Leeds City College/IAFE Application Form

Application Number (for college use only)Date Received:Section 1: Personal detailsFamily Name ............................................................................................. Country of Birth ........................................................Other Name(s) .......................................................................................... Nationality .................................................................Age ................ Date of Birth: ....... /........ /........ Gender: Male FemaleHome address (your address in the country where you aregoing to apply for a student visa)............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Telephone Number ..................................................................Email ........................................................................................UK Contact Person (if any)Name of contact...................................................................................................Address of contact:.......................................................................................................................................................................................................................................................................................................Please tick: Relative Friend Guardian(required by all students who will be under the age of 18 at the start of their course)Telephone Number ...................................................................Email ........................................................................................Please tick your ethnic group:31 - English / Welsh / Scottish/ Northern Irish / British32 - Irish33 - Gypsy or Irish Traveller34 - Any Other Whitebackground35 - White and BlackCaribbean36 - White and Black African37 - White and Asian38 - Any Other Mixed / multipleethnic background39 - Indian40 - Pakistani41 - Bangladeshi42 - Chinese43 - Any other Asianbackground44 - African45 - Caribbean46 - Any other Black / African /Caribbean background47 - Arab98 - Any other ethnic groupSection 2: QualificationsName of university/college/school attended Subjects and levels studied Grades obtained Dates attended