Application Form Here
For Admission Application No:
Please read the information contained in the Guidance Notes before completing this form
Section 1: Applicant Details
Surname: __________________________________ First Name: ____________________________________
Mr/Mrs/Miss/Ms/Other (please specify) _________ Nationality: ____________________________________
Address in UK (if any): _______________________ Overseas Address: _____________________________
Date of Visa Expiry (if applicable) ______________ Date of Entry in UK (if applicable) __________________
Passport No: ________________________________ Passport Expiry: ________________________________
Overseas Contact No: ________________________ UK Contact No: _________________________________
Overseas Mobile No: _________________________ Sex Male: Female:
Email address: ______________________________ Date of Birth (dd/mm/yy): ________________________
Section 2: Next of Kin-Details
Name: ____________________________________ Telephone No: _________________________________
Email address: ______________________________ Relation to applicant: ___________________________
Course applying for: __________________________________ Course Code: ____________________________
Accountancy (ACCA) Business Management (ABE)
Course commencement date: ___________________________________________________________________
Who will pay your fees? Please tick as appropriate.(attach evidence and letter from sponsor)
Parents Family member yourself Employer (please attach evidence)
Others please specify ____________________________
Section 3: Educational Qualifications (including awaiting results with the most recent first)
Title of Qualification Institution Date Awarded Subjects Passed & Grades
Section 4: Employment Details
Give details of work experience, training and employment if relevant.
Employer’s Job Title Full Time/ Job Description and main Date Date To
Name Part Time responsibilities From
Section 5: English Language Proficiency (Please refer to guidance notes 1.1)
Is English your first language Yes No
Have you attended any courses in English Language Yes (Please attach evidence) No
Have you taken any English Language proficiency test Yes (Please attach evidence) No
Section 6: Personal Statement in support of application
All applicants – please produce a personal statement that describes your academic interests and your purpose
and objectives in undertaking this study. This is your opportunity to introduce yourself to the selectors. Please
describe your academic background, strengths/interests, ambitions/research interests, career aspirations etc in
support of your application. If you have been out of formal education for some time, please outline any relevant
experience that may be taken into account in lieu of formal qualifications. Please continue on a separate sheet if
Section 7: Referees
Please provide two academic references in support of your application. If you are currently working, we will
accept one professional reference in addition to one academic reference. The college reserves the right to
contact the referees to comment on your suitability and eligibility for the course you are applying for. Please
note that it is in your interest to obtain these references from your referees and forward those to the college to
further support your application.
Note to the applicant:
Please provide your referee’s name and contact details. Please refer to 1.3 of guidance notes on this form for
Referee 1 Referee 2
Organisation: ____________________________ Organisation: ____________________________
Position: ________________________________ Position: ________________________________
Address: ________________________________ Address: ________________________________
Contact No: ______________________________ Contact No: ______________________________
Email: __________________________________ Email: __________________________________
Section 8: Additional Needs
Do you have any disabilities, health related conditions or special educational needs? YES/No
If yes please give brief details including medical evidence and any special provision you think may be required.
Please refer to Guidance notes 1.2
Section 9: How did you hear about LICM?
Family Friends University/College
British Council LICM Website Education Fair* Magazine/Newspaper*
LICM Staff* Other Website* Other*
*If you ticked this option please give detail: ________________________________________________
Section 10: TERMS AND CONDITIONS
No Question Yes No
1 Are you aware of all the information and programmes offered by LICM?
2 Are you aware that LICM will not find any part time, full time or any placement service
while you are studying here?
3 Are you aware of your total course fees and accept to pay the remaining fees (if any) as
agreed by you and LICM?
4.a Are you aware that the fee paid will only be refunded if a letter of refusal from the British
Embassy and the original documents of admission issued by the college are attached with
the refund application form and an administration fee of £200 will be applicable?
4.b Are you aware that you will not be refunded any fees if your visa is refused on the basis of
your maintenance of funds or fake documentation that you have submitted?
4c Are you aware that you have to request for the refund in any of the above cases within 7
working days of your visa refusal and then this will be reviewed by the college within 6
4d Are you aware that if the visa was refused on the basis of the CAS Issued by this college,
then the applicant must apply for administrative review (appeal) within 28 days of the
refusal, otherwise the student will not be entitled to any refund?
4e Are you aware that you will not be eligible for any refund of fees if you are refused entry by
the border agency at the airport?
5 Are you aware that attendance is compulsory and you must maintain a minimum of 80%
throughout your course or you will be suspended from the LICM college and these may
adversely affect your immigration status?
5a Are you aware that you are required to attend minimum 15 hours of study per week?
6 Are you aware that you cannot change or defer the course without written permission
from LICM in advance?
