Visa Information Form

VISA INFORMATION FORM

We have now received your application to study at Buckingham. Ifyou have indicated that you require a Tier 4 visa in order to study in the UKplease complete ALL the sections below, writing ‘N/A’ if you have no information to enter and return to . The information you provide is a UKBA requirement.

1. Personal Details

Application number:Click here to enter text.Title (Mr/Mrs/Miss/Dr etc): Choose an item.

First name:Click here to enter text. Last name:Click here to enter text.

Date of birth:Click here to enter text.

Nationality: Click here to enter text. Any second nationality: Click here to enter text.

1. Previous Academic study:

A) Have you ever previously studied in the UK (Y/N)?Choose an item.

A (i) If ‘Yes’, state the name, dates of attendance, and level of all the courses (eg Foundation, Undergraduate, Masters, Doctoral) and the type of visa held that enabled you to study (eg student, dependent, child etc)

B) Did you complete the course studied in the UK(Y/N)?Choose an item.

B (i) If ‘No’ please explain which course and why you did not complete the course

C) Do you currently hold, or have you previously held, a UK visa (Y/N)?Choose an item.

C (i) If ‘Yes’ to the above please send a scanned copy of the UK visa to

D) Have you ever overstayed your period of leave in the UK or had a visa refused (Y/N)?Choose an item.

D (i) If ‘Yes’, please give details;

It is very important that the information you provide on this form is accurate, as it may be used by us at a later stage to produce a Confirmation of Acceptance for Studies for your visa application. The University is bound by UKBA policies and procedures. If we subsequently discover that you have failed to advise us of something that may affect your eligibility to study in the UK, your application will be withdrawn.

Declaration:

I certify that the information given is true, complete and accurate and no information requested has been omitted.

If it is later found that any information provided that was used by the University of Buckingham in making an offer is found to be incorrect or incomplete, the University shall have the right to withdraw the application or withdraw sponsorship and I shall have no claim against them.

I understand that this form will become the confidential property of the University of Buckingham Admissions Office and will not be returned, copied or released.

Signature: ……………………………………………Date:……………………………

Personal data collected on this form will only be used for the purpose of student and course administration as required by the University and may be disclosed as appropriate to bodies/organisations associated with such courses.

Please now complete and return all pages of this form. Your application will NOTbe processed without it.

This form is only required by applicants who need a visa to study.