University Degree Pre-enrolment Form
This form will take around 15 minutes to complete.
Please answer all the questions.
Submission ID
Personal Details
Title
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Mr
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Miss
Ms
First Name
*
Middle Name
Last Name
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Email
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Mobile Phone
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Date of Birth
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Please enter in the format of DD/MM/YYYY e.g. 18th October 1999 is 18/10/1999
Gender
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Male
Female
National Insurance (NI) Number
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Nationality
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Current Passport Country
Ethnicity
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Home country/countries of parents
Full address
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Postcode
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Are you receiving any benefits?
*
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Yes
No
Please state which benefits
Universal Credit
Jobseekers Allowance
Housing Benefit
Child Tax Credit
Other
Other benefit
Do you have medical condition or disability?
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Medical condition / disability
Please state which condition and what special needs you may require
Have you been a resident in the UK/EU for the past five years?
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Yes
No
Can you provide evidence of this?
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Yes
No
Are you a UK/EU Passport Holder or have Indefinite Leave to Remain?
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Yes
No
If "No", what is your Visa status?
Are you currently studying for any qualification?
*
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Yes
No
If "Yes", please state the name of the qualification
Do you have a criminal conviction?
*
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Yes
No
Next of Kin Details
Please provide contact details for next of kin (Mandatory)
Next of Kin - Name
*
Relationship
*
Next of Kin - Telephone
*
Next of Kin - Email
Next of Kin - Address
*
Next of Kin - Postcode
*
Work Details
Please click on the "Add Entry" button to add work details for the past 5 years
Work History
Company name
Work Phone number
Work Email
Work Address
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Declaration
Declaration
*
I hereby give authorisation for my PLR (personal learning record) to be opened by an authorised person (training provider or college) if not already available.
I hereby confirm that I have read, understood and agree with the contents of this document. The details outlined in this document are correct to the best of my knowledge.
I hereby confirm that the above information is true to the best of my knowledge. I understand that if I have declared false information Aims Skills Development may take action against me to reclaim the Course fees and support costs provided.
I agree to the above declaration
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Aim Education is part of Aim Skills Development Ltd.
Registered in England Number. 7164046. Registered Office 3-9 Balaam Street London E13 8EB UK Provider Number: 10029699
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