)
Have you previously applied for a UK student visa? Yes No
Have you had any UK student visa refusals? Yes No
Have you previously applied for a visitor, tourist, or other visa for the UK? Yes No
Have you had any visa refusals for the UK or any other country? Yes No

If yes, please provide full details of the reason for your visa refusal and attach copies of the visa refusal documents:
     

Excluding for the purposes of tourism, are you currently or have you previously been in the UK?
Yes No
If you have answered YES, please complete below. If you have answered NO, please proceed to Section 2.
Please state:

-Date of first entry to the UK:      /     /      (DD/MM/YYYY)

-Date of most recent entry to the UK:      /     /      (DD/MM/YYYY)

Date from which you have been granted:

-exceptional leave to remain in the UK:      /     /      (DD/MM/YYYY)
-full refugee status in the UK:      /     /      (DD/MM/YYYY)
-indefinite leave to remain in the UK:      /     /      (DD/MM/YYYY)

Date on which your student visa was issued

(if applicable)/ Institution (e.g. University of      /     /      (DD/MM/YYYY) ………………………………………………………
West London):
Date on which your non-student visa was      /     /      (DD/MM/YYYY) ……………………………………………………..
issued (if applicable)/ Please state what type
of visa:
Date on which your visa expires:      /     /      (DD/MM/YYYY)

Are you currently studying in the UK? Yes No

If yes, please supply the
-Name of institution:      
-Full address of institution:      
-Level of study: Foundation Undergraduate Postgraduate English Language Course

SECTION 2
Current and previous education
Please list all subjects taken, whatever the result, starting with the most recent. If you are awaiting the result of any examination, please write
“pending” in the result/grade column. You should also include any recent training and professional development and all music grade/diploma
qualifications.

Name of Institution Course title Awarding body and Result/ grade Start End date
(e.g. University of country date(MM/YYYY)
West London) (MM/YYYY)

                             /           /     

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English language competency
Is English your first language? Yes No
If English is not your native language, please provide details of your highest English language qualification:

Name of English language test Date taken Results / scores

(IELTS, TOEFL, etc) Overall Reading Writing Listening Speaking
           /     /      (DD / MM / YYYY)                              

UK education record
In order for the University to issue you with a CAS (Confirmation of Acceptance of Studies), please complete the following details. This is essential
in order for your application to comply with UKVI requirements.

Details of ALL previous Immigration status during Start Date End Date Qualification awarded?
courses you have studied in the course (e.g. UK Student (DD/MM/YYYY) (DD/MM/YYYY)
the UK (include course title Visa or similar) Please also give details of
and level) award

                 /     /           /     /      Yes No

                 /     /           /     /      Yes No

                 /     /           /     /      Yes No

                 /     /           /     /      Yes No

                 /     /           /     /      Yes No

                 /     /           /     /      Yes No

Membership of professional organisations

Please include membership of any professional body or organisation (please give your registration number where relevant).
     

SECTION 3
Current and previous employment
Please outline and work experience you have had (both paid and unpaid). Include details of any special responsibilities. Continue on a separate
sheet if necessary.

Job title:      

Name of organisation:      
Dates: From      /     /      to      /     /     

Duties:      

Job title:      

Name of organisation:      
Dates: From      /     /      to      /     /     

Duties:      

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Please answer the following questions
   
1. Why did you choose this course?

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2. Please explain how the course content and modules are relevant to your experience and future career goals.

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3. How will your previous qualifications and /or work experience help you study this course?

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4. What advantages/benefits will studying in the UK give you in your post study plans?

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5. When deciding to study in the UK did you consider studying in any other countries? Yes  No 

If no, please explain why:

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If yes, what advantages did you feel studying in the UK has over other countries you considered?

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6. When choosing to study in the UK were any of the following factors relevant:

o Safety and security Yes  No 

o Diversity of the population Yes  No 
o Reputation for academic studies Yes  No 
o Advantage over similar qualification/s in your home country Yes  No 
o Recommended by family /friend who has studied in the UK Yes  No 
o Costs in terms of fees and general living costs Yes  No 
o Location & ease of travel Yes  No 
o Opportunities to work during study Yes  No 
o Post study work options in the UK Yes  No 

7. When choosing to study with UWL:

a) Did you consider any other educational institutions in the UK? Yes  No 

If yes, please list:

…………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………

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If no, please explain why:

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b) Is this course offered in your home country? Yes  No 

If yes – please explain why you have chosen to study in the UK:

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…………………………………………………………………………………………………………………………………………………………………………

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8. Will any dependants (e.g. spouse and/or children) be joining you in the UK? Yes  No 

If yes, please explain:

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…………………………………………………………………………………………………………………………………………………………………………

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9. How will you fund your studies in the UK?

