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International Application Form

Missing Attachment

1. Applicant Information

Family Name*

First Name


Date of birth (DD/MM/YYYY)*

Student Email Address*

Home Address*



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*?

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*?YesNo

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

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*? YesNo (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


Relationship to student*




6. Fees and Deposits

Do you intend to submit an OEA application?

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


Relationship to student


All courses are £9000 GBP per year.

A deposit of £2000 GBP must be paid to secure the place and the balance of £7000 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
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


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: