Application No. (for office use only) Application Form for International Students ⎡ Partner’s Name / Chop: Cover Sheet for Mainland Students 请于填写正式申请表格之余，完成此中文表格，以方便中文信息处理。 ⎤ ⎣ Agent Code: STUDENT APPLYING FOR AN UNDERGRADUATE PROGRAMME – FOR EXAMPLE, FIRST DEGREE UCAS (Universities and Colleges Admissions Service) is the central agency which acts on behalf of UK universities to process applications for entry to all full-time first degree, foundation degrees and Higher National Diploma programmes. If you receive an offer to study at the University of Sunderland you will be required to register an application with UCAS. If you have already completed an UCAS form to apply this institution, it is not necessary to complete this form. You can also apply online at http://www.ucas.com STUDENTS APPLYING FOR POSTGRADUATES PROGRMMES – COMPLETE THIS FORM (no need to apply through UCAS) OR APPLY ONLINE AT WWW.SUNDERLAND.AC.UK/INTERNATIONAL IMPORTANT It is important when completing this application form that you complete ALL sections and give as much information as possible. Your application form is used to make a decision on the programme you have applied. Please complete in Black Ink and attach any additional information to your application. 1. 报读学科所选学科英文全称– 请参照国际学生报读指南（International Prospectus）或者学校网页中的科目名称(例如： BA (Hons) Business Management (Generic) 或者 MSc Information Technology Management). 报读研究生及以上适用：首选学科: 程度: 其他愿意修读的学科：程度: 报读本科课程适用– 学科 / UCAS 参照号: 例如： BA (Hons) Business Management (Generic)的 UCAS 参照号是 N122 2. 学生信息所填写信息须于护照中信息一致。 Family Name: Forenames: 姓 Title: Mr / Mrs / Miss / Ms / Other Gender: Male/Female 名 Date of birth: (dd/mm/yyyy) DD MM YYYY 中文地址（中国学生必须填写）: 家庭住址：通讯地址（如与家庭住址不同）：固定电话号码: 传真: 移动电话号码: 电子邮件: 请将所有申请资料寄至以下任何一个地址: University of Sunderland (Shenzhen Office) Unit 1712, Kerry Centre, 2008 Renmin South Road Luohu，Shenzhen, 518001, Guang Dong Province,P R China 英国桑德兰大学深圳办事处香深圳罗湖区人民南路２００８号嘉里中心１７１２室，５１８００１ Tel: +86(0)755 2518 1710 Fax: +86(0)755 2518 1459 Email: [email protected] University of Sunderland (Beijing Office) Unit 1809, 18/F, Block B, North Tower, SOHO Shangdu, 8 dongdaqiao Road, Chaoyang District, Beijing, 100020 P R China 英国桑德兰大学北京办事处北京朝阳区东大桥路 8 号 SOHO 尚都北塔 B 座 1809 室 100020 Tel: +86(0)10 5128 7868 Fax: +86(0)10 5885 1256 Email: [email protected] Total 6 pages (including this page) Application No. (for office use only) Application form for International Students STUDENTS APPLYING FOR AN UNDERGRADUATE PROGRAMME – FOR EXAMPLE, FIRST DEGREE UCAS (Universities and Colleges Admissions Service) is the central agency which acts on behalf of UK universities to process applications for entry to all full-time first degree, foundation degrees and Higher National Diploma programmes. If you receive an offer to study at the University of Sunderland you will be required to register an application with UCAS. If you have already completed a UCAS form to apply to this institution, it is not necessary to complete this form. You can also apply online at http://www.ucas.com STUDENTS APPLYING FOR POSTGRADUATE PROGRAMMES – COMPLETE THIS FORM (no need to apply through UCAS) OR APPLY ONLINE AT WWW.SUNDERLAND.AC.UK/INTERNATIONAL IMPORTANT It is important when completing this application form that you complete ALL sections and give as much information as possible. Your application form is used to make a decision on the programme you have applied. Please complete in Black Ink and attach any additional information to your application. 1. Programme Details Full title of programme – please refer to the list of programmes in either the International Prospectus or the web page (for example BA (Hons) Business Management (generic) or MSc Information Technology Management). Level: FOR UNDERGRADUATE ONLY – PROGRAMME/UCAS CODE (IF KNOWN): for example the UCAS code for BA (Hons) Business Management (generic) is N122 2. Personal Details Please note that names given on this application must be the same names used on your passport. Please do not use abbreviations for example, Md for Mohammed. Family Name: Title: Mr/Mrs/Miss/Ms/Other Home address: Forenames: Gender: Male/Female Date of Birth: Address for correspondence (if different from your home address): Telephone No: E-mail: Country of permanent residence: Fax No: Country of Birth: Nationality: DD MM YYYY Application Form 3. Last two educational establishments attended (for example secondary school and college/university) Name and address of last two educational establishments From Month/Year To Month/Year Did you study full or part-time? 4. Examinations you have completed and results Please give full details of the title of your previous studies, qualifications and enclose certified copies. You will be required to produce the original documents at registration. Date of examination Month & year Title of qualification (for example, diploma) School, college or University where you studied Subjects (for example, Mathematics) Result/grade (for example Grade C, 60%) Subjects (for example, Mathematics) Result/grade (for example Grade C, 60%) 5. Examinations to be taken and still waiting for results Date of examination Month & year Title of qualification (for example, diploma) School, college or University where you studied 6. English Language It is essential that you provide evidence of your ability in the use of English Language and enclose copies of your certificates. Examples of acceptable evidence include IELTS, TOEFL or IGCSE (International GCSE). Test/examination Date of test Result/grade/score Give details of work experience, training and employment. You may wish to attach a copy of your Curriculum Vitae. (This information will be taken into account for particular programmes for example, where work experience is required for example, MBA requires evidence of a minimum of 2 years managerial experience). Company Name Job title Full or part-time Job description and main responsibilities From To 8. Reference Please give the name and address of a person who will provide a reference or testimonial for you, for example, Teacher, College Lecturer or Employer. References from a family member or friends are not acceptable. Please complete the applicant section of the confidential statement by referee and ask your referee to complete the rest of the form. Name: Address: Telephone number: Fax number: 9. Personal Statement (Continue on a separate sheet if required). Please give your reasons for choosing the programme and any additional information that may be relevant to your application. Application Form 7. Work Experience Application Form 10. Fees If you are living in the European Union but were born outside the EU please state date of first entry to the EU and your reasons for being here. Payment of fees. Who is expected to pay your fees? Yourself/family member/sponsor/employer/other. 11. Disability Do you have a disability or specific learning difficulty? Yes No If your answer is 'Yes', it is important that you give details on a separate sheet of paper to let us know if you use or will require any particular equipment and support during your studies. Please note if you do not complete either box in this section then your application will not be processed. 12. Criminal Conviction Do you have a criminal conviction? Yes No You are required to state whether or not you have any criminal convictions. If you answer 'yes' you may be required to provide details of any convictions. Please note if you do not complete either box in this section then your application will not be processed. 13. Checklist I have enclosed certified copies of certificates showing my qualifications I have enclosed evidence of my English Language qualifications 14. Declaration Please read this declaration carefully before signing. I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I have read and understand the University’s rules and regulations as stated in the International Prospectus and I agree to abide by these. The University is registered under the Data Protection Act 1998 and information given on this form will only be used in accordance with the terms of the University’s registration. Applicant’s Signature: Please return this form to : University of Sunderland Admissions The Gateway City Campus Chester Road Sunderland SR1 3SD United Kingdom Date: Confidential statement by referee (see information under section 8) To be completed by Applicant Name of applicant: Family Name: Forenames: Applicants Date of Birth: Programme Applied for: To be completed by Referee Name of referee: Job Title/Occupation/relationship to the applicant: Address: Telephone No: Fax No: Please affix an official stamp at the end of the statement Signature of Referee: Date: Thank you for taking the time to complete this reference form. Please return to the applicant or send directly to: University of Sunderland Admissions The Gateway City Campus Chester Road Sunderland SR1 3SD United Kingdom