TIER 4 (G)

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N9. I am: TIeR 4 (GeneRAl) APPlICATIOn FORM Studying English as a Foreign Language course only - go to N10 Studying any other type of course - go to N11 A Student Union Sabbatical Officer - we will use the information provided on your CAS as evidence. Undertaking a Foundation course as a Post-graduate Doctor or Dentist - go to N12 N10. If you have been assessed by means of an academic or professional reference, you must send us each original reference used by your sponsor as the basis for their offer to you. Please tick one of the following boxes: I am enclosing the original reference(s) with my application. I am enclosing copies of my reference(s) along with a letter from my sponsor confirming the content of the reference copies. n/a Now go to Section O I am a low risk national and am not required to include this document with my application. N11. You must send us the evidence that your Tier 4 sponsor used as the basis for assigning a CAS to you, unless you are exempt from doing so. Please tick one of the following boxes: I am enclosing all of the qualification certificates and transcripts of results used as the basis of my course offer. Now go to Section O I was assessed by my sponsor by other means. I am a low risk national and am not required to include this document with my application. N12. You must send us your original certificate of qualification and/or your original transcript of results of your UK qualification in Medicine or Dentistry, as listed by your Tier 4 sponsor on your CAS: I am enclosing the required evidence. Now go to Section O I am a low risk national an am not required to include this document with my application. Tier 4 (G) Application Form (version 10/12) - page 32
TIeR 4 (GeneRAl) APPlICATIOn FORM Section O - About your Parent or legal Guardian You should only complete this section if you are a TIer 4 (General) student aged 16 or 17 years old. In this section you will be asked to provide information about your care and living arrangements in the UK and about your parents or legal guardians. O1. Are you in Local Authority care in the UK? (ht) Yes go to the next section No go to O2 O2. What is the name of your Parent or Legal Guardian? Title - please select from the following list: Mr Mrs Miss Ms Dr First name(s) or given name(s) Last name(s) or family name(s) O3. What is their date of birth? D D M M Y Y Y Y O4. What country are they currently living in? O5. Please provide their address: House number/name Address line 1 Address line 2 Address line 3 Town/City County/District Country Postcode: O6. How are you related to your Parent or Legal Guardian? O7. What is the name of your Parent or Legal Guardian? Title - please select from the following list: Mr Mrs Miss Ms Dr Tier 4 (G) Application Form (version 10/12) - page 33
Page 1 and 2: APPLICATION FOR A GRANT OF LEAVE AN
Page 3 and 4: A. Payment Details TIeR 4 (GeneRAl)
Page 5 and 6: Dependant 1 - First name Last name
Page 7 and 8: TIeR 4 (GeneRAl) APPlICATIOn FORM Y
Page 9 and 10: TIeR 4 (GeneRAl) APPlICATIOn FORM S
Page 11 and 12: TIeR 4 (GeneRAl) APPlICATIOn FORM D
Page 17 and 18: H7; What date did you move to this
Page 19 and 20: I9; Date of the judgement or civil
Page 23 and 24: TIeR 4 (GeneRAl) APPlICATIOn FORM J
Page 25 and 26: K10. Have you claimed Housing Benef
Page 27 and 28: L9. What date does your course end?
Page 29 and 30: TIeR 4 (GeneRAl) APPlICATIOn FORM M
Page 31: TIeR 4 (GeneRAl) APPlICATIOn FORM S
Page 35 and 36: Section P - Your Declaration TIeR 4
Page 37: SUMMARY SHeeT TIeR 4 (GeneRAl) APPl

TIER 4 (G)

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