GSoM International Student Declaration Form
GSoM International Student Declaration Form
GSoM International Student Declaration Form
LONDON
Passport No ________________________________________________
So that GSoM can recommend you for a student visa we need the
following additional information:
Have you been refused a visa or entry into the UK or any other country in
the past?
No
Yes
(tick box). If yes, please provide details and submit a copy of your visa refusal with your application.
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Have you previously been issued a visa for entry into the UK?
No
Yes
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If you have previously been issued a visa, have you ever stayed in the UK
beyond your period of leave?
No
Yes
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Yes
(tick box). If yes, please state your job title and your employer.
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Recommendation
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Recommendation
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A relevant course . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (please detail below)
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Remain in the UK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Do another course . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
if so which one? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other (please detail below)
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Do you have any illness or disability that may affect your ability to complete
your course at GSoM?
No
Yes
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Are you aware that you will be required to attend all the lectures on your
course at GSoM?
No
Yes
(tick box).
How are you going to support yourself financially (payment of tuition fees
and living expenses) for the duration of your programme at GSoM?
(Tick appropriate box)
Parents/Legal Guardian (please submit a copy of your birth certificate)
Sponsored by an international organisation
Self financed
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Given the cost of your course and the need to support yourself in the UK,
please be aware that you will be required to provide photocopied evidence
that you have access to funds to pay your fees, plus 5400 to support
yourself for nine months.
Examples of appropriate evidence:
Bank statements (yours or your parents/legal guardian)
Sponsorship letter
Loan agreement
If you are already a student in the UK or have been previously, please
provide the following information:
Date your latest Student Visa was issued ______________________________________________________________
Date of expiry of your Student Visa
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If you are already, or have previously been a student in the UK please list the
educational institutions that you have attended with dates attended and any
qualifications gained whilst there.
Institution
Dates attended
(State month and year)
Course Title
Qualifications
(Please enclose copies)
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Declaration
All applicants must complete this section
I can confirm that the information that I have submitted on this form is correct.
I confirm that I have, to date, fulfilled the terms of my student visa and/or that I intend to fulfill the terms of my student
visa should I be accepted for a programme of study at GSoM.
Signature ___________________________________________________
Date __________________________________
Please return this International Student Declaration form to GSoM with your application.
1011/20625