REGISTRATION OF INTEREST FORM

Please complete ALL sections of the Registration form - Your registration will not be processed if you FAIL to answer ALL Questions. Click "I agree" at the end of the registration Form to proceed with your registration

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Personal Details
Name: Title (Mr, Mrs, etc) Forename Surname
Address:

Permanent home address

Correspondence address (if different)
Other contact details: Telephone Fax Email
Date of birth Nationality Religion:

Are you disabled?

If yes, please provide details:

Previous student?

Students without formal qualifications need NOTapply



If yes, please provide further details of place of study from age of 10
   
Location - where do you wish to attend classes?
Why?
 

Please provide full information:

 

Stage 1

Fit and proper person test

Use the following space to provide information on your character: Why the College should offer you a place/ Membership of any organisations etc.
 
 

Stage 2

Why you want to study in the UK

& how you will financially sustain yourself while undertaking a period of study.

Answer all question in the space below


 

 

Answer for Stage 2
Stage 3 Qualifications:
Qualifications  
Please fax or post - all qualification MUST have a stamp of authenticity from your place of study - No photo copies accepted

Please type your name in the following space this will constitute your signature.
Revision 2
© Central Birmingham College Limited, 2003.