InterStu Memberships

Your details

Membership Number *

Membership Certificate for Mr /Miss *

Date of Birth *

Mobile *

Email *

Address *

City *

Postcode *

Course Applied for

Programme Title *

Level of study *

Undergraduate
Postgraduate
Foundation
English Language

Mode Of Study *

Full Time
Part Time
Other

If Other Please Specify

Intake Year *

Month Of Intake *

Feb
September

Parents Details

Full name *

Phone *

Email *

Address *

City *

Postcode *

Current Enrolled Insititution

Insititution Name *

Course *

Start Date *

End Date *

Personal Advisor/Referee

Full name *

Mobile *

Address *

City *

Postcode *

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.

InterStu Membership

Thank you for applying to InterStu

Your details

Course Applied for

Parents Details

Current Enrolled Insititution

Personal Advisor/Referee

Declaration

Our UK office

Our KSA office