UK Student Application Form | DLD College London

Student Name *

First

Last

What gender do you identify as? *

Male
Female
Non-binary
Prefer not to say

Student Date of Birth *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you a British Passport Holder? *

Yes
No (please answer the question below)

If you are not a British Passport Holder, do you hold settled status in the UK?

Yes
No

You will be asked to provide evidence of your settled status.

Please upload a copy of your passport or birth certificate - Please ensure the file is clearly named

Drag & Drop Files, Choose Files to Upload

Parent Details

Title

Parent/Guardian Name *

First

Last

Relationship to Student *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Address (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Title

Parent/Guardian Name *

First

Last

Relationship to Student *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Address (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact

Name

First

Last

Relationship to Student

Email

Phone Number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

not Name of

Application

Course Applying For *

Year of Entry *

Subjects of Interest:

Education History

Current/Previous School *

Date Joined *

School Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

We will require a reference from your previous / current school - Please provide us with the name and email address of your preferred contact *

Please upload a copy of your latest school report - Please ensure the file is clearly named

Drag & Drop Files, Choose Files to Upload

Medical and Support Needs

Do you have a medical condition eg. Chronic conditions, allergies, asthma, diabetes? *

Yes (please submit further details)
No

Do you have a disability? *

Yes (please submit further details)
No

Do you have any Special Educational Needs? *

Yes (please submit further details)
No

If you answered Yes to any of the above, please upload supporting evidence here

Drag & Drop Files, Choose Files to Upload

Alternatively you can provide further details here:

Application checklist and declaration

We require the following section to be completed in order to process your application - Please check that you have:

Completed all sections of the application form *

Yes

Please confirm that you have read the Privacy Policy *

Yes

Student Signature *

Clear Signature

Date *

Parent/Guardian Signature *

Clear Signature

Date *

Parent/Guardian Signature *

Clear Signature

Date *

Domestic Student Application Form

Parent Details

Emergency Contact

Application

Education History

Medical and Support Needs

Application checklist and declaration

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