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. 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. 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. 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. 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. 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