Apply Online - Chal Global Education

Section 1: Your Course

Full title of course *

How do you wish to study? *Full-timePart-timeDistance learning

Section 2: Your personal and passport details

Your full name *Your full name (as written in your passport, with first name followed by surname)

Gender *MaleFemale

Date of birth *

Do you have a current passport *YesNo

Passport Number *

Nationality as recorded in passport *

Permanent postal address *

Your personal mobile number(including country code) *

Your personal email address *

Section 3: Visa

Which country are you currently living in *

Will you require a visa (Tier 4 or student visitor) to study in UK? *YesNo

Have you previously been refused a visa application to the UK? *

Section 4: English language qualification

Qualification/Name of test

Overall result (Please state the highest English Language Qualification that you have currently. Valid qualifications include GCSE English (grades A - C), IELTS or equivalent)

Section 5: Academic history

School 1Your education in your home country normally from the age of 16 (e.g. high school, A level, etc)

School attended

Date started (MM/YYYY)

Date Finished(MM/YYYY)

Examinations taken and qualifications obtained

Grade

School 2(optional)Your education in your home country normally from the age of 16 (e.g. high school, A level, etc)

School attended

Date started (MM/YYYY)

Date Finished(MM/YYYY)

Examinations taken and qualifications obtained

Grade

School 3(optional)Your education in your home country normally from the age of 16 (e.g. high school, A level, etc)

School attended

Date started (MM/YYYY)

Date Finished(MM/YYYY)

Examinations taken and qualifications obtained

Grade

Section 6: Other information

You must inform us about any convictions you have that are not ‘protected’ as defined by the Rehabilitation of Offenders
Act 1974 (Exceptions) Order 1975 (as amended in 2013).

Do you have an unspent conviction *YesNo

The University welcomes applications from disabled international students and we encourage you to declare your
disability and your support needs as soon as possible. Telling us about your disability will not affect your selection as a
student, but will enable us to work with you to assess your needs, plan your stay at the University and inform you to what
extent we can meet your requirements.

Do you have a disability or any additional support requirements?YesNo

Please tick the box to give consent for the agent to act on your behalf regarding your application for
admission to the University and to confirm that you understand and agree to the following conditions:

We will be acting on your behalf and not on behalf of the University and thus unable to contract on behalf of, or bind, the University.
We will hold and process information solely for the purpose of your application to the University and all communications will be
sent to us as your representatives. Any notice to amend or change us as your agents acting on your behalf must be
communicated by you in writing to us and the University. A Change of Agent form must be completed and returned to the
International Admissions office if you choose to change Agent, and will be effective once received by the University.

Do you agree?I agree

Will your study be funded in part or full by a sponsor?YesNo

Sponsor’s name:

Sponsor’s address (including Country & post code):

Sponsor’s email address:

If yes, please tick the box to give your consent for the university to pass information about your application and to your sponsor.I agree

Section 7: Referee

Please provide the name and email address of your academic referee, who is familiar with, and can comment on your academic abilities.
Please note, the University will only accept academic recommendations received from an official institutional email account (references received from Yahoo, Gmail, Hotmail and other such accounts will be acceptable in some cases) and all recommendations must be submitted in English.
Your application will be delayed if references are not received in good time and it’s your responsibility to ensure that these are submitted.
If you cannot provide an academic reference, a professional one will suffice.

Name *

Position

Relationship to applicant e.g. manager, teacher *

Address Line 1 / Organisation *

Address Line 2

Address Line 3

Address Line 4

Post/Zipcode

Country

Telephone

Official Email

We will only accept references from a verifiable email address. References submitted from a personal email address(e.g Hotmail, Yahoo, Gmail, etc) will be considered.

Section 8: Document Upload

Passport *

No file chosen

Previous Visa Copies if Existing

No file chosen

Statement of Purpose

No file chosen

High School Certificate *

No file chosen

High School Transcript

No file chosen

Undergraduate Certificate(if applying for PG)

No file chosen

Undergraduate Transcript(if applying for PG)

No file chosen

CV & Work Experience Certificate *

No file chosen

Work & Academic References

No file chosen

Section 9: Declaration

By submitting this form I declare that, to the best of my knowledge, the information I have provided is
correct. If enrolled, I agree to abide by the Regulations in force at the time.

Signed

Date

Time

Hours

Minutes

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