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International Application Form

Missing Attachment

1. Applicant Information

Family Name*

First Name

Sex*
Male Female 

Date of birth (DD/MM/YYYY)*

Student Email Address*

Home Address*

Telephone*

Nationality*

Passport No*

Please indicate below any medical condition you wish the College to be made aware of:

Do you consider yourself to have a disability or learning difficulty*?
 Yes No

A Level Subjects Applied For*

1. 2.
3. 4.

2. Qualifications / Education History

Level Subject Grade Date taken/due
Additional Qualifications or Skills e.g. Piano, sporting achievement, hobby

3. English Language Proficiency

Was English the language of instruction in your previous institution*? Yes No

If Yes, what is the number of years you have been taught in English?

I hold the following English Qualifications

Enter relevant grade (e.g. 5.5):
IELTS Overall
Listening
Reading
Writing
Speaking

Date taken (DD/MM/YYYY)

Other English qualifications and grade

Date taken (DD/MM/YYYY)

I do not have an English qualification yet  

Exam to be taken (DD/MM/YYYY)

4. UK Border Agency Visa

a) Do you require a visa to study in the UK*?  Yes No (go to 5)
b) This will be my first student visa in the UK  Yes (go to 5) No
Tell us about your previous studies

Level (e.g. GCSE) Where Dates

5. Parent / Guardian Details

Name*

Relationship to student*

Email*

Address*

Telephone

6. Fees and Deposits

Do you intend to submit an OEA application?
 Yes No

Who will be paying for your course?
The person named  above under 5. below

Name

Relationship to student

Email

All courses are £7000 GBP per year.

A deposit of £1000 GBP must be paid to secure the place and the balance of £6000 GBP is payable before the start of the course in September. Non payment will result in withdrawal from the course.

Payment by Bank Transfer

In order to help identify your payment, please quote the student’s name and date of birth when making a bank transfer. Please ensure that the college receives the EXACT sterling amount allowing for all bank charges. Please note that we do not accept payment online or via credit or debit cards.

Bank Name: Lloyds TSB Bank Plc
Account Name: Notre Dame 6th Form College
Account No: 02291006
Sort Code 30-00-05
IBAN GB40LOYD30000502291006
BIC CODE LOYDGB21007
Bank Address: 6 Park Row, Leeds LS1 1NX, UK

7. Agency Details

Name of Agency

8. Signatures

By signing this form below, I confirm that the information given on this form is correct and complete and agree to the processing of such data for any purpose connected with the application or future studies.
I / We have read the terms and conditions of payment and admission and accept them.
I / We acknowledge responsibility for the application and fees of the above named student.

Please enter your full name to sign this form

Applicant*              

Parent / Guardian*

9. Additional Information / Uploads

Please enter any additional information (optional):

Upload any supporting document here. To upload several files, add them to a zip archive and upload the zip file. Acceptable file types are doc, docx, odt, pdf, jpg, png, bmp, zip: