EuroBio In English

Family Name:

Forename(s):

Title:

Date of birth:

ID No (if known):

UCAS ID (if known):

Title of course applied for:

Course start date:

Email address:

When did you first become resident in the UK:

Nationality (Citizenship):

If you have citizenship of two or more countries, please list them both/all

Please provide copies of the relevant pages of your passport.  If you have citizenship of two or more countries, please provide copies of the relevant pages of both/all passports.  If your passport was issued within the last 3 years please provide copies of the pages from your previous passport(s).

Country of birth:

Full name of Mother:

Nationality of Mother:

Full name of Father:

Nationality of Father:

Full name of Spouse/Civil Partner:

Nationality of Spouse/Civil Partner:

Please provide copies of the relevant pages of your parent(s) or spouse’s/civil partner’s passport and Marriage Certificate (where appropriate)

If any members of your family have UK, EU, EEA or Swiss nationality please give details and provide appropriate evidence i.e. birth certificate/passport

Please tick the appropriate box below and give dates as requested

Please provide:

❑ British Citizen or Commonwealth national with Right of Abode

Date issued:

Copy of the photo page of your passport and any relevant Visa

❑ Indefinite Leave to Enter/Remain in the UK

Date issued:

Copy of the letter from the Home Office confirming status AND copy of relevant page(s) of passport (including page(s) confirming name, nationality and status stamp)

❑ Refugee status

OR child or spouse of someone granted refugee status

Date issued:

Copy of the letter from the Home Office or refugee status travel document and passport where possible

❑ Refused refugee status but granted one of the following:

• Exceptional leave to enter/remain
• Humanitarian protection
• Discretionary leave

OR child or spouse of someone refused refugee status but granted one of the above

Date issued:

Copy of the letter from the Home Office and passport where possible

❑ Time limit on stay

Date last passport stamp/visa was issued:

Date of expiry of most recent permission to stay:

Copy of relevant page(s) of passport (including page(s) confirming name, nationality and Visa stamps)

❑ EEA national other than UK.  (The EEA comprises Austria, Belgium, Bulgaria, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Liechtenstein, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the UK)

OR a Swiss national

Copy of the page(s) of passport confirming name and nationality

❑ If none of the above categories covers you, or your status is likely to change before the start of the course, please give details and provide supporting evidence: