Fee assessment form
In order to enable us to assess your status for tuition fee purposes, would you please complete and return the attached Fee Assessment Form, and provide us with documentary evidence of your immigration status in the United Kingdom. You can scan or photocopy these documents and email them to us with the completed Fee Assessment form to admcom@herts.ac.uk Alternatively you can post them or visit our office in person to Team B (Admissions), Mercer Building, College Lane, Hatfield, Hertfordshire, AL10 9AB. Please view our Campus Map for directions. Opening times are Mon-Thurs 9.30am till 4pm and Fri 9.30am till 3pm. Please note: You will need to provide the originals at registration. Any discrepancies found will result in the University changing their decision. A) Details about you Family name Course applied for Start date of course Date of birth Nationality (Citizenship): (If you have citizenship of two or more countries please list them both/all) Immigration status (please tick one, and give dates as requested) British Citizen or Commonwealth national with Right of Abode Indefinite Leave to Enter/Remain Please provide, if possible Copy of relevant page(s) of passport (including page(s) confirming name and nationality) Copy of relevant page(s) of passport (including page(s) confirming name and nationality) and/or Home Office letter Home Office letter (and any relevant enclosures) or refugee travel document UCAS/Applicant number Country of birth Other names

Refugee status OR you are a child or spouse/civil partner of someone granted refugee status Refused refugee status but granted one of the following • Exceptional Leave to Enter/Remain • Humanitarian Protection • Discretionary Leave OR you are a child or spouse/civil partner of someone refused refugee status but granted one of the above Time limit on stay Date last passport stamp/visa was issued Date of expiry of most recent permission to stay EEA national (The EEA comprises the UK, plus Austria, Belgium, Bulgaria, Cyprus [both parts of the island], Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of Ireland, Romania, Slovakia, Slovenia, Spain and, Sweden) OR a Swiss national. Child of a Turkish Worker

Home Office letter (and any relevant enclosures)

Copy of relevant page(s) of passport (including page(s) confirming name and nationality)

Copy of relevant page(s) of passport confirming name and nationality

Copy of relevant page(s) of your and parent(s) passport (including page(s) confirming name and nationality) AND evidence of employment

If none of the categories above covers you, or your status is likely to change before the start of the course, please attach details and provide supporting evidence, if possible.

Current residence In which Country do you normally reside? When did your residence begin? Purpose of residence

Please give details of the country or countries in which you have been resident for the past THREE years Address Date residence began Main reason for residence (e.g. living with family, work, study)

Please continue on a separate sheet if necessary If you would have been ordinarily resident in the UK and Islands or EEA during the last three years but for the fact that you, your spouse/civil partner or your parent was temporarily working abroad, please attach details (including length of time spent abroad and the nature of the work). Who will be paying your tuition fees? Have you applied for student support from Student Finance England/Student Loans Company? Has your application been successful? Yes Yes No No

B) Details about your family if you are related to an EEA/EU or UK National Please complete the table below as appropriate Nationality (citizenship) Mother Country/ies of residence Purpose of residence in that country/ies Please provide, if possible Copy of relevant page(s) of passport (including page(s) confirming name and nationality) and copy of your birth certificate) Copy of relevant page(s) of passport (including page(s) confirming name and nationality) and copy of your birth certificate) Copy of relevant page(s) of passport (including page(s) confirming name and nationality) and copy of your marriage certificate

Father

Spouse/ civil partner

I certify that the answers given by me to the above questions are, to the best of my knowledge, true and accurate. I acknowledge that if any of the information given is inaccurate or misleading, the College/ University reserves the right to withdraw any offer, or once I am a student, to terminate my attendance at the University. It is the policy of the University of Hertfordshire to verify passports for all applicants born outside of the UK. Due to discrimination laws, we are unable to make exceptions to this policy.

Applicant’s Signature

Date