PLEASE COMPLETE IN BLACK INK AND IN BLOCK CAPITAL LETTERS OR TYPE
If you have any problems completing this form email firstname.lastname@example.org or call 0044 (0)161 850 0525
SECTION 1: Applicant Details
Date of Birth Nationality
Gender Male Female Marital Status Single Married
Do you consider yourself to have a disability?*
Do you have a criminal conviction?
Section 2: Passport Details
Country of Birth
Passport Issue Date
Passport Expiry Date
Section 3: Visa Details
Fill in your visa details, if you already have student visa for UK
Visa Issue Date
Visa Expiry Date
Date of Entry in UK
Visa Issuing Place
Section 4: Student’s Permanent Address
Please enter your permanent address
Section 5: Student’s Address in UK
Please enter your UK address
Section 6: Students from the UK
Please complete the following if you are currently applying from within the UK. Tick your response.
I hold a UK / EU Passport
I have a Non-UK / EU Passport, with permission for leave to remain in
I am an overseas Student on a Student Visa
Tourist / Visit Visa
Working Holidaymaker Visa
Other Please Specify
Date of Arrival in UK
Visa Issue Date
Visa Expiry Date
Section 7: Returning / Ex Students
Please provide information, if you have applied before or if you are Darwin’s College Ex-Student
Have you applied before at Darwin’s College Yes No
Are you Ex-Student of Darwin’s College Yes No
Student ID No (if known)
Section 8: Course Selection
Please select the relevant course, for which you are applying for admission. Mention your preference of course if you are interested in
more than one courses, by mentioning number 1,2,3
Section 9: Intake Session
Please select the intake session for which you are applying for admission
January April July October
Section 10: English Language Proficiency
Please provide information about your English Language Proficiency
Section 11: Education Details
List all academic qualifications that you have achieved. Copies of all relevant final transcripts must be attached with this application.
Copies can be scanned and emailed to email@example.com. Please provide translations to English if required.
Qualifications From To School/ College / Grades
Section 12: Result Pending
List any results you are awaiting and include anticipated grades
Qualifications Exam Date School/ College / University Expected Grade
Section 13: Employment Details
Please give details of positions held over the past 5 years. If you are applying as a mature-age student, or for admission as a post
graduate, provide detailed job descriptions on a separate page, and attach documentary evidence, e.g. reference letters from employers.
Employer Name Address Position Held From To
Section 14: References
Please provide the names of two referees; at least one should be an academic referee who has knowledge of your academic ability.
Referee Name Address Telephone Email
Section 15: Finances
Indicate how you intend to finance your studies and your living expenses in UK
How will you finance your studies at Darwin’s College?
Family Employer Loan Savings Other
Please specify, if you have chosen other as means of your finance
Your Sponsor’s Name Relationship with You
Telephone Number Email Address
Sponsor Declaration: I have agreed to finance the above named applicant in his/her studies in UK and agreed to release funds for
tuition fees and living expenses as and when required:
Signed: Name: Date:
Section 16: Student Progress Reports
The College often sends reports to parents, guardians or sponsors. Complete this section so that we can contact the appropriate person
Contact Name: Relationship:
Contact Address: same as – Permanent Address
Other (please specify):
Please send reports by email: Post:
Contact Email: Contact Tel:
Section 17: Next of Kin Address
Section 18: Statement of Purpose
Please provide a statement in your own words explaining: (i) why you wish to study in the UK, (ii) why you have chosen Darwin’s College
and if you have researched any other institutions before deciding upon this College, (iii) why you have chosen this course and how it fits
with your career path, (iv) what you intend to do after you complete the course, (v) how you intend to finance your studies and living
expenses in the UK. Please use a separate sheet if required.
