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You should complete this Form if you are coming to the UK as a student visitor



What is the main purpose of your visit to the UK?

Travel Dates
On which date do you wish to travel to the UK? –

How long do you intend to stay in the UK? –

On which date will you leave the UK? –

About You Read Guidance, Part 1

1.1 Given name(s) (as shown in your passport)

1.2 Family name (as shown in your passport)

1.3 Other names (including any other names you are known by and/or any other names that you have been known by)

1.4 Sex Put a cross (x) in the relevant box

Male Female

1.5 Marital status?

Date of Birth

Place of Birth

Country of Birth

Nationality

1.10 Do you hold, or have you ever held, any other nationality or nationalities? Put a cross (x) in the relevant box

Yes No If ‘Yes’ please provide details

Passport Information Read Guidance, Part 2

Enter details of the passport or travel document that you will use to travel to the UK.

Current passport or travel document number

Place of Issue

Issuing Authority

Date of Issue

Date of Expiry

2.6 Is this your frst passport? Put a cross (x) in the relevant box

Yes No If ‘Yes’ go to Part 3

Please give details of any previous passports, covering the last 10 years, including where these passports are now.

Your Contact Details Read Guidance, Part 3

Your full residential address and postal code

3.2 How long have you lived at this address?

Home (landline) telephone number





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