UCAS European Union RPA: 2014
Mandatory applicant information
Title
Forenames (these must be EXACTLY as written in your passport)
Surname or family name (this must be EXACTLY as written in your passport)
Gender
Date of birth
Correspondence Address line 1 / Surrey International Institute, Dongbei University of Finance and Economics, Dalian, China
Correspondence Address line 2
Country
Postcode (UK Only)
Who will pay your tuition fees?
Disability
Country of birth
Nationality (as in passport)
UK entry date
Ethnic origin
Mandatory course information
Course
Campus / Guildford
Point of entry
Start date / 29th September 2014
Additional information
IELTS number (optional)
TOEFL number (optional)
Preferred first name (optional)
Previous surname (optional)
Telephone number (mandatory)
Mobile number (mandatory)
Email address (this must work for incoming messages)
Home address line1 (mandatory)
Home address line 2 (mandatory)
Home address country (mandatory)
Home postcode (UK Only) (mandatory)
Student support arrangements (optional)
Previous application number (optional)
Relevant criminal convictions (mandatory)
Mandatory passport information
Passport number
Please photocopy or scan the photograph page of your passport and send it with this form
If you already have a Visa for entry into the UK please photocopy or scan this and send it with this form
Institution Declaration
I confirm that the above applicant has been accepted by this institution
Name
Applicant Declaration
The following statement must be read to the applicant before the electronic RPA is sent to UCAS. Then select ‘Accept’ and click on ‘Submit Form’. If the applicant has already signed the PDF version of the RPA, you do not need to read the Applicant Declaration to them. 'You confirm that the information given on this form is true, complete and accurate and no information or other material information has been omitted. You accept that if this is not the case, UCAS shall have the right to cancel your application and you shall have no claim against UCAS or any higher education institution or college in relation thereto. You give your consent to the processing of your data by UCAS and educational establishments. You also accept that having completed this form you do not have the right to further choices within the UCAS scheme and will not approach any other university or college in the UCAS scheme. You have the right to cancel this application. If you decide not to take up your place at the university or college you must do this by informing the university or college who have offered you the place as soon as possible’.
Applicant signature
Note: The information given in this form will be sent by the University to the UK Border Agency in order to obtain a CAS (Certificate of Acceptance for Studies) which you will need when you apply for a visa. The CAS number will be sent to you by email. It is essential that the information given on the form is completely accurate and your email address actually works.