Fee Status Assessment Questionnaire United Kingdom Government legislation permits publicly funded universities to charge overseas student tuition fees to international students unless they fulfil certain residence and immigration status requirements. If you meet the residence and immigration status requirements you will be charged a lower home student tuition fee. The purpose of this questionnaire is to enable us to accurately assess your status for fee payment purposes. Please answer all questions as fully as possible and provide documentary evidence where requested. Please send copies of documents and NOT originals as we cannot return documents to you. Pease note that the information provided will be used only to assess your fee status and this form does not constitute an offer of a place at Birmingham City University. Name Student ID No:/UCAS No: Proposed Course of Study Proposed Start Date M M / Y Y Y Y
Your Immigration Status Immigration Status (please tick any that apply to you) British Citizen or Commonwealth national with Right of Abode British National (Overseas), British Dependant Territories Citizen, British Overseas Citizen, British Subject, British Protected Person Indefinite Leave to Enter / Remain or an endorsement stating there is no time limit on your stay in the United Kingdom European Economic Area National (EEA)*, other than the United Kingdom OR a Swiss national European Union (EU)*, Nationals & their family members Refugee Status OR you are the child or spouse of someone granted refugee status Refused refugee status but granted one of the following: exceptional leave to enter / remain humanitarian protection discretionary leave Sections that must be completed Section 1 Section 1 Section 1 Section 2 Section 3 Section 4 Section 5 OR you are the child or spouse of someone refused refugee status but granted one of the above. Settled in the UK and have exercised a right of residence in the EEA and/or Switzerland Right of Permanent residence in UK Child of a Turkish worker Child of a Swiss Worker Section 6 Section 7 Section 8 Section 9 If none of the above categories covers you, or your status is likely to change before the start of the course, Please give Details and provide supporting evidence. NB failure to include relevant information and documents will lead to delays in a decision being made. October 2013 Page 2
October 2013 Page 3
About You COMPLETE IN BLOCK CAPTIALS Family name Other Names Date of Birth Place of Birth Nationality Correspondence Address Contact telephone number Email Address Address of Permanent residence (if different from above) r Family Nationality of Father Nationality of Mother Nationality of Spouse / Civil Partner Do either of your parents reside in the UK/EEA If yes, please give date their residency began Is your spouse/civil partner resident in the UK/EEA If yes, please give date their residency began October 2013 Page 4
Section One Settled in the UK And meet the main residence requirements Date of first entry to live in the United Kingdom What type of visa did you enter the UK with In the past 3 years was your residency in the United Kingdom/EEA wholly or mainly, for the purpose of receiving full-time education If No please state the purpose of your residence Will your residence in the United Kingdom come to an end of completion of your studies at Birmingham City University If No what will be your purpose for remaining in the United Kingdom Have you been absent from the United Kingdom/EEA during the past 3 years (absence is counted as more than a holiday/gap year overseas) Please give details of the countries in which you have been resident for the Past 3 years: incl. Country, Date of residency began, Main reason for residency e.g. living with family, work, study If Yes state the reason for absence from the United Kingdom/EEA If the absence was due to work who was the employee Yourself Your mother/father Your spouse Copy of photo page of passport (including any pages confirming name and nationality) Copy of Naturalisation Certificate if born outside the UK, or copy of Certificate of Entitlement to the Right of Abode in the UK Copy of Contract of Employment October 2013 Page 5
Section Two EUROPEAN ECONOMIC AREA (EEA)/ Swiss workers and family members If in the UK, date of first entry When did your residency begin in the EEA and/or Switzerland and/or the overseas territories Are you a non-uk EEA national or a Swiss national and resident in the UK as a Worker Are you the relevant family member of a non- UK EEA national or a Swiss national resident in the UK of such a Worker * The European Economic Area comprises of the United Kingdom plus: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of Ireland, Romania, Slovakia, Slovenia, Spain and Sweden) If none of the above categories covers you, or your status is likely to change before the start of the course, Please give Details and provide supporting documentary evidence. Copy of photo page of passport confirming name and nationality Copy of utility bill or bank statement confirming your name and address October 2013 Page 6
Section Three EUROPEAN UNION (EU) Nationals & their Family Members When did your residency in the EU begin Are you the relevant family member of a non- UK EU national Is the non-uk EU national in the UK as a selfsufficient person or as a student Are you the relevant family member of a UK national Date of first entry to live in the European Economic Area (EEA) and/or Switzerland and/or the overseas territories In the past 3 years was your residency in the EEA/Switzerland (or the overseas territories) wholly or mainly, for the purpose of receiving full-time education Copy of photo page of passport confirming name and nationality If relevant family member of an EU national: Copy of marriage certificate or birth certificate (translated into English as appropriate) Copy of the relevant family member s passport and visas Evidence that the family member is in the UK as self-sufficient person i.e. copy of payslips, utility bills. October 2013 Page 7
