Do you have a current passport? If yes, please provide the passport number and complete Yes No the passport-related sections. If not, please provide your Birth Certificate Number. Passport Number: Birth Certificate Number: Country of Issue: Passport Issue Date: D D M M Y Y Y Y OFFICE USE ONLY: Passport Expiry Date: D D M M Y Y Y Y Checked original ID Do you hold a valid UK visa (for non EEA applicants only) Yes No Type of current visa: _______________________ Expiry date of current visa: ______________________ If you have lived outside of the UK, please provide details below Name of country From To Please complete all relevant M M Y Y M M Y Y questions to show where you M M Y Y M M Y Y have lived your whole life, starting with your most recent M M Y Y M M Y Y country of residence. M M Y Y M M Y Y Please indicate which of the following residency statuses apply to you:- UK Citizen or EU EEA or Swiss Indefinite Leave to Discretionary Leave to Humanitarian National National Remain Remain Protection Refugee Settled in the UK Child of Turkish Other (please specify) worker OFFICE USE ONLY: Home EEA Further information required Fee Status Assessed Section Ten: Referee The College will only consider your application if you provide details of a referee. Before completing the section of the application, please contact your proprosed referee to make sure that they are happy to act in this capacity. If you are currently or have previously studied at the College and would like a member of College staff to act as a referee, all you need to do is provide us with their name. If you have not previously attended the College or would like to use a referee from another organisation, please provide their contact details. The College will only contact your referee if it is necessary to better assess your application. Surname How do you know your referee? First Name My proposed referee is a member of Ashton Sixth Form College staff? Yes No If you answered to the question above, please provide contact details for your referee below: ‘no’ Daytime Tel: Address: Email Address: Section Eleven: Learner Declaration
Do you have a current passport? If yes, please provide the passport number and complete the passport-related sections. If not, please provide your Birth Certificate Number. Yes No Passport Number: Birth Certificate Number: Country of Issue: Passport Issue Date: D D M M Y Y Y Y OFFICE USE ONLY: Checked original ID Passport Expiry Date: D D M M Y Y Y Y Do you hold a valid UK visa (for non EEA applicants only) Yes No Type of current visa: _______________________ Expiry date of current visa: ______________________ If you have lived outside of the UK, please provide details below Please complete all relevant questions to show where you have lived your whole life, starting with your most recent country of residence. Name of country From To M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y Please indicate which of the following residency statuses apply to you:- UK Citizen or EU National EEA or Swiss National Indefinite Leave to Remain Discretionary Leave to Remain Humanitarian Protection Refugee Settled in the UK Child of Turkish worker Other (please specify) OFFICE USE ONLY: Fee Status Assessed Home EEA Further information required Section Ten: Referee The College will only consider your application if you provide details of a referee. Before completing the section of the application, please contact your proprosed referee to make sure that they are happy to act in this capacity. If you are currently or have previously studied at the College and would like a member of College staff to act as a referee, all you need to do is provide us with their name. If you have not previously attended the College or would like to use a referee from another organisation, please provide their contact details. The College will only contact your referee if it is necessary to better assess your application. Surname How do you know your referee? First Name My proposed referee is a member of Ashton Sixth Form College staff? Yes No If you answered ‘no’ to the question above, please provide contact details for your referee below: Daytime Tel: Address: Email Address: Section Eleven: Learner Declaration
Application_Form19.20.docx