Congratulations on your successful application to Ulster University. Before we can issue you with a Confirmation of Acceptance for Studies (CAS) number to apply for your Tier 4 student visa, we need some further information.

APPLICANT NAME______APPLICANTID______

  1. Are you currently in the UK?YesNo
  1. Are you currently studying or have you ever previously studied in the UK?YesNo

If‘Yes’,statethe course title, level (e.g. Foundation, Undergraduate,Masters, Doctorate), course length (start and end dates), course outcome or grade obtained(e.g. awarded, successfully completed, incomplete, failed to complete), and date awarded (if applicable).

Name of Institution / Course Title / Course Level / Start Date / End Date / Outcome/Grade Obtained / Date Awarded
  1. Doyoucurrently hold,or haveyoupreviously held,aUK visa?YesNo

If‘Yes’,pleaseemailus a scanned copy ofany currentand/or previousUK visa(s)or UK biometric card(s)

Typeofvisa held (for example Tier 4, Student Visitor, General Visitor, Dependantetc.) / VisaStartDate / VisaEndDate
  1. Are you applying from your home country? Yes No

If, you are not applying from your home country, please provide details of your current immigration status in the country you are applying from (please provide a copy of your visa).

Typeofvisa / VisaStartDate / VisaEndDate
  1. Haveyouever received a visa refusal for UK or any other country?YesNo

If‘Yes’,pleaseemailusacopyofthe refusal notice anda detaileddescriptionofthereason for refusal.

Typeofvisa refused / Date of Refusal / Reason for refusal
  1. Have you ever received a curtailment notice? Yes No

If‘Yes’,pleaseemail a copy ofthe curtailment notice(s) anda detaileddescriptionofthereason for curtailment(s).

Typeofvisa curtailed / Date of curtailment / Reason for curtailment
  1. Financial Documentation

Please provide us with a copy of the Bank Statement, Sponsor letter or Loan Confirmation Letter you are planning to submit with your Tier 4 Visa application.

a)Your bank statement should show you have the equivalent of your tuition fees plus living costs* in your account for at least 28 consecutive days (finishing on the date of the closing balance) and that your bank statement is no more than 31 days old.

*full fees or the remaining fees owed (if you have already paid some of your fees to the University) as well as£9,135 living costs, also known as Maintenance (funds). Living costs are calculated by the Home Office, not by the University.

For example: If your tuition fee is £12,890 and you have already paid a deposit of £2,000 to the University, the total amount required in your bank account is £20,025 (tuition fee - deposit + living costs=total amount to show in your bank account)

b) A Sponsor Letter should show the length of your sponsorship and the amount the Sponsor is giving you, which should cover your full tuition fees plus living costs for the full amount of time you are studying.

c) A Loan Confirmation Letter should cover your full tuition fees plus living costs.

Pleaseconfirm thedocumentationyouhaveattached:

1. / A copy of your bank statement, sponsor letter or loan confirmation letter / Yes / No
2. / A copyofanycurrent /previousUK visa(s) or UK biometriccard(s) / Yes / No
3. / A copyofall CAS letters and qualifications completed in the UK / Yes / No
4. / A copyofanyvisa refusal notice(s) / Yes / No
5. / A copy of any curtailment notice(s) / Yes / No

Please complete this form and return

If you have further questions about your application please email .

International DepartmentJanuary 2017Page 1 of 3