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InterStu Membership
Thank you for applying to InterStu
Please provide us with your details via the form.
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Step
1
of 6
Your details
Membership Number
*
Membership Certificate for Mr /Miss
*
Date of Birth
*
Mobile
*
Email
*
Address
*
City
*
Postcode
*
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Course Applied for
Programme Title
*
Level of study
*
Undergraduate
Postgraduate
Foundation
English Language
Entry Point
*
Year 1
Year 2
Language
Research Degree
Foundation
Mode Of Study
*
Full Time
Part Time
Other
If Other Please Specify
Intake Year
*
Month Of Intake
*
Feb
September
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Parents Details
Full name
*
Phone
*
Email
*
Address
*
City
*
Postcode
*
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Current Enrolled Insititution
Insititution Name
*
Course
*
Start Date
*
End Date
*
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Personal Advisor/Referee
Full name
*
Mobile
*
Address
*
City
*
Postcode
*
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Declaration
Declaration Email Any statements on this form which prove to be untrue or purposely misleading will render the application void. Furthermore if inaccuracies are highlighted at a later stage we retain the right to retract any offer made or expel the student with no refund of fees. I accept and grant permission for my employer/sponsor to be informed of any relevant information relating to the progression of my programme, including any record of attendance. I confirm that the information given on this form is true, complete and accurate. No information requested or other material has been omitted. I consent to the storage and processing of this data by Interstu Ltd. under the provision of the 2018 Data Protection Act.
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