Section 19: Student Questionnaire Please tick each box if you are in agreement
1. I know the cost of my chosen course and have a payment plan
(Please ask you agent or the admissions Office for a payment plan)
2. I know that the tuition fee does not include the cost of living in the UK
3. I know that I must have sufficient funds to cover my living expenses
4. I know that attendance is compulsory and I must achieve a minimum of 85% attendance
5. I understand that the college will inform the UK Border Agency of my registration and attendance
6. I know that text books will have to be purchased for most subjects
7. I know that a laptop or computer may be required for personal study
8. I understand that I cannot change or defer my course without prior written permission
9. I know all the documents to be submitted along with my application, and failure may delay my
10. I understand the eligibility for my chosen course and know the course requirements
Section 20: Market Information
Please specify the sources which informed you about the college and the course
Friend / Relative
Other (please specify)
Section 21: Required Documents
Application Form (completely filled)
Two Reference Letters
IELTS / TOFEL Score
Two Passport Size Photographs
Curriculum Vitae (if applicable)
Proof of Address
Copy of Your Passport
Section 22: Terms & Conditions
By signing below you agree to all terms & conditions of Darwin’s College
I am responsible for familiarising myself with and abiding by all College student policies, as listed in the Student
No student will be admitted to any Programme unless the Registrar is satisfied that the student’s previous education
will enable him/her to benefit from the proposed programme.
Student’s deposit will be counted for student tuition fees. Student deposit may be refundable should student visa
application to the UK be refused, to which case, student need to provide a copy of the refusal letter from the British
Embassy, General Consulate or High Commission before we start refunding your deposit. All refund applications are
decided on individual basis, and the College reserves the right to accept or reject refund applications.
If student visa is granted, but student decide not to come to study with us, student tuition fee deposit is not
refundable and the remaining tuition fee for the course will automatically become payable. The student will have to
pay that amount under all circumstances.
For students registering after the first day of any term, the Fees for that term will be charged on a term basis from
the date of registration and will be payable in advance in the usual way.
No allowance in respect of Fees can be made for students starting late or leaving early in any term once they have
registered with the College; if the student is asked to leave the College by the Principal for disciplinary reason, any
Fees due will remain payable, and prepaid Fees will not be refunded.
The College reserves the right, at any time to make whatever changes may be deemed necessary in admission
requirements, fees, charges, tuition, policies, regulations and academic programmes prior to the start of any
The College does not accept any responsibility for students’ personal possessions while they may be on any premises
belonging to the College.
The College will not be held liable for any property or money lost on the College premises. Students using the
College’s address to receive mail do so at their own risk. The College accepts no responsibility for any loss of mail
belonging to students.
The College reserves the right to alter timetables during an academic year at any time in writing for any reason.
The College also reserves the right to increase the level of Fees payable for any term in the academic year, but
provided that the uplift in Fees is notified in writing by the College to the parties responsible for the payment of Fees
at least one month prior to the last day of the term immediately preceding the term for which the uplift is to be
If a student is required by the Home Office to leave the UK because of non- or poor attendance, or because of any
breach of law, tuition fees paid will not be refundable.
If the application form is signed on behalf of the student by his/her sponsor/guardian/representative, these
conditions will still apply.
Students accepted on a programme of study, prior to interview, may be required to undergo an Entry / English test
on arrival, if they have not submitted any relevant English Language Qualification (IELTS / TOFEL).
Students who change address must notify the college immediately.
Important notices to students are displayed on the college’s main Notice Board and it is the student’s responsibility
to ensure that such notices are read.
Students unable to join their course by the scheduled date must inform the College in writing at least two weeks
prior to the starting date of their course. Any period of absence will be recorded.
I agree to purchase text books and material associated with the course as stipulated by the College.
In agreeing to abide by this declaration I undertake to pay all fees as they become due and to meet any late fees and
I agree to meet my financial obligations to the College in full and by the due date provided to me as detailed in my
Payment Plan. I understand that I will not be permitted to enrol, sit for exams or graduate if I fail to do so.
I hereby state that the information I have provided to the College is true and factual and that no information which
would have a material bearing on this application has been withheld. I understand that the College will take action if
it considers appropriate if subsequently it is found that part or all of the information provided is false.
I am applying for admission at Darwin’s College and I understand that the decision to offer me a place rests
with the College, and the decision of the College is final. If I am offered and accept a place on the programme,
I agree to abide by the rules and regulations of the College.