1 Personal Details
Correspondence Address
Permanent / Home Address ( if Different )
Do you have any Criminal Conviction ? Yes No Have you received any other penalty in relation to a criminal offence for example a caution reprimand warning or similar penalties in the UK or any other country ? Yes No
2 UK Immigration History ( if Applicable )
2A UK Study History ( if Applicable )
Uk Visa Number
Visa Type
Valid Form
Valid To
Institution
3 Agent Details ( if Applicable )
Agent Name
4 Details of Course(s) for which you wish to Apply
Course title
Course title
Bachelors / Master / PHD
Month/year of entry
5 Full Academic History and Qualifications
Please list results, including those which are pending. Please attach photocopies of your certificate, transcripts, copies of all UK Visas (if applicable) copies of previous CAS', enrollment letters, and student status letters. You must give details of every institution at which you have studied even if you did not receive an award from that institution.
Name of institution
Course
Course of Study
Start Date
End Date
Grade / Pass %
6 English Language Requirements
Do you have any of the English qualifications listed below? (please tick all that apply): IELTS None Required Other Other (please give details)
7 Personal Statement
Applicants are required to provide a personal statement in support of your application. On a separate piece of paper please state your reasons for choosing this course, give details of any relevant experience, your career plans and other relevant supporting information. In order for your application to be processed your personal statement must explain why you want to study in the UK, why you wish to come to this University , why you have chosen your course, and how it will help you fulfill your career goals.
8 Physical or other Disability or Medical Condition
Yes No
(If Yes please provide details on a separate sheet of paper
9 How did you hear about us?
Agent Search Engine Other Other (please specify)
10 References
Names and addresses of two referees (the University may contact referees if required).
Reference 1
Name Address Email University/Company
Reference 2
Name Address Email University/Company
11 Data Protection Declaration and Tearm and Conditions
University Term and condition will apply on All cases such as payment tuition fee, refund, courses or all cases. I agree to receive offer and newsletter from Himal Deals. and unsubscribe process by clicking the ‘unsubscribe’ link in any email from us. I agree to forward to Education Consultancy / vender to contact for further process
12 Later we will request docs as below, if it require
Passport School (GCSE ) certificate A Level ( 10+2) certificate School (GCSE ) certificate English certificate ( if applicable) Work experience letter ( if applicable) CV
