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POSTGRADUATE APPLICATION FORM

Return form to:

Postgraduate Admissions Office
Aberystwyth University
Student Welcome Centre
Penglais Campus
Aberystwyth
SY23 3FB, UK

Please refer to accompanying Guidance Notes.
Please complete ALL sections in black or blue pen using
CAPITAL LETTERS
1: PERSONAL DETAILS AND CONTACT INFORMATION
SURNAME / FAMILY NAME:

PREFERRED
FIRST NAME:

FIRST NAME / GIVEN NAME(S):
FORMER NAME (WHERE APPLICABLE):
TITLE (MR / MRS / MS ETC)
GENDER:

MALE

DATE OF BIRTH (DD/MM/YYYY)
CORRESPONDENCE ADDRESS (IF DIFFERENT):

FEMALE

PERMANENT ADDRESS:

TO (DD/MM/YY):

FROM (DD/MM/YY):

POST / ZIP CODE:

POST / ZIP CODE:

COUNTRY:

COUNTRY:

TELEPHONE:

TELEPHONE:

MOBILE:

MOBILE:

E-MAIL (MAIN):

E-MAIL:

2: NATIONALITY AND PERMANENT RESIDENCE
COUNTRY OF BIRTH:

Is your permanent home in the UK?

NATIONALITY:

DUAL NATIONALITY (IF APPLICABLE):

Yes

No

Yes

No

VISA STATUS ( NOT APPLICABLE TO EEA AND SWISS NATIONALS)
DATE OF FIRST ENTRY TO UK:

Indefinite Leave to Remain in UK?

AREA OF PERMANENT RESIDENCE:

RESIDENTIAL CATEGORY:

Do you require a visa in order to study in the UK?

Yes

No

PASSPORT NUMBER:
PASSPORT EXPIRY DATE:
TYPE OF VISA/ENTRY CLEARANCE:

AGENT DETAILS (IF APPLYING THROUGH AN AGENT)
AGENT COMPANY NAME:
ADVISOR’S NAME:
AGENT E-MAIL:

Do you currently hold a visa to study in the UK?
VISA EXPIRY DATE:

Yes

No

3: PROPOSED STUDY AT ABERYSTWYTH (SEE GUIDANCE NOTES)
COURSE TITLE:

QUALIFICATION

(If applicable, please specify S = Specialist or RT = Research Training)

(I.E. MSC / PHD ETC.):

PROPOSED START DATE

DEPARTMENT:

(DD/MM/YY):

MODE OF STUDY (please tick as appropriate):

Full-time

Part-time

Distance Learning

Full-time External

PROPOSED RESEARCH – if you are applying for a research programme please complete the section below:
This section should be completed by the candidate unaided, unless the candidate is applying to study as part of a team in the Faculty of Science. In this instance the advice and comments of the prospective supervisor/team leader may be sought, and the candidate should indicate in the statement if this has been the case.

NAME OF PROPOSED RESEARCH SUPERVISOR / PERSON YOU HAVE BEEN IN CONTACT WITH:

TITLE (OR AREA) OF PROPOSED RESEARCH PROJECT:

4: FUNDING AND FINANCE
Please state below how you intend to finance your studies. You will be required to give evidence of your course of support before you register. If you are a UK/EU student and wish to be considered for a Research Council award please make this clear below and contact the department concerned. Please refer to the Guidance Notes for more information and deadlines for funding

INTENDED SOURCE / SOURCES OF FINANCE
SCHOLARSHIP/STUDENTSHIP

NUMBER OF YEARS:

NAME:

AWARDING BODY:
SELF-FINANCING
EDUCATIONAL LOAN

NAME:

PRIVATE SPONSOR

NAME:

5: YOUR QUALIFICATIONS (SEE GUIDANCE NOTES)
HIGHER EDUCATION QUALIFICATIONS:
INSTITUTE NAME:

DEPARTMENT:

COUNTRY:

LANGUAGE:

DATES FROM > TO:

ATTENDANCE:

AWARD LEVEL:

AWARD TITLE:

TITLE OF MAJOR WORK:

AWARD SUBJECT:

RESULT:

DATE OF AWARD:

INSTITUTE NAME:

DEPARTMENT:

COUNTRY:

LANGUAGE:

DATES FROM > TO:

ATTENDANCE:

AWARD LEVEL:

AWARD TITLE:

TITLE OF MAJOR WORK:

AWARD SUBJECT:

RESULT:

DATE OF AWARD:

INSTITUTE NAME:

DEPARTMENT:

COUNTRY:

LANGUAGE:

DATES FROM > TO:

ATTENDANCE:

AWARD LEVEL:

AWARD TITLE:

TITLE OF MAJOR WORK:

AWARD SUBJECT:

RESULT:

DATE OF AWARD:

INSTITUTE NAME:

DEPARTMENT:

COUNTRY:

LANGUAGE:

DATES FROM > TO:

ATTENDANCE:

AWARD LEVEL:

AWARD TITLE:

TITLE OF MAJOR WORK:

AWARD SUBJECT:

RESULT:

DATE OF AWARD:

Special Documentation Requirements (to be provided in addition to standard documentation)
Art: MA with Fine Art applicants are required to submit a portfolio of their creative work. Physics: PhD applicants are required to submit a CV
English & Creative Writing: MA in Creative Writing – portfolio of writing work

6: WORK EXPERIENCE
WORK EXPERIENCE DETAILS:
NAME:

ADDRESS

TELEPHONE:
TYPE OF WORK:
START DATE:
END DATE:

LOCATION:

VOLUNTARY:

COUNTRY:

JOB DESCRIPTION:
NAME:

ADDRESS

TELEPHONE:
TYPE OF WORK:
START DATE:
END DATE:

LOCATION:

VOLUNTARY:

COUNTRY:

JOB DESCRIPTION:
NAME:

ADDRESS

TELEPHONE:
TYPE OF WORK:
START DATE:
END DATE:

LOCATION:

VOLUNTARY:

COUNTRY:

JOB DESCRIPTION:
Please continue on a separate sheet or enclose a CV with your application should you have any further work experience relevant to your application.

