Part A

(To be completed by all applicants)
 

Personal Details:
 
Mr Miss Mrs Ms *First Name:
*Present Address:
*Telephone:
Email:
*Passport No:
*Marital Status:Married Un Married               Number Of Children
*Last Name:
*Permanent Address:
*Telephone:
*Date of Birth://(minimum 18 yrs)
*Country of Birth:
*Country of Citizenship:

Part B

(To be completed by all applicants)
 

Programme of Study:

(Please note: Minimum study hours: 16/week during term time)
 

*Course

*Awarding Body

*Level
 

Check the session / term you wish to begin

(Tick appropriate box)
 
Jan-Mar Apr-Jun Jul-Sep Oct-Dec 2011 2012 2013 2014
 

*IELTS/TOEFL Score:

Special Needs:

 YesNo (As for any physical condition)
Please describe separately and enclose with this application

Part C

(To be completed by all applicants)
 

Education/Training History:

(Please write your Diploma, Graduate & Post-Graduate Qualifications etc)
 
  Certificate Awarded Name of the Institute Major Subjects Class / Grade Year

1
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Part D

(To be completed by all applicants)
 

Employment History

(If there is any, most recent first)
 
Employer Date From Date To Position
mm yy mm yy

1
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Part E

(To be completed by overseas students currently in the UK and transferring from other institute)
Click Here to Show
 

Date of entry into the UK:

Date visa Expires:
 

Other Institutes in the United Kingdom attended

(Most recent first)
 
Name of the Institute & Address Date From Date To Course Details
mm yy mm yy

1

   Name:
  Completed?:
  Reason for Leaving:
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(Please enclose additional sheet for details if necessary)
Declaration (To be completed by all applicants)
I confirm that the information given on this form is correct and I, the undersigned hereby agree to abide by the terms and conditions as set out.

Signature of Applicant

Date

Note: When forwarding this application form to The Lord College, please ensure to enclose the followings:
  • A bank draft/cheque for £150 as registration fee (non-refundable), payable to 'The Lord College Limited’
  • Two coloured passport sizes photographs.
  • Copies of all academic certificates and transcripts as stated in this form.
  • A minimum deposit of 75% of the course fee payable to 'The Lord College Limited', must be paid before an official Letter of Acceptance is issued. (This deposit is Refundable if visa refused for 30 points after deducting registration fee. To claim a refund the candidate has to provide documentary evidence that he/she has been refused a visa. If visa refused due to forged documents or 10 points for maintenance students are not eligible for any refund.)

Refund:
Usually no refunds are due where students in the UK have postponed the commencement of their course. Enrolment for a programme, together with the payment of the required deposit, creates a binding agreement to follow the programme and pay the full fee. If this form is signed by the candidate or on behalf of the student by his/her sponsor/guardian/representative, these conditions remain binding to both parties. Should poor attendance or prolonged absence result in authorities taking action against the student then fees paid will not be refundable should such action result in the student leaving the College. Tuition fees are also not transferable and not refunded.

The Lord College


Britannia House, 11 Glenthorne Road
Hammersmith, London – W6 0LH
Tel: +44 (0)20 8748 4050 / 9898
info@thelordcollege.com
www.TheLordCollege.com
Registered in England & Wales - 7078723