NOTES FOR COMPLETING THIS APPLICATION FORM
Please ensure that you complete all of the compulsory questions marked *
Please complete this form by writing clearly in black ink.
1. Programme applied for
Please note applicants requiring a Student Visa can only study full-time.
* Level of study (please tick)
Undergraduate
Postgraduate
Degree Foundation + Degree
Postgraduate Qualifying + Postgraduate
Short Course / Professional Training
Top-Up Degree
* Full programme title e.g. MSc Toxicology, BA (Hons) Journalism
* Name of Institution of your choice (please leave vacant if you have no particular choice or want Xpert to find one for you)
2. Personal Details
* Title (e.g. Mr, Mrs, Miss, Ms, Dr etc)
* Have previously studied at or applied for international study (Tick ONE)
Yes:
No
:
* Name (BLOCK CAPITALS)
* Date of Birth (DD/MMM/YY - eg: 04/MAR/84)
* Gender (Tick ONE only)
Male:
Female
:
3. Correspondence Address
* Address Line 1 (BLOCK CAPITALS)
* Address Line 2
* Town
* County
* Postcode
* Country
Home Telephone number (including country dialling codes)
Mobile number (including country dialling codes)
Alternative number
Email address
4. Permanent address (This could be your parents' address or your address in your home country)
* Country of Birth
* Country that you normally live in
Nationality as it appears / would appear on your passport
Did you require a student visa for entry to the UK?
Yes
No
Will you require a student visa for study in the UK?
Yes
No
5. English Language Qualifications
6. Education / Qualification
* Qualifications (Please list below in date order starting with the most recent)
7. Employment
* Employment history (complete if applicable in date order starting with the most recent)
8. Personal Statement
Please enter your Personal Statement here
9. References
Please provide details of two referees one, at least, must be an academic referee. If you are applying for an MBA you must include a work referee, normally your line manager.
10. Submission
Please return this form to the Admissions Office. You can send this form as an e-mail attachment, or you can print it out and send it by surface mail or fax. We aim to respond to all applications within one week of receipt.
UK Head Office
No 31 Adine Road E-mail: study@xpertconsulting.org.uk
Plaistow website: www.xpertconsulting.org.uk
London +44(0) 2070554735
E13 8LL
uk
Mrs Ugonma Adu
Nigerian Admissions Officer
Email: Ugommaadu@xpertconsulting.org.uk
Tel: 07060924430