Form No.

NCUK 01/12

Application Form
Lahore
(1) Personal
Given name(s): (dd/mm/yyyy) Gender:

Karachi

Islamabad

Family name: Date of birth: Home address:

Male

Female

Postcode: Country of birth: Home telephone: Email: NIC/Form B No.

Country: Nationality: Mobile No.:

(2)

Parent / Guardian

Full name: Occupation: Correspondence address: Employer:

Telephone: Email:

Mobile No.:

(3)

Programme applied for Engineering Business Computing

NCUK (IFY)
(4)

NCUK (Int. Dip.)

NCUK (IFY)

NCUK (Int. Dip.)

NCUK (IFY)

NCUK (Int. Dip.)

Education details
A/S Level
Subjects

FA/FSc.

A-Level

Others
Grade

Institution attended: Subjects Grade

(5)

English proficiency
TOEFL (Score): Other (GCE O-Levels):

IELTS (Score):

Full Academic Transcripts/certificates and proof of English proficiency are important to access your eligibility for our programmes. If these documents are not submitted with the form, we will not be able to process your application.

(6)

Declaration of Criminal Record

In accordance with UK law, you are required to state if you have any criminal convictions. Please indicate if you have any criminal convictions. Yes No (Excluding spent convictions and minor motoring offences for which the penalty was a fine and/or up to 3 penalty points) If you tick yes, you may be required to provide details.

University of Bradford University University of Huddersfield University University of Leeds Leeds Leeds Metropolitan University University University of Liverpool Liverpool LiverpoolJohn JohnMoores Moores University University of Bradford of Huddersfield of Leeds Metropolitan University of Liverpool University Manchester Metropolitan University University of Manchester University of Salford University of Sheffield Sheffield Hallam University Manchester Metropolitan University University of Manchester University of Salford University of Sheffield Sheffield Hallam University

(7)

Disability/Special needs

(8)
From:

Have you ever studied previously in the UK?

Yes
To:

Please indicate below whether or not you will need any additional support or facilities. This information will be passed on to our Student Services team who will liaise with you to support you through the admission process and determine whether we and the University can meet your study needs.

No

Name of School/University

(9)

I have no known learning/physical disability I have a specific learning/physical disability Please give details below and if necessary attach further information to this form.

Other information
Exhibition/Seminar Internet Newspaper/Magazine advertisement British Council Recommended by NCUK representative (Agent) Recommended by a friend or relative Is your friend/relative a NCUK student? Yes

How did you hear about NCUK? You may tick more than one box?

No

(10)

How do you intend to fund your study at NCUK Pakistan and later in UK?

(11)

Application Checklist
We require the following section to be completed in order to process your application Check that you have attached:

Check that you have:

Completed all sections of the application form Read and understood the Conditions of Enrolment including the Fee and Refund Policy on form NCUK 02/12

Certified copies of your academic transcripts Evidence of your English language ability if applicable A copy of your NIC or For B

(12)

Declaration

I declare that the information I have supplied on this form is, to the best of my understanding, complete and correct. I understand that the giving of false or incomplete information may lead to the refusal of my application or cancellation of the enrolment. I hereby give permission to obtain official records from any educational institution attended by me. I also authorize NCUK to supply any relevant official record to education institutions/universities to which I am seeking admission, to government bodies and to parents/sponsors if required. I understand that fees may increase annually; I accept the conditions as laid out in the Payment and Conditions of enrolment section of NCUK form 02/12 and accept liability for the payment of all fees as outlined within. I understand that the living expenses in the UK may be higher than in my own country and confirm that I will be able to meet the costs. Signature: Parent /Guardian Signature: Date: Date: (dd/mm/yyyy) (dd/mm/yyyy)

NCUK Office use only

Representative Stamp Offer Details Admission Office

Please submit your application to: NCUK Pakistan 22, D-1Gulberg III, Lahore Pakistan Tel +92-42-35756909 or +92-42-35756911 Cell +92-347-4217689 www.ncuk.edu.pk E-mail: info@ncuk.edu.pk

University of Bradford

University of Huddersfield

University of Leeds

Leeds Metropolitan University University of Salford

University of Liverpool

Liverpool John Moores University

Manchester Metropolitan University

University of Manchester

University of Sheffield

Sheffield Hallam University