Fee Status Assessment Questionnaire - Homerton College ...

Homerton CollegeUK legislation allows educational institutions to charge higher university and college fees to international studentsunless they fulfil certain residence and immigration status requirements. If you meet the residence and immigrationstatus requirements you will be charged a lower fee and may be eligible for a student loan for fees. Details of theserequirements are given in the UK Council for International Student Affairs website, under Fees and funding.(www.ukcisa.org.uk/)To help us assess your fee status, please complete the following questionnaire and return it to the Collegeas soon as possible. Please note that the information provided will be used only to assess your fee statusand this form does not constitute an offer of a place at the University of Cambridge.A) DETAILS ABOUT YOUFee Status Assessment QuestionnaireFamily name: ____________________________________ Other names: _________________________________Degree course applied for: ______________________________________________________________________Proposed start date of course (e.g. October 2012): _________________ UCAS Personal ID: __________________Date of birth (DD/MM/YYYY): __________________ Nationality (Citizenship): _____________________________(If you have citizenship of two or more countries please list them both/all)Please tick one, and give dates as requested British Citizen or Commonwealth national with Right ofAbode EEA national (the EEA comprises the UK, plus Austria, Belgium,Bulgaria, Cyprus [both parts of the island], Czech Republic,Denmark, Estonia, Finland, France, Germany, Greece, Hungary,Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta,Netherlands, Norway, Poland, Portugal, Republic of Ireland,Romania, Slovakia, Slovenia, Spain and Sweden) OR the child ofa Swiss national OR the child of a Turkish worker. Indefinite Leave to Enter/Remain Refugee status OR you are a child or spouse/civil partner ofsomeone granted refugee status Refused refugee status but granted one of the following Exceptional Leave to Enter/Remain Humanitarian Protection Discretionary LeaveOR you are a child or spouse/civil partner of someonerefused refugee status but granted one of the above Time limit on stayDate last passport stamp/visa was issued (DD/MM/YYYY):Please provide, if possibleCopy of relevant page(s) of passport (includingpage(s) confirming name and nationality)Copy of relevant page(s) of passport confirmingname and nationalityCopy of relevant page(s) of passport (includingpage(s) confirming name and nationality) and/orHome Office/UKBA letterHome Office/UKBA letter (and any relevantenclosures) or refugee travel documentHome Office/UKBA letter (and any relevantenclosures)Copy of relevant page(s) of passport (includingpage(s) confirming name and nationality)Date of expiry of most recent permission to stay(DD/MM/YYYY):If none of the categories above applies to you, or your status is likely to change before the start of the course (egyou have been advised that you are likely to be granted Indefinite Leave to Enter/Remain before the start of thecourse), please attach details and provide supporting evidence, if possible.PLEASE CONTINUE THE QUESTIONNAIRE AND SIGN THE DECLARATION OVERLEAF1