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Fee Status Assessment Questionnaire United Kingdom Government legislation permits publicly funded universities to charge ‘overseas’ student tuition fees to international students unless they fulfil certain residence and immigration status requirements. If you meet the residence and immigration status requirements you will be charged a lower ‘home’ student tuition fee. The purpose of this questionnaire is to enable us to accurately assess your status for fee payment purposes. Please answer all questions as fully as possible and provide documentary evidence where requested. Please send copies of documents and NOT originals as we cannot return documents to you. Pease note that the information provided will be used only to assess your fee status and this form does not constitute an offer of a place at Birmingham City University. Name Student ID No:/UCAS No: Proposed Course of Study Proposed Start Date M M / Y Y Y Y

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Page 1: Fee Status Assessment Questionnairecdn.bcu.ac.uk/docs/applicants/Fee-Status-Questionnaire-14-15.pdf · Fee Status Assessment Questionnaire United Kingdom Government legislation permits

Fee Status Assessment Questionnaire

United Kingdom Government legislation permits publicly funded universities to charge ‘overseas’ student tuition fees to international students unless they fulfil certain residence and immigration status requirements. If you meet the residence and immigration status requirements you will be charged a lower ‘home’ student tuition fee. The purpose of this questionnaire is to enable us to accurately assess your status for fee payment purposes. Please answer all questions as fully as possible and provide documentary evidence where requested. Please send copies of documents and NOT originals as we cannot return documents to you. Pease note that the information provided will be used only to assess your fee status and this form does not constitute an offer of a place at Birmingham City University.

Name

Student ID No:/UCAS No:

Proposed Course of Study

Proposed Start Date

M M / Y Y Y Y

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October 2013 Page 2

Your Immigration Status Immigration Status (please tick any that apply to you) Sections that must be completed

British Citizen or Commonwealth national with Right of Abode

About you About your family Section 1

British National (Overseas), British Dependant Territories Citizen, British Overseas Citizen, British Subject, British Protected Person

About you About your family Section 1

Indefinite Leave to Enter / Remain or an endorsement stating there is no time limit on your stay in the United Kingdom

About you About your family Section 1

European Economic Area National (EEA)*, other than the United Kingdom OR a Swiss national

About you About your family Section 2

European Union (EU)*, Nationals & their family members

About you About your family Section 3

Refugee Status OR you are the child or spouse of someone granted refugee status

About you About your family Section 4

Refused refugee status but granted one of the following:

exceptional leave to enter / remain

humanitarian protection

discretionary leave

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

About you About your family Section 5

Settled in the UK and have exercised a ‘right of residence’ in the EEA and/or Switzerland

About you About your family Section 6

Right of Permanent residence in UK

About you About your family Section 7

Child of a Turkish worker

About you About your family Section 8

Child of a Swiss Worker

About you About your family Section 9

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.

NB failure to include relevant information and documents will lead to delays in a decision being made.

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About You

COMPLETE IN BLOCK CAPTIALS

Family name

Other Names

Date of Birth

Place of Birth

Nationality

Correspondence Address

Contact telephone number

Email Address

Address of Permanent residence (if different from above)

About your Family

Nationality of Father

Nationality of Mother

Nationality of Spouse / Civil Partner

Do either of your parents reside in the UK/EEA

If yes, please give date their residency began

Is your spouse/civil partner resident in the UK/EEA

If yes, please give date their residency began

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Section One

Settled in the UK And meet the main residence requirements

Country of current residence

Date of first entry to live in the United Kingdom

What type of visa did you enter the UK with

In the past 3 years was your residency in the United Kingdom/EEA wholly or mainly, for the purpose of receiving full-time education

If No please state the purpose of your residence

Will your residence in the United Kingdom come to an end of completion of your studies at Birmingham City University

If No what will be your purpose for remaining in the United Kingdom

Have you been absent from the United Kingdom/EEA during the past 3 years (absence is counted as more than a holiday/Gap year overseas)

Please give details of the countries in which you have been resident for the Past 3 years: incl. Country, Date of residency began, Main reason for residency e.g. living with family, work, study

If Yes state the reason for absence from the United Kingdom/EEA

If the absence was due to work who was the employee

Yourself

Your mother/father

Your spouse

Evidence required: Please tick box if attached Copy of photo page of passport (including any pages confirming name and

nationality) Copy of Naturalisation Certificate if born outside the UK, or copy of Certificate of

Entitlement to the Right of Abode in the UK Copy of Contract of Employment

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Section Two

EUROPEAN ECONOMIC AREA (EEA)/ Swiss workers and family members

Country of current residence

If in the UK, date of first entry

When did your residency begin in the EEA and/or Switzerland and/or the overseas territories

Are you a non-UK EEA national or a Swiss national and resident in the UK as a ‘Worker’

Are you the relevant family member of a non-UK EEA national or a Swiss national resident in the UK of such a ‘Worker’

* The European Economic Area comprises of the United Kingdom plus: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic,

Denmark Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of Ireland, Romania, Slovakia, Slovenia, Spain and Sweden) 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 documentary evidence.

