Previous UK Study Form

StudentName

StudentNumber
Pleaseconfirmwhich
country you are currently
resident in on the date this
form was completed

Previous UK Study & Visa Details

1stUKVisa StartDate EndDate

NameofInstitution

NameofQualification

QCFLevel 1

2ndUKVisa StartDate EndDate

NameofInstitution

NameofQualification

QCFLevel 1

3rdUKVisa StartDate EndDate

NameofInstitution

NameofQualification

QCFLevel 1

Additional Questions
1. Areyoucurrentlybeingsponsoredbyaninstitution
whoselicensehasbeenrevokedorsuspended?Ifyes,
Pleasesubmityourcurtailmentlettertotier4@bolton.ac.uk
atyourearliestconvenience. Yes No

2. Haveyoueverhadavisarefused?Ifso,pleaseattach
details. Yes No

3. DoyouhaveanoutstandingappealwithUKVI? Yes No
 Academic Progression
If you are applying for a course at the same QCF level to which you have previously studied, please complete the below
section. As per the UKVI rules, all applicants must apply for a course that represents academic progression. To demonstrate
academic progression, your new course must normally be above the level of the previous course for which you were given Tier
4 leave. For example, if your previous course was at QCF or NQF6 (and equivalents) your next course should be at least QCF or
NQF7.

However, academic progression may involve study at the same level, if the new course compliments the previous course,
offers a deeper specialisation in your chosen field and supports your genuine career aspirations.

Please provide a statement in the box below to support your application. This statement should be used to justify how your
course selection meets the above criteria.

Pleasenoteyoumustincludecopiesofcertificates&transcripts,alongwithCASletters&copiesofyourvisas
relatingtothestudydetailedabove.Ifyoudonotsubmitallrelevantdocuments,wewillreturnyourformtoyou,
whichwillresultindelaysinprocessingyourapplication.

IgivetheUniversityofBoltonpermissiontoundertakecheckswithUKVisasandImmigration(UKVI),previouseducation
providersandlegaladvisors.IgivepermissionsforUKVItodiscussmydetailswiththeUniversityofBoltoninrelationto
immigrationhistory,anyapplicationsIhavemadeandimmigrationappeals.

Signature:___________________________________ Date:__________________________________