Kingston Fee Assessment

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    FeeAssessmentuestionnaire2.OLAntryKingstonUniversity ondon

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    Section1PersonalDetailsNew Kingston pplicant: Current ingston tudent: I No tYe tApplied o Ki ngston:Monthf "r*' SglMXYear ofEntry: 2 O f tKingstonD Number:TitlerM y' Name: KnPnn l Surname:Af+ USn Datef t"n, O/o, f gZEmail ddress:Address:

    lf you answered o,please ivedetails f al lyour previous ddress(es)rom 1" September 004 o present:

    Pleose ontinueon o sepsrotesheet f requiredEMPTOYMENT/EDUCATIONrom l't September 004 o present

    Pleqse ontinueon oseparatesheet f required

    Have ou ivedat this addressor the last6 years? Yes

    Employer/Educationrovider

    Fe eAssessment eam,Applicant ervices, ingston niversity, ooperHouse,40 - 45 SurbitonRoad,Kingston po nThames, urrey,KT 12H XEmail:[email protected] Tel:08448552177

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    KingstonUniversityLondonPage of 5

    Section continued

    SectionFamilyDetails

    Nationalityas tated n yourPassport): Countryof AT(f.UANISTI+NHave ou ever esided utsideof the UnitedKingd om lslands/Europeannion? vesE/ruoEldl',lf you answeredYES, lease ontinue o section2lf you answeredNO,please omplete he declaration elow and return he form to us alongwith a copyof yourpassport.I declorc hat the nJormation hovegiven s both true ond complete. understond hat giving naccurateor folse nformotion, or submitting alseorfroudulent documentation will offect my obility to enrol or remoin on o courseof study at the University. I also understond thot the lJniversity requiresfurther documentoryevidence o verify this nformotion ond thot foiture to produce thismoy result n my being chorged Overseosees. understond hat theUniversity s unoble to occept responsibilityfor ony original documentssubmitted with this orm.I confirm thot I havepermanent right ol obode n and havenever ivedoutsideof the united Kingdom/EuropeonUnion.. r I Isisnature:{y Dote:Z6/9/ ttlf youanswered O o thequestion bove,his orm snowcomple/eUnder he DataProtection ct 1998, he information ou supplywil l be held n strictconfidenceor the purpose f ascertainingee statusonlypn dmay beviewedby yo usubjecto written requestand a minimal ee .

    Birth

    Pleasetate he nationalityf th e followingndividualsas tatedn heirpassport):Mother:Berf(SH Father:3gr ts i l LegalGuardian(s) :xr lA, spouse: p / lPlease rovide etailsofyour parents/legaluardian(s)ddress{es)rom 1' tSeptember 004 o present:

    Pleose ontinueon o sepctrate heet f requiredHave ou r amilymembers orked n he UK?yes E No Eff yes,please ivedetailsbelow rom 1'tSeptember 004topresent: n,/x

    Please ontinueon o seporatesheetf required

    Familymember

    From To Employer/Educationrovider Country

    4l 9 -t,

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    KingstonUniversityLondonPage of 5

    SectionlmmigrationStatusPleaseickbelowwhich mmigration tatus pplieso you,please ls onotewhatdocuments ouare equiredo send o us.

    Fe eAssessmenteam,Applicant ervices, ingston niversity, ooperHouse,40 - 46 SurbitonRoad,Kingston po nThames, urrey,KT 12H XEmaif:feestatus(akinsston.ac.uk Tel:O844 5S2!77

    lmmigrationStatus Pleaseick asappropriate DocumentationRequiredEEANational fora full listof EEA ountriesplease eepage1) A copyof relevant age(s) f

    passportdetails onfirmingname ndNationalityMarried o a UK/EUCitizen A copyof relevant age(s) f passportdetails onfirmingname ndNat ional i ty.

    A copyof relevant age(s) f Spousesassportrdetailsconfirming am eandNationalityCopyof marriage ertificate.