7 Are you aware that your total course fees do not include awarding body examination fees,
registration fees with the awarding body or any other expenses that you might incur during
your stay in UK? (i.e. they only include your tuition fees)
8 Are you aware that you should have sufficient funds to support yourself during you course
of study in the UK, and must not depend on any part time jobs for the same?
9 Are you aware that you will incur an additional re sitting fee if you do not clear the modules
in the first attempt?
10 Are you aware that LICM will inform the UKBA regarding your registration, attendance and
progression details and if any information suggests that you are breaching the conditions
of your leave than these will adversely affect your immigration status?
11 Are you aware that you MUST inform LICM of any changes to your personal circumstances
or contact details?
12 Are you aware that LICM reserve the right to amend the Terms & Conditions at any time?
13 Are you aware that you give consent to LICM by signing this application form?
Section 11: Declaration
I declare that the statements on this form are correct. I understand that any offer of admission may be withdrawn if
I cannot provide documentary evidence of any statements on this form. I agree that college may process the
information contained in this form and retain it for five years for statistical and administrative reasons. If I am
admitted to the college I undertake to observe the college’s regulations and to ensure payment of tuition fees and
other financial liabilities to the college. I have read and understood the Terms and Conditions of the college.
Signature of Applicant ________________________________ Date _______________________
Section 12: Checklist (For online application, please attach scanned copies of documents)
Please attach all relevant supporting documents
Copy of valid passport
Passport size photograph
Letter of Financial Sponsorship along with Bank Statement
Attested copies/transcripts of all Educational Qualification
Copies of English language certificates
Original Reference letters on official letter headed paper
Experience letter from the employer (if applicable)
Medical Certificate for any disability mentioned
The college will not review applications until all supporting
Documents are received
Before completing your application you should read the College literature relating to the
course(s) for which you are applying. You are advised to access the online prospectus on our
If handwritten, please complete the form in block capitals using black ink, and in legible
Please complete all fields; if a field is not relevant to you write N/A (not applicable).
Please make sure you give us your correct contact details including email address as this will be
the main medium of communication with most of the students.
1 Required English language Levels
It is important that you can demonstrate a suitable level of English language proficiency before
commencing on a course at LICM.
English Levels are assessed according to the requirements of UK government, accreditation
agencies and awarding bodies.
English language requirements are IELTS6/6.5.
2 DISABILITY INFORMATION
The college is fully committed to the implementation of a disability policy to achieve equal
opportunities for all students.
In order that we can provide appropriate support for disabled students, it is important that any
additional needs are outlined at the time of application.
Applicants who indicate support may be invited to discuss these in further detail, if
The referee's report is an important part of the admission process. The information it contains
helps College staff in making decisions about admissions.
The reference letter should be provided on the official letter headed paper of the Educational
institution, and/or Employer.
Referees should be able to comment on previous/present/likely performance, abilities, and
intentions of the candidate in the context of candidates’ academic and career ambitions, and
his/her suitability for the course applied for.
Candidates should send us the attested copies of all their educational certificates/transcripts.
Candidates should make sure that these transcripts are duly attested by the awarding body or
British Council/embassy/high commission of their country.
If your transcripts are not in English, we must receive official independent translations bearing
the stamp/signature of the translator.
Candidates should note that at the time of enrolment, they should have to bring the original
transcripts and all other relevant documents for verification.
For Office Use Only
The admissions process for all the concerned departments to follow in the below order
Received & Checked by Admissions: ______________________ Date: _______________________
Assessed for Interview: Accepted/Rejected Forwarded to Academics on/by: ___________________
Interviewed by: ________________________ Date: ______________ Accepted/Rejected
Forwarded to Admissions for authentication on/by: ___________________________Successful/Unsuccessful
Comments: __________________________ ____________________________________________________
Conditional Offer Letter issued by: ______________________ Date: _________________________
Forwarded to Finance for fees on/by: _______________________________Approved/Rejected
Forwarded to Admissions on/by: __________________ CAS recommended by __________________________
Forwarded to Authority for CAS on/by _______________CAS Issued by/on_____________________________
Forwarded to Admissions by/on: ________________ Unconditional offer issued by/on____________________
For Accounts Use Only
Receipt No: Course Code: __________________________________
Application No: _______________________________
Total Amount: £ ______________________________ Amount Paid: £ _________________________________
Balance: £ ___________________________________
Mode of Payment: Cash Cheque Debit Card Credit Card Bank Transfer
Other: ______________________________________ Cheque No (if applicable): ________________________
Date payment received: ________________________
Payment received by: __________________________ Date: ________________________________________
Payment authorised by: _________________________ Date: _________________________________________
Signature: ___________________________________ College Stamp: