Magdalene College Fee Status Assessment Questionnaire UK legislation allows educational institutions to charge higher (international) university and college fees to students unless they fulfil certain residence and immigration status requirements. If you can provide evidence that you meet those residence and immigration status requirements, you will be charged a lower (UK/EU) fee, and you might be eligible for a student loan for fees. Details of these requirements are given in the UK Council for International Student Affairs website, under the Fees and Finance section. (http://www.ukcisa.org.uk/) To help us assess your fee status, please complete both pages of this questionnaire and return it to the College by 15 November 2014. Please note that the information provided will be used only to assess your fee status and this form does not constitute an offer of a place at the University of Cambridge. A) DETAILS ABOUT YOU Family name: Other names: Date of birth: UCAS Personal ID: Degree course applied for: Start date of course: (e.g. Oct 2015) Nationality/Citizenship (if you have citizenship of more than one country, please list them all) Please provide details below and attach appropriate evidence of your nationality, for example relevant pages of your passport. If you do not have a passport please provide a copy of your EU identity card or your birth certificate. Duration of Leave to Enter and Remain in the UK (complete only if you are not an EEA or Swiss National) Please provide details below and attach appropriate evidence, for example the relevant pages of your passport. Special rules apply to the following categories:  Directive 2004/38  Refugees and their family members  Persons granted humanitarian protection and their family members  Certain EEA and Swiss workers, employed persons, self-employed persons and their family members  Persons who are settled in the UK and have exercised a right of residence under EC Directive 2004/38 elsewhere  Children of Swiss nationals  Children of Turkish workers If you believe that any of these categories might apply in your case, please attach a separate letter explaining why you think so. If your status is likely to change before the start of the course (e.g. you have been advised that you might be granted Indefinite Leave to Enter and Remain before the start of the course), please attach details and provide supporting evidence, if possible. All applicants: please continue overleaf, and ensure you sign the declaration at end. 1 B) DETAILS ABOUT WHERE YOU CURRENTLY LIVE (your “ordinary residence”) (including time at boarding school if you otherwise live in a different country) Country: ____________________________________ Town or region: _______________________________ (e.g. UK, France, China) (e.g. Cambridge, Paris, Beijing) When did you start living there? ________________________ (date dd/mm/yyyy, or “since birth”) Main reason for living there: ____________________________________________________________________ (e.g. living with family, attending school, employment) Before that, please give details of the country or countries in which you have lived for the past THREE years: Country of residence Date residence began (dd/mm/yyyy) Main reason for residence there (e.g. living with family, attending school, employment) Ignore short foreign holidays. Please continue on a separate sheet if necessary. C) DETAILS OF EXTERNAL FUNDING If you will be applying to an organization external to the University of Cambridge for any form of grant or loan to assist with payment of tuition fees, please give the name(s) of the organization(s) to which you will be applying. (e.g. Student Finance England, Student Awards Agency for Scotland, etc) D) ANY PREVIOUS DEGREES or equivalent Enter details below if you hold an honours degree from a UK institution or any other higher education qualification from an institution in the UK or elsewhere: Details of Qualification Held Name of Awarding Institution Dates of Study E) DECLARATION I certify that the answers given by me to the above questions and the attached evidence give, to the best of my knowledge, a true and accurate account of my personal circumstances. I acknowledge that if any of the information given is inaccurate or misleading, the College and University reserve the right to withdraw any offer, or once I am a student, to rectify my fee status with effect from the beginning of my course or terminate my attendance at the University. ____________________________________________ Applicant’s Signature ______________________________ Date (dd/mm/yyyy) PLEASE RETURN THIS FORM BY MAIL OR EMAIL TO MAGDALENE COLLEGE BY THE DATE REQUESTED ON THE FRONT OF THIS FORM Telephone: + 44 (0)1223 332135 Fax: +44 (0)1223 462589 E-mail: [email protected] 2