Undergraduate Application Form for Double Degree Programme Applicants
1 Name (First name/Family name) / 2 Male/Female / 3 Date of Birth / 4 Nationality5 Address for Correspondence
Telephone No:
Mobile:
Fax No:
E-Mail:
Degree programme you are applying for:
First choice:
Second choice:
6 Educational Background (from High School)
Dates /
High School Attended / High School Qualifications
(and any Further Education Diplomas or Qualifications)
Enter Subjects and Grades
From / To
7. English language tests
IELTS / Date taken / Listening / Reading / Writing / Speaking / OverallTOEFL
8. Special needs or support you will require because you have a disability or medical condition.
Please specify:
9. Referees: You must have asked two people to provide academic references for you. Please give their names, addresses and email address below. Both referees should be asked to comment in particular on your academic suitability for your chosen course on documents with official letterhead in a sealed envelope.
For admission to Lancaster University at least one of these should be an academic tutor from your institution:
1 / 210. Personal Statement
This should include what interests you about the double degree programme, what interests you most about your current studies, any work experience that is relevant to your proposed degree studies ; details of particular achievements; your future plans and your social, sports, or leisure interests.
Max 300 words
11. Declaration:
I confirm that the information given on this form is true, complete and accurate. I give my consent to the processing of my data by Sun YatSen University and Lancaster University.
Signature Date .
Please, return completed forms to:
Wing FENG
Program Officer for Outgoing Exchange/Double-degree
Students' Affairs
Office of International Relations
Lingnan (University) College
Sun Yat-sen University
Email:
Application checklist
- all these documents to be attached to the application form
I need to submit: / Tick Ö1. Application form
2. Two letters of reference in sealed envelopes
3. Education transcripts translated into English and certified
(only of those modules completed at the time of applying)
4. Copy of the English language test – TOEFL or IELTS