a) Educational loan? Yes  No 

b) Savings? Yes  No 
If you are using your own personal savings, how were these obtained? Savings from wages or borrowed from friends /family? Please
explain:

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c) Parental support? Yes  No 

If you are being financially sponsored by your parents, how have they obteind these funds? From employment, sale of land assets, or
personal savings, borrowed funds? Pleas explain:

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d) Sponsorship from government or company? Yes  No 

6
 SECTION 4
References
The University requires two references Referee 1
as part of your application. Please supply Name:      
details of your referee here and send
Position:      
their reference letters with this
application form. Address:       Postcode:      

Wherever possible, one referee should Daytime telephone number (including country code):      
relate to your current or recent work, and E-mail:      
one to any current or recent study.
Referee 2
Name:      
Position:      
Address:       Postcode:      

Daytime telephone number (including country code):      

E-mail:      

Declaration
The information I have given on this form is true, complete and accurate. If I have given false or inaccurate information, the University can withdraw
my application or offer which may lead to the withdrawal of my Student Route study visa sponsorship provided by the University.

The University may, at any time, ask me to provide more information about my application (e.g. proof of identify or qualifications). If the University
does not receive information by the requested date, or if the information is not satisfactory, the University may cancel my application. I understand
the University will not be liable for any delays and/or any loss or damage resulting from the delay if I have delayed in providing information.

I understand that it is my responsibility to ensure that I meet the requirements to make a valid Student Route study visa application. I am aware that
I must comply with the conditions attached to my Student Route leave.

I hereby confirm that I authorise the University of West London to release any personal information regarding my immigration status or immigration
history to the Home Office. I also authorise the Home Office to release any information regarding my immigration status or immigration history to the
University of West London.

I will abide by the rules and regulations of the University if I become a student. I understand and accept the University’s refund terms and
conditions.
I understand that my application is a contract between myself and the University. No one else can enforce any part of this contract under the terms
of the Contracts (Rights of Third Parties) Act 1999 or any other legislation.

Signature of applicant      

(simply type your name or insert an electronic signature):

Date:      /     /      (DD / MM / YYYY)

Important notes for applicants

Please note that in order for us to consider your application, you must provide us with the following items when you submit this application from:
 Copies of certificates and transcipts for your qualifciations (incl. English language qualifications)
 A copy of your passport (both the cover and photograph pages are required) and, if applicable, any current UK visa
 2 recommendation letters for postgraduate applicants and 1 recommentation letter for undergraduate applicants
 Portfolio (if you are applying for Music or Art and Design related courses)
 Reserach proposal (if you are applying for a PhD programme)

Your completed application form and the documents above must be sent to [email protected].

Once we receive your application, we will carefully consider your qualifcations and experience, and subsequently we will contact you to notify you
whether or not we can offer you a place.

7
If we offer you a place on one of our courses, please respond as soon as possible. If we have offered you a place based on you meeting specified
conditions, you will need to meet these conditions before your place is confirmed.

SECTION 5

Equality and Diversity Monitoring

The University of West London is committed to equality and social inclusion and has a statement on equality and diversity. Please help the
University evaluate the effectiveness of its policies and practices by completing the information outlined below. This information will only be used
for monitoring purposes.

We would also encourage you to give information about your disability to the University so that we can endeavour to make reasonable adjustments
for you. Your response to this section will not influence your application. This information will only be available to Admissions and the Wellbeing
Team staff and will not be made available to anyone else without your explicit permission.

Full name (as it appears       Date of      /     /      (DD / MM / YYYY)

on your passport)*: birth:

*Please use exactly the same format of your surname as you have used in Section 1 of this form.

Ethnic origin
Please indicate which you feel best 11
White (British) 33
Asian or Asian British – Bangladeshi
reflects your ethnic origin. 12
White (Irish) 34
Chinese
13
White (Scottish) 39
Asian other
14
Irish Traveller 41
White & Black – Caribbean
19
Other white background 42
White & Black – African
21
Black or Black British – Caribbean 43
White & Asian
22
Black or Black British – African 49
Other mixed background
29
Black other 80
Other ethnic background
31
Asian or Asian British – Indian 98
Information refused
32
Asian or Asian British – Pakistani

Disability
The University of West London welcomes 00
No disability 05
Require personal care support
and supports students with learning 01
Dyslexia 06
Mental health difficulties
difficulties and disabilities. 02
Blind/partially sighted 07
Unseen disability eg diabetes, asthma
To help us to provide appropriate support 03
Deaf/hearing impairment 08
Multiple disabilities
services, please indicate which term is 04
Wheelchair user/mobility disability 10
Autistic Spectrum Disorder
descriptive of your disability. 09
A disability or special need not listed above (please specify)

     
Please indicate any support that we can
provide to help you in your studies or
examinations.