    Certificate f Entitlemento Rightof Abode nthEUK A copyof relevantpage(s) f passportdetails onfirmingnameandNationalityand/or elevanthomeoffice etterIndefinite eaveo Enter/Remainn th e UK A copyof relevant age(s) f passportdetails onfirmingnamean dNationality nda copyof your ndefiniteeaveoRemainAsylum eeker A copyof relevantpage(s) f passportdetails onfirmingname ndNationality nd elevant omeoffice etterRefugee tatus A copyof relevantpage(s) f passportdetails onfirmingnameand Nationality nd elevant om eoffice etterVisitor o the UK A copyof relevant age(s) f passportA;tai l ,confirmrngname ndNationality nd ncluding copyof yourVisaStudent A copyof relevantpage(s) f passportdetails ;tfir;ingname nd Nationality nd ncluding copyof yourVisaWorkPermitHolder A copyof relevant age(s) f passportOetailsoniirmingname nd Nationality nd ncluding copyof yourVisaDependantsisa,or example f aspouse rparent A copyof relevantpage(s) f passportO"iiGionfirrinenamean dNationality nd ncluding copyof yourVisa

    A copyof relevantpage(s) f passportdetails onfirmingname nd Nationality nd ncluding nyVisa or he person nwhich ou aredependant

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    KingstonUniversityLondonPage of 5

    SectionRefugee tatus AsylumSeeker

    SectionTemporaryResidencebroad r.t, /tl

    Have ou or a familymember esided utside f the UK/EU/EEA/Switzerland/Overs easerritories ince 'tSeptember2006? esr No r/Whendidyo u eavehe UK/EU/EEA/Switzerland/Overseaserritories?ln whichcountrydidyou resideoutsideof the UK/EU/EEA/Switzerland/Overseaserritories?

    Fe eAssessment eam,Applicant ervices, ingston niversity, ooperHouse,40 - 46 SurbitonRoad,Kingston ponThames, urrey,KT 12H X

    Emaif: [email protected] Tel:0844 855 2t77

    Areyouan AsylumSeeker waitinga decisionrom the HomeOffice? Yes r No p/Areyoua refugee ecognisedy Her Majesty'sGovernment?Yesn No {Have ou been rdinarilyesidentn the UK includinghe Channelslands nd sleof Man)since ou were ecognisedsarefugee? YesE Nofu./Doyou have relevantamilymemberwho s ecognisedsa refugeen he UK ?lf so,please tate heir elationshipo yo u

    Have oubeen ranted nyof the following, sa result f an Asylum pplication?

    Doyou have relevantamilymemberwho hasbeengranted nyof he following, sa result f an Asylum pplication?lf so please tate heir elationshipo you

    details:confirmingamgand Nationality i

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    KingstonUniversityLondonPage of 5

    Section Continued

    Declaration

    a) Whatwa s ou r easonor this esidency? rJ / Ab) fn whichcountryareyou ordinarily esident? fw / l,c) f youwerenot residing utsideof the uK/Eu/EEA/switzerland/overseaserritories, herewouldyou havebeenordinarilyesident?d) Do/didyou make egular eturnvisits o the UK/EU/EEA/switzerland/overseaserritories?es D No De) Doyouor your amilyown a property n the UK/EU/EEA/Switzerland/overseaserritories?esD No Ef) lf so ,di dyou maintainhi s n the period f time hat you esided utside f th e uK/EU/EEA/switzerland/overseasTerritories?YesE No E

    I declore hat the nformotion I hovegiven s both true ond complete. understand hat giving indccurate r olse informotion, or submittingolse orJroudulent documentotion wil! affect my obility to enro! or remoin on a courseof studydt theLlniversity. I olsounderstond thot the lniversity requiresfurther documentoryevidence o verifu this nformation ond that ailure to produce thismay resultn my being horged overseos ees. understond hdt theUniversity s unoble to occept responsibility for any original documentssubmitted with this orm.

    Signoture:under he DataProtection ct 1998, he information ou supplywil l be held n strictconfidenceor th e purpose f ascertainingee statusonlyand maybeviewedby yo usubject o written requestand a minimal ee .

    This orm is now complete

    Dote:

    Fe eAssessmenteam,Applicant ervices, ingston niversity, ooperHouse,40 - 46 SurbitonRoad,Kingston po nThames, urrey,KT 12H XEmai l : fees tatus@kinss ton.ac .ukel :0944g552177