Title 称呼

Gender 性别*

First/given name(s) 名字*

Surname/family name 姓氏*

Preferred first name 首选称呼

Previous surname at 16th birthday 16 岁生日时的旧姓氏

UK postal address 英国邮政地址

Is your permanent home in the UK?* 您的永久住所在英国吗？*

Home address 家庭地址*

Home telephone number 家庭电话号码*

Mobile number 手机号码*

Email address 电子邮件地址*

Date of birth* 出生日期**

Country of birth* 出生国家**

Date of first entry to UK 首次进入英国日期

Nationality* 国籍**

Dual nationality 双重国籍

Area of permanent residence* 永久居住地区**

Residential category* 住宅类别**

Reference numbers 参考编号

Unique Learner Number (ULN) 唯一学习者编号 (ULN)*

Test of English as a Foreign Language (TOEFL) Number 英语作为外语考试（托福）成绩

International English Language Testing System (IELTS) TRF Number 国际英语语言测试系统 (IELTS) TRF 号码

Do you require a student visa? 您需要学生签证吗？*

Have you previously studied in the UK on a student visa? 您之前是否持学生签证在英国学习过？*

Passport number 护照号*

Issue date 签发日期*

Expiry date 到期日*

Place of issue 签发地点*

Fee code* 费用代码*

Student support arrangements (if you choose 02) 学生支援安排 (如果您选了02)

Have you ever lived or worked in the EU (excluding the UK), European Economic Area (EEA) or Switzerland?* 您是否曾经在欧盟（不包括英国）、欧洲经济区 (EEA) 或瑞士生活或工作过？**

Do you have a parent, step parent, spouse or civil partner who is an EU (excluding the UK), EEA or Swiss national? * 您的父母、继父母、配偶或民事伴侣是否是欧盟（不包括英国）、欧洲经济区或瑞士国民？ **

You should tick the box only if you have a relevant criminal conviction that is not spent. 仅当您有相关刑事定罪且未失效时，您才应勾选此框。1. Is the conviction for a 'relevant' offence? 2. Is the conviction unspent? 1. 定罪是否属于‘相关’罪行？ 2. 定罪是否尚未失效？”*

Full name of nominee 被提名人的全名*

Relationship to you 与你的关系

Category 类别*

Please give details of any special needs 请详细说明任何特殊需求

Ethnic origin* 种族血统**

What is your religion or belief? 您的宗教或信仰是什么？

What is your sexual orientation? 你的性取向是什么？

Do you identify as transgender? 您认为自己是跨性别者吗？

National identity* 国籍认同**

Dual national identity 双重国籍身份

Activities in preparation for higher education: 1

Start date 开始日期*

Duration (days) 持续时间（天）*

School year 学年*

Location 地点*

Sponsor 担保*

Have you been in care? 你有被照顾过吗？

Duration in care 照顾时间

Parental education 家长学历

Occupational background* 职业背景*

I will be applying for student finance* 我将申请学生资助**

Choices 1 选择1 Institution code* 机构代码**

Course code* 科目编号**

Campus code* 校园代码**

Start date* 开始日期**

Further details 更多细节

Live at home while studying?* 学习期间住在家里？**

Point of entry 入学时间点

School/college/centre name* 学校/学院/中心名称**

Exam centre number 考试中心号码

When did you start...* 你什么时候开始的...**

...and finish?* ...然后完成？**

Attendance* 出席**

Did you / will you receive any qualifications at this centre?* 您是否/将会在该中心获得任何资格？**

Entering unit details for A levels is optional 输入 A Level 的详细信息（可选）

Subject* 科目**

Qualification date* 资格日期**

Awarding organisation* 颁奖机构**

Grade* 年级**

Employer name* 雇主名称*

Employer address* 雇主地址*

Job description* 职位描述*

When did you start? * 你什么时候开始的？ *

When did you finish 你什么时候完成的

Type of work* 什么样的工作*

Statement 个人陈述*

Full title and name of Reference 推荐人全名及称谓*

Post/occupation/relationship* 职位/职业/关系**

Organisation name* 机构名称**

Address* 地址**

Telephone number* 电话号码**

Fax number 传真号

Email address* 电子邮件地址**

Date(s) when applicant is unavailable for interview 申请人无法参加面试的日期