Application Form

Please complete ALL sections

1: Personal Details and Contact Information

* Surname / Family Name:

First Name:


Date of Birth (yyyy-mm-dd)

Permanent Address:





Post / Zip Code:



E-mail (main):


2: Nationality and Visa Status


Visa Expiry(yyyy-mm-dd)

Passport No

Passport Expiry(yyyy-mm-dd)




3: Proposed Study

* Course title:

Proposed date


4: Education and Work Experience

·          Education:  

o    Schools/Colleges/Universities ( Year, Name of the institution, Address)

o    Examination Results Received (Date, Year, Examination/Subject, Grade/Score)

·          Work Experience (Position, Name of the Organisation, from, to)


5: Declaration

I consent to the BTEC Universities use of my personal data, some of it sensitive data, in order that it might fulfil its administrative obligations and in order that my application might be processed. 


I understand that the submission of any misleading information during the admission process could lead to the immediate cancellation of my application.



All personal data provided by you will be treated strictly in accordance with the Data Protection Act 1998.