Application For Study Abroad - London

Study Abroad Program Application Form
In order for your application to be processed, we must have a completed Application Form
and all supporting documents.
Supporting documents required are:
A scan or photocopy of every page within your passport
Academic Transcripts
(For UG students your Secondary School A level and O Level Transcripts)
(For PG students your BA Transcript)
Academic Certificate ( if available)

(For UG students your Secondary School Certificate)
(For PG students your BA Certificate)
English Language letter from the University confirming that the Medium of study is
English
Bank Statements (The statement or letter should be dated no more than 28 days
before the date of application, If the funds are in your parents account to be accepted
as proof you will need to provide the following documents:
A copy of your parents bank statement
Your birth certificate (and the translation of your birth certificate if it is not in
English)
An Affidavit signed by your parents stating they are willing to sponsor you
during your studies.
Note: No other family members bank statement can be accepted other than
your parents (Father or Mother) .
STUDY PROGRAM
BA
MBA
MSc
Current Year of Study: ---------------------------------------------Period of Study : (please tick the relevant box)
Autumn Semester (September to December)
Winter Semester (January to May)
Spring Semester (April to July)
Summer Semester (June-September)
PERSONAL DETAILS
NAME (MUST BE AS IN PASSPORT):
Last
Name:
------------------------------------------------------------------------------------------------------
First Name: ------------------------------------------------------------------------------------------------------Middle Name(s):--------------------------------------------------------------------------------------------------Male
Female
Date of Birth: (Day/Month/Year) ----------------------------------------------------------------------------Country of Citizenship (as in passport): --------------------------------------------------------------------Passport

Number:--------------------------------------------------------------------------------------------------Passport Issue date: (DD/MM/YY) ----------------------------------------------------------------------------Passport Expiry Date: (DD/MM/YY) --------------------------------------------------------------------------Permanent/Home Mailing Address: --------------------------------------------------------------------------Home number/Street: -------------------------------
Town/City: --------------------------------------
State/Province: ---------------------------------------
Postal/Zip Code:------------------------------
Country: ------------------------------------------------
Email: -------------------------------------------
Telephone (Inc country code):--------------------------------------------------------------------------------
CONTACT DETAILS FOR NEXT OF KIN

Title: ------------------------------------------
Full Name: ------------------------------------------------
Address:---------------------------------------
Home number/Street: ----------------------------------
Town/City:-------------------------------------
State/Province:
Postal/Zip Code: -----------------------------
Country:----------------------------------------------------
----------------------------------------
Telephone (Inc country code): ------------------------------------------------------------------------------Email: ----------------------------------------------------------------------------------------------------------------
DISABILITY/LEARNING DIFFERENCE INFORMATION

Amity London Business School welcomes students with disabilities and strongly encourages
you to disclose any disability or medical condition which may impact your studies. Declaring
disability will not affect the academic decision about your application but will help us put any
individual arrangements or facilities in place for the start of your study abroad program.
Please tick as appropriate: (if applicable)
Specific Learning disability e.g. Dyslexia
Blind/partially sighted
Deaf/hearing impairment
Wheelchair user/mobility difficulty
Mental health difficulties
Unseen disability e.g. Diabetes, Epilepsy, Asthma
Autistic spectrum disorder/Aspergers Syndrome
Disability not otherwise listed, please explain below
Please indicate any additional support you may require
PERSONAL STATEMENT
Please tell us a bit about yourself, including your reasons for choosing to study abroad at
Amity London Business School (please limit to 300 words):
ACCOMMODATION
Do you require us to book your accommodation?
Yes
If yes please tick the relevant box
No
Rent per week between 150-200
Rent per week between 200-300
Note:
After your application is accepted a list of recommended places and Fees will be
sent to you + a contract
DECLARATION
I give Amity London Business School permission to contact 3 rd parties (e.g.
parents, guardians or home institution).
Yes, I give consent to contact 3rd parties
No, I do not give consent to contact 3rd parties
Do you have any criminal convictions? Yes
No
(If yes, you will be contacted confidentially for further information and to determine
your eligibility to attend Amity London Business School.)
I confirm that the above information is correct and complete and all supporting
documents are correct and authentic. If you are submitting this form electronically,
please type your name or enter your electronic signature below. In doing so, you
confirm that the above statement is correct, as if the document has been signed and
dated by hand.
Signed : -------------------------------------------Date:
---------------------------------------------

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Application For Study Abroad - London

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Study Abroad Program Application Form

A scan or photocopy of every page within your passport

Academic Certificate ( if available)

Autumn Semester (September to December)

Winter Semester (January to May)

Spring Semester (April to July)

Summer Semester (June-September)

First Name: ------------------------------------------------------------------------------------------------------Middle Name(s):--------------------------------------------------------------------------------------------------Male

Date of Birth: (Day/Month/Year) ----------------------------------------------------------------------------Country of Citizenship (as in passport): --------------------------------------------------------------------Passport

Telephone (Inc country code):--------------------------------------------------------------------------------

CONTACT DETAILS FOR NEXT OF KIN

Full Name: ------------------------------------------------

Home number/Street: ----------------------------------

Postal/Zip Code: -----------------------------

Telephone (Inc country code): ------------------------------------------------------------------------------Email: ----------------------------------------------------------------------------------------------------------------

DISABILITY/LEARNING DIFFERENCE INFORMATION

Specific Learning disability e.g. Dyslexia

Wheelchair user/mobility difficulty

Mental health difficulties

Unseen disability e.g. Diabetes, Epilepsy, Asthma

Autistic spectrum disorder/Aspergers Syndrome

Disability not otherwise listed, please explain below

Please indicate any additional support you may require

Rent per week between 150-200

Rent per week between 200-300

Yes, I give consent to contact 3rd parties

No, I do not give consent to contact 3rd parties

Do you have any criminal convictions? Yes

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