利兹大学申请表.doc

University of Leeds, Leeds, LS2 9JT, Identification No. United Kingdom Apply online: http://www.leeds.ac.uk/students/apply_research.htm APPLICATION FOR RESEARCH DEGREE STUDY (Before completing this application form please read the notes for guidance) A. PERSONAL DETAILS Title Family Name (Surname) Date of Birth Date Month Year First Name(s) Previous Names(s) (if different) Permanent Home Address Correspondence Address with dates Tel.No. Tel.No. E-mail Address Country of Birth Nationality Sex Male (M) Female (F) Year of entry to earlier study at Leeds (to be completed if you have studied at this University before) Have you applied to Leeds previously? To which School ? When? B RESEARCH DEGREE SOUGHT Which qualification do you wish to apply for? Method of attendance Indicate the School(s) you wish (full or part-time or split site) to consider this application FT/PT/SS Proposed date of entry Month Year C PREVIOUS HIGHER EDUCATION AND PROFESSIONAL QUALIFICATIONS HUSID No (if known) If you require a Tier 4 (General) Student Visa to study in the UK you must declare all visits to the UK that you have previously made whilst on a student visa. If any of the information you submit consequently changes or is incorrect e.g. if you are granted permission to stay as a Tier 4 (General) student for a new course at a different University, then please notify us immediately. Dates Qualification Class/ Date University/Institution Start Finish Obtained Result Subject Obtained Examinations still to be taken: (include date please) REGISTRY USE ONLY P