Scholarship Application Form

1. Applicant’s Personal Details
Please enter your details below
Full Name(Required)
First Middle Last
Home Address(Required)
Street Address Line 2 City County Post Code Country
Email(Required)
Enter Email Confirm Email
Alternative email address(Required)
Enter Email Confirm Email
Contact telephone number(Required)
Date of Birth(Required)

Day
Month
Year
Nationality(Required)
Right of permanent UK residency and work(Required)
- By UK Nationality
- By permanent residency
PLEASE UPLOAD YOUR PROOF OF NATIONALITY OR PROOF OF RIGHT OF RESIDENCY SUPPORTING DOCUMENTS (Note that a driving licence does not meet this requirement)(Required)
Drop files here or

Accepted file types: docx, jpg, png, pdf, zip, Max. file size: 10 MB, Max. files: 5.

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2. Personal occupational circumstances
Details of your current occupational circumstances(Required)
Your position or status(Required)
Full title of course being followed(Required)
Level of course being followed(Required)
Full time or part time course(Required)
Name of University or institution(Required)
Institution address(Required)
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Institution telephone number(Required)

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5. Academic referee from your study institution
A reference from your supervisor at your current institution or employer is required.

Upon submission of your application we will send a reference request to your referee. Please inform them that you are applying for this scholarship and check that they will be able to submit their reference by the closing date.
Referee’s name including title, first and last names(Required)
Prefix First Last
Referee’s position in the institution(Required)
Institution address(Required)
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Referee’s contact telephone number(Required)
Referee’s email(Required)
Enter Email Confirm Email

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