Agent Application Form

Name*
First Name Last Name
Student Email*
Phone
Date of Birth*
Date Format: MM slash DD slash YYYY
Applicant Type*
- EU & Home
- International
Have you ever been refused entry or leave to remain in the UK or EU?*
- Yes
- No
Have you ever previously studied in the UK?*
- Yes
- No
Agent Email*
Agent Name/Referal*
Entry date in the UK
Date Format: MM slash DD slash YYYY
Nationality*
Country
SSC or Equivalent
Qualifications
Name of School or Institution
Passing Year
Date Format: MM slash DD slash YYYY
SSC Transcript
SSC Certificate
HSC or Equivalent
Qualifications
Name of School or Institution
Passing Year
Date Format: MM slash DD slash YYYY
HSC Transcript
HSC Certificate
Degree or Equivalent
Qualifications
Name of School or Institution
Passing Year
Date Format: MM slash DD slash YYYY
Degree or Equivalent Transcript
Degree or Equivalent Certificate
Statement of purpose
- I have a file
- I want to write here
1. Why have you chosen to study in the UK? 2. Why have you chosen to study at LSBU? 3. Why have you chosen to study this course? 4. How does this course relate to your future career plans? 5. If there are any time gaps between your work and study, please detail any other activities/projects you have been involved with. How does this course relate to your previous study? How will you be funding your studies in the UK?
Data Protection*
- I agree to the AMI Education Service Ltd processing personal data
I agree to the AMI Education Service Ltd processing personal data contained in this form. I agree to the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any legitimate reason including communication with me following the completion of my studies. In addition, I agree to the AMI Education Service Ltd processing personal data described as Special Category Data as defined under the General Data Protection Regulation(GDPR), such processing to be undertaken for any purposes as indicated in the declaration above.
Declaration*
- I confirm that the information given on this form is true
I confirm that the information given on this form is true, complete, and accurate and that none of the information requested or other material information has been omitted. I accept that if it is discovered that I have supplied false, inaccurate, or misleading information, AMI Education Service reserves the right to cancel my application, withdraw its offer of a place or terminate attendance at the University and I shall have no claim against AMI Education Service in relation thereto.

Agent Application Form

SSC or Equivalent

HSC or Equivalent

Degree or Equivalent