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Contact Details
Current Address*
Street / Address Line 1 Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Email*
Do you have any overseas address?*
- Yes
- No
Overseas (Home) Address
Street / Address Line 1 Address Line 2 City County / State / Region ZIP / Postal Code Country
Emergency Contact Details

(Please tell us who you would like us to contact in case of emergency)
Title
Full Name
Relation
Address
Street / Address Line 1 Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Email

Fee Payment

Please provide details of how you intend to pay your tuition fees. Applicants may be asked to supply details of their financial position and their provision for the payment of fees.
Who will pay your tuition fees?
- Self-Funded
- Student Finance

English Language Proficiency
Is English your first language?*
- Yes
- No
If your first language is not English please give details of the most recent English Proficiency course you have taken. If you require a Tier 4 Visa, please note that you must also be able to demonstrate English ability to the minimum level required by UKVI
English Qualification Test
Qualification Name Grade Achieved Award Date
Education and Academic qualifications

What is the highest qualification you have achieved? E.g. Degree; HND; A Levels
College/University Name Qualification Level Qualification Title result Year Completed

Employment History
Employer Job title & Brief Description of your Duties Employment Period From Employment Period To

Personal Statement

You are advised to complete this section as fully as possible. As a guide your personal statement should cover topics such as your reasons for applying to your desired programme(s), your previous educational and employment experiences, personal qualities, future goals and career aspirations.
Personal Statement
Equal opportunities monitoring: (please put tick cross in appropriate box)*
What is your Religion / Belief*
Disabilities/Special Needs

To help us aid wherever possible state briefly if you have any special needs that the London Education Management should be aware of? (Medical, physical, personal, religious, etc.) If you need regular medication (e.g. for epilepsy, diabetes), please write below the type and quantity of medication you take.
Disabilities/Special Needs

References

Please give the name and address of two referees who we may approach and the capacity in which they are known to you. The referees named must be people who can comment authoritatively on you as a person and must include your current or most recent employer, teacher or a person who knows you well.
Referee 1 Name
Referee 1 Address
Address Line 1 / Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Relationship (i.e. employer, teacher)
Phone*
Email:
Referee 2 Name
Referee 2 Address
Address Line 1 / Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Relationship (i.e. employer, teacher)
Phone*
Email:

Declaration of Criminal Record
Do you have a criminal conviction which will be unspent at the time of your application to London Education Management?*
- Yes
- No
If Yes, Please state the date and reference number:
Date
Date Format: DD slash MM slash YYYY
Reference number:
If you are convicted of a relevant criminal offense after your application has been submitted, you must notify us.

Checklist

Before submitting this application form, please ensure that all sections of the form have been completed.

Please upload following the documents (You will need to provide original documents before your enrolment)
- All academic documentation including transcripts, certificates, etc (translation if not in English)
- Personal Statement
- Two Reference Letters (Acadamic / Work (If applicable))
- Passport to include photograph and personal detail pages
- Resume/Curriculum Vitae (CV)
- English qualification if applicable
- Recent proof of address such as: utility bill, bank statement etc (less than 3 months)
- Passport size photographs (you need to provide 2 photos before your enrolment)
Supporting Documents
Drop files here or
Declaration

I confirm by submitting this application form that, to the best of my knowledge, the information in this form is correct. I understand and agree to abide by the conditions and regulations of London Education Management, which I accept as a condition of this application.
Full name / Signature
Date
Date Format: DD slash MM slash YYYY

Personal details

College/University Name	Qualification Level	Qualification Title	result	Year Completed

Employer	Job title & Brief Description of your Duties	Employment Period From	Employment Period To

Qualification Name	Grade Achieved	Award Date