121, King Street, Hammersmith - W6 9JG London, UK.
Telephone : +44 (0) 207 998 1664 Fax : +44 (0) 208 616 4549
Email : info@haroldcollege.co.uk
Website : www.haroldcollege.co.uk
When completing your application, please ensure the following :
1. When submitting your form you should keep your scan documents ready.
2. If a section does not apply to your application, please enter ‘N/A’.
Fields marked by * are mandatory
:: Personal Details ::
Title :
First Name : *
Middle Name :  
Surname : *
Email Address : *  
Gender
Date of Birth : Pick a date * [e.g (DD/MM/YYYY)]
Nationality :
Passport Number : *  
Passport Expiry Date : Pick a date * [e.g (DD/MM/YYYY)]  
What is your ethnic origin :
:: Address in UK ::
Address :  
Post Code :  
Telephone :  
Mobile :  
:: Overseas Address ::
Address: *
Country :
City : *
Telephone : *
:: Disability ::
Do you consider you have disability :
:: Course selector ::
Which course do you wish to study?
When do you wish to start your course?
:: Academic Qualification ::
Qualification University/College Passing Year
*
*
*
:: Work Experience ::
In the space below please give your work history. :
:: Reason For Applying ::
In the space below please write a brief statement to outline your reasons for applying to the college. :
  
:: English Proficiency ::
"To apply for any courses at the Harold College student must have an English Certificate at a minimum CEFR Level B1/B2. For Tier 4 (General) student an equivalent Level of English certificate is essential. For more details, please see entry requirements"
Type of certification  
Passing Score  
Passing Date Pick a date  [e.g (DD/MM/YYYY)]
:: Please Provide the details of two references may be requested in confidence to reflect your academic ability and suitability for the course you have
applied for ::
Name : *
Address : *
Post Code : *
Telephone : *
E-Mail : *
Name :
Address :
Post Code :
Telephone :
E-Mail :
:: Source Of Information ::
:: Visa ::
How did you hear about the college ?
*  
Do you require a student visa ?
:: Emergency Contacts ::
Name : *
Relation : *
Address : *
Post Code : *
Telephone : *
E-Mail : *
Name :  
Relation :
Address :
Post Code :
Telephone :
E-Mail :
:: Fill the Section below if you applying from outside UK ::
 Note : If a section does not apply to your application, Please enter ‘N/A’.
Q1: Have there been any gaps in time between your last period of study and now? If so, please specify exactly what you have been doing at that time?  
Q2: What documents have you provided to demonstrate what you have been doing during this gap in your studies (if applicable)?  
Q3: Why did you select your proposed course and how did you find out about it?  
Q4: Have you studied any relevant courses, if so what? What documents have you produced to demonstrate this?  
Q5: What specific benefits will this course bring you?  
Q6: Why have you chosen to study abroad? How does this course differ from similar courses available in your home Country?  
Q7: Is English your first language?  
Q8: If not, what qualification do you have in English proficiency and What documents are you submitting to demonstrate this?  
Q9: Please specify exactly what you intended to do on completion of your proposed studies in U.K?  
Q10: Have you ever been refused a student visa to any other country? If so, why? Please provide the copy of refusal letter.  
:: Declarations ::



 
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