Birmingham College
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Personal Details
 Family Name
 First Name(s)
 Address:
If in UK If Overseas
 House No.
 Street
 Town
 City
 Post Code
 State/County
 Country
 Tel. No.
 Mobile No.
 Email
 House No.
 Street
 Town
 City
 Post Code
 State/County
 Country
 Tel. No.
 Mobile No.
 Email
 Date of Birth :  (Format: mm/dd/yyyy)
 Gender :
   Male     Female
 Do you have a Student  Visa
   Yes     No       I don't need a visa  
 Passport No  
 Date of entry to UK  (Format: mm/dd/yyyy)
 
 Course details & Fee 
 Course Title  
 Course start  date  (Format: mm/dd/yyyy)
 Course duration  
 Who is responsible  for payment of  your course fee?
   Self      Others
 If others, please  specify name and  contact details  (please send  attachment)
 Name  
 Address  
 Telephone No.  
 Fax No.  
 
 English Language Proficiency 
 Is English your first  language?
    Yes       No
 Have you  attended/passed any  courses in English  language or English  language Proficiency  Test?
    Yes       No
 If yes, please enclose a copy of certificate or give details.
 e.g. name of the course, duration, results, institute name.
 Do you want to attend  English Language  Foundation Programme  offered by the college?
   Yes      No
 ‘English Language Foundation Programme’ aims to help students with a low level of English to  achieve their academic and professional goals by providing a high level of fluency and expression in  the English language)
 If yes, please choose one of the options     Option 1 (3 months)     Option 2 (6 months)
 
 Education and Academic qualification(we may ask proof of all qualifications and certificates obtained if  they are required for acceptance on a course)
Name of Institute, College, University & Country (Professional Training Institutes) Duration
From   To
(mm/yy)		 Degrees/Diploma Certificate (i.e. BSc, HSC, BBA) Class/Result Medium of instruction i.e. English, Chinese
         
         
         
         
         
 
 Employment Records   (if any)
Designation/Post/Job Title Details of Employer
 Why have you chosen Birmingham College and this particular course?
 What are your future plans with regard to both higher education and employment?
 How do you think this course will help your academic plans and/or career ambition?
 Please write a brief statement about yourself including details of your interests, hobbies, etc.
 To help us provide assistance wherever possible state briefly if you have any special needs that  the college should be aware of? (Medical, Physical, personal, religious, etc.) If you need regular  medication(e.g.for epilepsy, diabetes), please write below the type and quantity of medication  you take.
 How did you hear about the college?
    Newspaper/Magazine     Relative/Friend     Website
    Workshop/open day     Agent/consultant     Email
    Other sources (please state)    
 
Accommodation
 Do you want us to book your accommodation?        Yes       No
 If Yes, please fill 'Accommodation Application Form' and send it with application form.
 If No, please provide contact details of accommodation where you are going to stay during the course?
 References
 As it is our practice to obtain references prior to the Interview stage, please give the name and address of two referees who we  may approach and the capacity in which they are known to you. The referees named must be people who can comment  authoritatively on you as a person and must include your current or most recent employer, teacher or a person who knows you  well.

 Students who are currently studying in the UK do not need to complete this section.
Reference #1 Reference #2
 Name  
 Full Postal  Address  
 Relationship  (i.e. employer, teacher, family)  
 Telephone No.  
 Fax No.  
 Email  
 Name  
 Full Postal  Address  
 Relationship  (i.e.employer,teacher,family)  
 Telephone No.  
 Fax No.  
 Email  
 
 Declaration
 I confirm by submitting this application form that, to the best of my knowledge, the information in this form is correct. I have  read the College prospectus/course brochure. I understand and agree to abide by the conditions and regulations of the  College, which I accept as a condition of this application.
 
 Enrollment Procedure
A  Complete the application for admission, and send it with
  •  One colour passport-size photo, and
  •  Certified copies of relevant certificates e.g.academic qualification, English test
 To the Birmingham College, BMI Building, 9 Margaret Street, Birmingham, B3 3BS UK.
B  When your application has been processed, the College will issue a 'Letter of Acceptance' (conditional offer).  Overseas students may use the LOA when applying for foreign exchange.
C  On receipt of the tuition fee, the college will issue the 'Letter of Enrollment' (Unconditional Offer). This  document is essential for overseas students to obtain a student visa to enter or stay in the UK.
D  Overseas students should, if possible, obtain a sudent visa before leaving their respective countries of domicile.
 
 Unspent Criminal Convictions
 Do you have a criminal conviction which will be unspent at the time of your admission (if granted) to the college? You should  not include any motoring offence for which the penalty was no greater than a fine and/or three penalty points. If you select  'Yes',the College may ask you for further details. If you do not select either, your form will not be processed.

   Yes       No

 Please note that if you are convicted of a criminal offence while your application is being processed, you should notify the College  immediately.

 
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