Evidence required: Please tick box if attached

Copy of photo page of passport confirming name and nationality Copy of utility bill or bank statement confirming your name and address

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Section Three

EUROPEAN UNION (EU) Nationals & their Family Members

Country of current residence

When did your residency in the EU begin

Are you the relevant family member of a non-UK EU national

Is the non-UK EU national in the UK as a self-sufficient person or as a student

Are you the relevant family member of a UK national

Date of first entry to live in the European Economic Area (EEA) and/or Switzerland and/or the overseas territories

In the past 3 years was your residency in the EEA/Switzerland (or the overseas territories) wholly or mainly, for the purpose of receiving full-time education

Evidence required: Please tick box if attached

Copy of photo page of passport confirming name and nationality

If relevant family member of an EU national: Copy of marriage certificate or birth certificate (translated into English as

appropriate) Copy of the relevant family member’s passport and visas Evidence that the family member is in the UK as self-sufficient person i.e. copy of

payslips, utility bills.

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Section Four Refugees, Their spouse/civil partner & children

Country of current residence

When did your residency in the United Kingdom begin

Are you a refugee recognised by the UK Government (Home Office)

Are you the spouse or civil partner of such a refugee

Were you the spouse or civil partner of that refugee on the date they made their asylum application in the UK (give details of when application was made)

Are you the child of such a refugee or of a child of the refugee’s spouse or civil partner

Were you the child of such a refugee or the refugee’s spouse or civil partner on the date on which their asylum application was made (give details of when application was made)

Were you under 18 years of age when the asylum application was made

Have you been ordinarily resident in the UK since you were recognised as a refugee for the past 3 years

Evidence required: Please tick box if attached

Copy of photo page of passport confirming name and nationality UK Border Agency/Home Office letter and any relevant refugee travel documents Copy of visa stamp confirming refugee status Copy of UK Border Agency/Home Office Letter confirming dependant(s) of a

refugee Copy of dependant(s) birth certificate

Copy of Marriage certificate (If spouse of refugee)

Evidence of Civil Partnership

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Section Five Refugee Status Refused

but were granted Humanitarian Protection, and their family

Country of current residence

When did your residency in the United Kingdom begin

When your asylum application was refused refugee status, what status were you given

Discretionary Leave (DL)

Humanitarian Protection (HP)

Indefinite leave to remain (ILR)

Are you the spouse or civil partner of a person granted Humanitarian Protection and under 18 year old of that person on the date on which their asylum application was made (give details of when application was made)

Evidence required: Please tick box if attached

Copy of passport or travel document photo page UK Border Agency/Home Office letter and any documents to support your claim Copy of visa stamps Copy of UK Border Agency/Home Office letter confirming dependency Copy of marriage certificate and spouses passport pages if claiming through

marriage copy of birth certificates (for children)

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Section Six ‘Settled’ in the UK and have exercised a ‘right of

residence’ in the EEA and/or Switzerland

Country of current residence

When did your residency begin in the United Kingdom begin

Are you settled in the UK and without any immigration restriction on the length of your stay in the UK

Have you exercised a right of residence after being settled in the UK in the EEA and/or Switzerland as workers or self-employed Person

Have you been ordinary resident in the EEA and/or Switzerland and/or overseas territories in the last 3 years

Was any part of your residency in the last 3 years been for the purpose of receiving full-time education

Evidence required: Please tick box if attached

Copy of passport or travel document photo page Copy of visa stamps Copy of payslips, utility bills

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Section Seven ‘Right of permanent residence’ in UK

Country of current residence

When did your residency in the United Kingdom begin (can only be acquired after a five-year period of uninterrupted lawful residence in the UK as an EU national or a family member who is a non EU national)

Was any part of your residency in the last 3 years been for the purpose of receiving full-time education

Evidence required: Please tick box if attached

Copy of passport or travel document photo page Copy of visa stamps Copy of payslips, utility bills

Section Eight Child of a Turkish worker

Are you the child of a Turkish national

Your parents country of current residence

Is your parent lawfully employed in the United Kingdom

When did your residency in the United Kingdom begin

Evidence required: Please tick box if attached

Copy of passport or travel document photo page Copy of visa stamps Copy of parents passport and visa stamps Copy of Birth certificate

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Section Nine Child of a Swiss National

Are you the child of a Swiss National

Country of current residence

When did your residency in the United Kingdom begin

Evidence required: Please tick box if attached

Copy of passport or travel document photo page Copy of visa stamps Copy of parents passport and visa stamps Copy of Birth certificate

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Fee Status Questionnaire Checklist

I have included all relevant documents for my status to be assessed (tick which documents you have included. (Please note if you do not include the relevant documents your assessed will be delayed).

Photo page of passport

All visas in passport

Copy of marriage certificate (as my stay in the UK is linked to my spouse/ civil partner

Copy of my birth certificate and copies of my parents passports (as my stay in the UK is linked to my parent(s))

Copy of temporary employment contract / employers letter based overseas for myself / spouse/civil partner / parents

Copy of utility bills as proof of residence in the UK for the previous 3 years

Copy of all Home Office letters confirming my residential category in the UK

Copy of translations for documents

Declaration

I declare that the information given on this form is complete and accurate. If any of the information is found to be inaccurate or misleading Birmingham City University reserves the right to withdraw its offer of a place; terminate attendance at the University or amend the level of tuition fees charged.

I also understand that the University may need further documentary evidence to substantiate this information at any time should a query arise.

I have attached documentary evidence to support the answers given. Signed ______________________________ Date _________________________

Please ensure that you provide all documents that apply to your current immigration status. Failure to provide supporting documents will result in a delay in your fee assessment.

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October 2013 Page 14

OFFICE USE ONLY

DATE RECEIVED: _______________________________________________________________________________

FURTHER INFORMATION REQUESTED:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

DATE REQUESTED: _______________________________________________________

DECISION: ____________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

MADE BY: ____________________________________________________________________________________

DATE DECISION SENT TO APPLICANT: _______________________________________