International Student
Application for Admission
Please complete this application and save it to your computer then email to:
For Office Use Only
Date Received / Student Number
Course Name Year of Entry (eg 2017)
Please state the title of the course for which you are applying / Year of Course (1st, 2nd, 3rd) / Full Time
If you require a student visa, please note that your CAS will be assigned only for the above qualification. This means that there will be no exit points before the end date at which you can achieve a lower level qualification.
Personal Details / Gender (M/F)
First Names / Age
Surname / Date of Birth
(day/month/year)
Previous Surname
(if any) / Title
(Ms/Miss/Mrs/Mr/Other)
Contact Address / Correspondence (agent's Address) / Home Address (if different)
Postcode / Postcode
Telephone Number / Home / Mobile
Email Address / Skype ID
If you would like information on our residences or local accommodation, please tick box.
Passport Number / Passport Country of Issue
Passport Expiry Date
Have you ever been refused visa for any country, including the UK, in the last 10 years? / Yes / No
Have you previously studied in the UK Yes / No / College/University Address
(if different from above)
Start Date: End Date:
Postcode
Please note that evidence may be required in the form of CAS statement and Transcripts.
Last course studied
Personal Details Continued
Nationality / Country of Birth
Will you have been resident in the UK/European Economic Area for 3 years immediately before the start date of your course? / Yes / No
Native Language
Date of first entry to UK
Number of years resident in UK
Other European Economic Area / Please note that evidence may be required to support residency for fee status.
English Language Qualifications / *Please note that an IELTS certificate can only be considered if less than
2 years old.
Name of Exam (please tick appropriate box) IELTS* Others
Score/Band / Date of Exam
If your choice is "other" please specify the exam name
Educational Qualifications / (Please submit copies of all transcripts and certificates with application.)
Qualification Title, Subject and Level / Name of College/School/Institution / Month/Year Left / Result Awarded / Results Pending
(if any)
Work Experience / (Please submit copies of all transcripts and certificates with application.)
(Please enter periods of employment in chronological order, with most recent at top.)
Name of Organisation / Place and Country / Designation Held / Month/Year
(From) / Month/Year
(To)
Name of Examining Body / Details of Qualification / Overall Result / Year Awarded
Personal Statement / Please tell us why you decided to choose this course and a little about yourself. This should include your current or previous employment, work experience, hobbies and what you have been doing most recently. Continue on a separate sheet if necessary.
Information gathered in the following sections is not used in the selection process but is required for
statistical purposes and to help us indentify any support needs you may have.
Ethnic Origin / (Please tick one box)
Scottish / White / Indian / Asian / Caribbean / Black / White and Black Caribbean / Mixed
English / Pakistani / African / White and Black African
Welsh / Bangladeshi / Any other Black background / White and Asian
Irish / Chinese / Other Mixed
Information refused/
Not known
Any other White background / Any other Asian background
Any other background
Disability/Health or Medical Conditions / Perth College UHI welcomes students with disabilities. We would encourage you to disclose any disability, health or medical condition and we will try to meet your needs where we reasonably can. (Please put a cross in the boxes that apply.)
I do not have any disabilities A
I have a social/communication impairment such as Asperger's syndrome/other autistic spectrum disorder B
I am blind or have a serious visual impairment uncorrected by glasses C
I am deaf or have a serious hearing impairment D
I have a long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy E
I have a mental health condition, such as depression, schizophrenia or anxiety disorder F
I have a specific learning difficulty such as dyslexia, dyspraxia or AD(H)D G
I have physical impairment or mobility issues, such as difficulty using my arms or using a wheelchair or crutches H
I have a disability, impairment or medical condition that is not listed above I
I have 2 or more impairments and/or disabling medical conditions J
Information refused R
I have personal care support / I carry medicines which are time critical in their application (eg Epi-pen)
Please describe any additional requirements you may have.
Market Research
What was the most important source of information in your decision to apply to Perth College UHI?
Enter the appropriate code in this box from the following list: / If you used more than one source, please enter the code for the next most important one in the following boxes.
FT Prospectus / NE Press advert/article / OD Visit to College
RA Radio / FF Friend/family / CSS Student Services
WEB www.perth.uhi.ac.uk / INT Other website / AGT Agent
RAF Referral / LF Leaflet through door
Do you have a criminal conviction? YES NO
(Your application will not be processed if any questions are not answered or incomplete. If you have been convicted of a crime, you must state YES. For certain courses, this may affect whether or not you are accepted on the course. Failure to disclose such convictions may result in dismissal from Perth College UHI.)
References
Name
Address
Telephone Number
E-mail Address / Name
Address
Telephone Number
E-mail Address
If you have previously studied in the UK one reference must be from the UK institution.
We will use the personal data that you supply to supply information, which we are required to do by law, to a number of official agencies
(eg SQA, Scottish Funding Council). Under Scottish Government agenda for regionalisation of Colleges, your data will also be shared with the University of the Highlands and Islands (UHI) and our other Academic Partners who are also registered under the Data Protection Act (1998).
The information may also be aggregated with other information and used for our own and other research.
If you are under 21, we would like to share the following information about you with Skills Development Scotland, including:
Your name, your address (including postcode), your date of birth, course details and your Scottish candidate number.
Should you leave your course at college prior to completion, Skills Development Scotland may conduct research and analysis into student destinations.
If you would prefer that we did not share this information with Skills Development Scotland, please tick the box.
Your personal data will not be disclosed otherwise to anyone else, except that it may be used for the purposes of providing references, if we are asked to do so, and information on your progress may be disclosed to an organisation providing you with financial support
(eg your employer), unless you advise us otherwise in writing addressed to the data controller.
By signing this declaration, you agree to the processing of your personal data as described above.
I confirm that to the best of my knowledge, the information given in this form is correct. / College Use onlyCourse
Date of Entry
Decision
Signature
/ Date
Signature of Parent or Guardian
Signature / Date / Signature / Date
When your application has been considered by academic staff, you will be sent a Conditional Offer Letter. When the conditions have been met, you will be sent an Unconditional Offer Letter which you can use to apply for your visa
(if required).
Email:
Post: International Centre, Perth College UHI, FREEPOST RTJT-ZHUA-KSES, PERTH PH1 2BR.
Tel: (+)44 1738 877000 www.perth.uhi.ac.uk