7: PERSONAL STATEMENT
Please attach a separate sheet giving details of any information, including relevant employment or professional experience, which may be important to your application. Please state whether your employment was full or part-time and give dated. Suggested length is 300 words.

8: REFERENCES
Give the details of your referees below. Note that you must arrange for the references to be sent to us. We do not contact referees on your behalf. See Guidance Notes for how many references are required for specific applications and the type of information that is required from your referee. Research applications will not be processed until references have been received.
NAME:

NAME:

ADDRESS:

ADDRESS:

COUNTRY:

COUNTRY:

POST/ZIP CODE:

POST/ZIP CODE:

TELEPHONE NUMBER:

TELEPHONE NUMBER:

E-MAIL:

E-MAIL:

9: ENGLISH LANGUAGE PROFICIENCY (INTERNATIONAL STUDENTS ONLY)
Is English your native / First language?
Yes
No
If English is not your first or native language it is essential that you provide evidence of your competence in written and spoken English. A complete list of requirements can be found at http://www.aber.ac.uk/en/postgrad/howtoapply/before-you-apply/english-language/
English Proficiency Test (If you have answered ‘No’ to the above, or do not live in a recognised majority English speaking country (please see above link for further details), you will need to take one of the Home Office's approved secure English language tests (SELTs) as evidence of your
English language ability. The approved SELTs are listed in https://www.gov.uk/government/publications/immigration-rules-appendix-o and also please see the above link to our English Language Requirements page
TEST TITLE:

TEST DATE:

OVERALL RESULT:

TEST REPORT NO. / REGISTRATION NO. :

SCORES IN INDIVIDUAL COMPONENTS (WHERE APPLICABLE, PLEASE SEE ABOVE LINK TO ENGLISH LANGUAGE REQUIREMENTS PAGE FOR FURTHER DETAILS)
LISTENING:

WRITING:

READING:

SPEAKING:

10: WELSH LANGUAGE PROFICIENCY (UK STUDENTS ONLY)
Do you understand Welsh?

Yes

No

If YES, would you like us to correspond with you in Welsh?

Yes

No

11: DISABILITY / MEDICAL CONDITIONS / ADDITIONAL REQUIREMENTS
Do you have a disability / special need?
Yes
No
If YES, please refer to the list of conditions in the Guidance Notes and enter the code here:
Please give further details:

12: CRIMINAL CONVICTIONS (See Guidance Notes and also www.unlock.org.uk)
If you have any relevant criminal convictions that are not spent please tick the box, otherwise leave it blank.
If you tick the box you will not automatically be excluded from the application process, however the University would have to undertake a risk assessment. 13: HOW DID YOU FIND OUT ABOUT THIS OPPORTUNITY FOR POSTGRADUATE STUDY?
EDUCATION FAIR

NAME:

ADVERTISEMENT

PUBLICATION NAME:

AGENT

NAME:

WEBSITE

NAME:

SEARCH ENGINE

NAME:

FRIEND /

FAMILY /

COLLEAGUE

UNIVERSITY LECTURER / STAFF

HAS THIS PERSON ATTENDED ABERYSTWYTH UNIVERSITY?
FROM ABERYSTWYTH UNIVERSITY

YES

NO

FROM ANOTHER UNIVERSITY

14: DECLARATION
I consent to the University’s use of my personal data, some of it sensitive data, in order that it might fulfil its administrative obligations and in order that my application might be processed. [See www.aber.ac.uk/en/infocompliance/dp/declaration/ for further details.]
In the event that I register as a student of Aberystwyth University, I hereby undertake to pay, as and when due, all University fees.
I hereby certify that all of the above information is correct and complete, and I wish to apply for admission as a student of the University. I also declare that, if admitted I shall conform to all the Rules and Regulations of Aberystwyth University. I understand that the submission of any misleading information during the admission process could lead to the immediate cancellation of my application and the withdrawal of any offer made. Signature of Applicant: …………………………….………………………………………………………………. Date: ………………………………………..
All personal data provided by you will be treated strictly in accordance with the Data Protection Act 1998.
This form should be completed and returned as soon as possible in duplicate to:
Postgraduate Admissions Office, Student Welcome Centre, Aberystwyth University
Penglais Campus, Aberystwyth, Ceredigion SY23 3FB, United Kingdom
UK & other EU applicants:
Non-EU applicants:
Distance Learning:

Tel: +44 (0) 1970 622023
Tel: +44 (0) 1970 622089
Tel: +44 (0) 1970 622270
Fax: +44 (0) 1970 622921

Email: soh@aber.ac.uk
Email: pg-overseas@aber.ac.uk
Email: cts@aber.ac.uk