Fee Status Assessment Questionnaire


United Kingdom Government legislation permits publicly funded universities to charge...
Section One - Your Immigration Status
Immigration Status (please tick ONE of the following)                              E...
Section Two – About You

2.1       Family name        ___________________________________________________________


2.2   ...
2.12    Date of first entry to live in the
        United Kingdom / European Union                                    DD/M...
Section Three - Absence from UK/EU

3.1        Please state the reason for any              Work              (go to ques...
Section Four – About your Family

4.1     Nationality of Mother ________________________________________________


4.2    ...
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New Fee Ass Ques

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New Fee Ass Ques

  1. 1. Fee Status Assessment Questionnaire United Kingdom Government legislation permits publicly funded universities to charge ‘overseas’ student tuition fees to international students unless they fulfil certain residence and immigration status requirements. If you meet the residence and immigration status requirements you will be charged a lower ‘home’ student tuition fee. The purpose of this questionnaire is to enable us to accurately assess your status for fee payment purposes. Please answer all of the questions as fully as possible and provide documentary evidence where requested. Please note that the information provided will be used only to assess your fee status and this form does not constitute an offer of a place at Northumbria University. Name UCAS/GTTR ID or University Application Number Proposed Course of Study Proposed Start Date MM/YYYY
  2. 2. Section One - Your Immigration Status Immigration Status (please tick ONE of the following) Evidence Required Copy of relevant pages of passport (including pages confirming name  British Citizen or Commonwealth national with Right of Abode and nationality) Copy of relevant pages of passport (including pages confirming name  British National (Overseas), British Dependant Territories Citizen, British and nationality) Overseas Citizen, British Subject, British Protected Person Copy of relevant pages of passport (including pages confirming name  Indefinite Leave to Enter / Remain or an endorsement stating there is no and nationality) and/or UK Home time limit on your stay in the United Kingdom Office letter UK Home Office letter or refugee travel document  Refugee Status OR you are the child or spouse of someone granted refugee status UK Home Office letter  Refused refugee status but granted one of the following: • exceptional leave to enter / remain • humanitarian protection • discretionary leave OR you are the child or spouse of someone refused refugee status but granted one of the above. UK Home Office letter  Asylum Seeker Copy of relevant pages of passport (including pages confirming name  Time limit on stay (e.g. leave to enter or remain in the United and nationality) Kingdom for specified period of time). Please give type of leave and dates below:  Student Visa  Visitor Visa  Work Permit  Other Date last passport stamp / visa was issued – D D / M M / Y Y Y Y Date of expiry of most recent permission to stay – D D / M M / Y Y Y Y Copy of relevant pages of passport confirming name and nationality  EEA national other than UK. The EEA comprises the UK plus Austria, Belgium, Republic of Cyprus, Czech Republic, Denmark (not including the Faroe Islands and Greenland), Estonia, Finland, France (including Guadeloupe, Martinique, French Guyana, Reunion, St Pierre et Miquelon), Germany (including Heligoland), Greece, Hungary, the Republic of Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Poland, Portugal (including the Azores and Maderia but not Macao), Slovak Republic, Slovenia, Spain (including Ceuta, Melilla, the Balearic Islands and the Canaries, and Sweden. If none of the above categories covers you or your status is likely to change before the start of the course, please give details and provide supporting evidence.
  3. 3. Section Two – About You 2.1 Family name ___________________________________________________________ 2.2 Other names ___________________________________________________________ 2.3 Date of birth DD/MM/YYYY 2.4 Nationality / Citizenship ______________________________________________ 2.5 Correspondence address 2.6 Telephone number _________________________________________________________ 2.7 E-mail address ____________________________________________________________ 2.8 Address of permanent residence 2.9 Country of current residence ________________________________________________ 2.10 When did your residency begin? DD/MM/YYYY 2.11 Please give details of the countries in which you have been resident for the past three years: Country Date Residency Began Main Reason for Residency (eg living with family, work, study) DD/MM/YYYY DD/MM/YYYY DD/MM/YYYY
  4. 4. 2.12 Date of first entry to live in the United Kingdom / European Union DD/MM/YYYY 2.13 Is your residency in the United Kingdom / European Union wholly, or mainly, for the purpose of receiving full-time education? Yes  No  2.14 If ‘No’ please state the purpose of your residence. _______________________________________________________ 2.15 Will your residence in the United Kingdom / European Union come to an end on completion of your studies at Northumbria? Yes  No  2.16 If ‘No’ what will be your purpose in remaining in the United Kingdom / European Union? ________________________________________________ 2.17 Have you been absent from the United Kingdom / European Union during the past three years? Yes  (go to section 3) No  (go to section 4)
  5. 5. Section Three - Absence from UK/EU 3.1 Please state the reason for any Work  (go to question 3.2) absence from the UK / EU Education  (go to question 3.5) Other  please specify ______________ 3.2 If the absence was due to work who was the employee? Yourself  Your mother / father  Your spouse  3.3 Please give details of the employment: Name of Employer Address of Employer Date of Employment (From – To) 3.4 Was the contract of employment of a temporary or permanent nature? Temporary  Permanent  (please provide documentary evidence such as an employers letter or copy contract) 3.5 Please give details of your education overseas: Name & Address of Institution Title of Course Date of Attendance Full-Time/ (From – To) Part-Time
  6. 6. Section Four – About your Family 4.1 Nationality of Mother ________________________________________________ 4.2 Nationality of Father ________________________________________________ 4.3 Nationality of Husband / Wife ________________________________________________ I declare that the information given on this form is complete and accurate. If any of the information is found to be inaccurate or misleading Northumbria University reserves the right to withdraw its offer of a place; terminate attendance at the University or amend the level of tuition fees charged. I also understand that the University may need further documentary evidence to substantiate this information at any time should a query arise. I have attached documentary evidence to support the answers given. Signed __________________________________________ Date _________________________ The University reserves the right to re-assess your fee status at any time should it be found that any of the information or documentation you have supplied is fraudulent, inaccurate or misleading Please return your completed form to: Ms Miriam Clift Admissions Officer Marketing and Recruitment - Admissions Northumbria University Trinity Building Northumberland Road NEWCASTLE UPON TYNE NE1 8ST Alternatively please fax to 0191 227 4561 Or e-mail to er.admissions@northumbria.ac.uk

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