Section Four Refugees, Their spouse/civil partner & children When did your residency in the United Kingdom begin Are you a refugee recognised by the UK Government (Home Office) Are you the spouse or civil partner of such a refugee Were you the spouse or civil partner of that refugee on the date they made their asylum application in the UK (give details of when application was made) Are you the child of such a refugee or of a child of the refugee s spouse or civil partner Were you the child of such a refugee or the refugee s spouse or civil partner on the date on which their asylum application was made (give details of when application was made) Were you under 18 years of age when the asylum application was made Have you been ordinarily resident in the UK since you were recognised as a refugee for the past 3 years Copy of photo page of passport confirming name and nationality UK Border Agency/Home Office letter and any relevant refugee travel documents Copy of visa stamp confirming refugee status Copy of UK Border Agency/Home Office Letter confirming dependant(s) of a refugee Copy of dependant(s) birth certificate Copy of Marriage certificate (If spouse of refugee) Evidence of Civil Partnership October 2013 Page 8
Section Five Refugee Status Refused but were granted Humanitarian Protection, and their family When did your residency in the United Kingdom begin When your asylum application was refused refugee status, what status were you given Discretionary Leave (DL) Humanitarian Protection (HP) Indefinite leave to remain (ILR) Are you the spouse or civil partner of a person granted Humanitarian Protection and under 18 year old of that person on the date on which their asylum application was made (give details of when application was made) Copy of passport or travel document photo page UK Border Agency/Home Office letter and any documents to support your claim Copy of visa stamps Copy of UK Border Agency/Home Office letter confirming dependency Copy of marriage certificate and spouses passport pages if claiming through marriage copy of birth certificates (for children) October 2013 Page 9
Section Six Settled in the UK and have exercised a right of residence in the EEA and/or Switzerland When did your residency begin in the United Kingdom begin Are you settled in the UK and without any immigration restriction on the length of your stay in the UK Have you exercised a right of residence after being settled in the UK in the EEA and/or Switzerland as workers or self-employed Person Have you been ordinary resident in the EEA and/or Switzerland and/or overseas territories in the last 3 years Was any part of your residency in the last 3 years been for the purpose of receiving fulltime education Copy of passport or travel document photo page Copy of visa stamps Copy of payslips, utility bills October 2013 Page 10
Section Seven Right of permanent residence in UK When did your residency in the United Kingdom begin (can only be acquired after a five-year period of uninterrupted lawful residence in the UK as an EU national or a family member who is a non EU national) Was any part of your residency in the last 3 years been for the purpose of receiving fulltime education Copy of passport or travel document photo page Copy of visa stamps Copy of payslips, utility bills Section Eight Child of a Turkish worker Are you the child of a Turkish national Your parents country of current residence Is your parent lawfully employed in the United Kingdom When did your residency in the United Kingdom begin Copy of passport or travel document photo page Copy of visa stamps Copy of parents passport and visa stamps Copy of Birth certificate October 2013 Page 11
Section Nine Child of a Swiss National Are you the child of a Swiss National When did your residency in the United Kingdom begin Copy of passport or travel document photo page Copy of visa stamps Copy of parents passport and visa stamps Copy of Birth certificate October 2013 Page 12
Fee Status Questionnaire Checklist I have included all relevant documents for my status to be assessed (tick which documents you have included. (Please note if you do not include the relevant documents your assessed will be delayed). Photo page of passport All visas in passport Copy of marriage certificate (as my stay in the UK is linked to my spouse/ civil partner Copy of my birth certificate and copies of my parents passports (as my stay in the UK is linked to my parent(s)) Copy of temporary employment contract / employers letter based overseas for myself / spouse/civil partner / parents Copy of utility bills as proof of residence in the UK for the previous 3 years Copy of all Home Office letters confirming my residential category in the UK Copy of translations for documents Declaration I declare that the information given on this form is complete and accurate. If any of the information is found to be inaccurate or misleading Birmingham City University reserves the right to withdraw its offer of a place; terminate attendance at the University or amend the level of tuition fees charged. I also understand that the University may need further documentary evidence to substantiate this information at any time should a query arise. I have attached documentary evidence to support the answers given. Signed Date Please ensure that you provide all documents that apply to your current immigration status. Failure to provide supporting documents will result in a delay in your fee assessment. October 2013 Page 13
OFFICE USE ONLY DATE RECEIVED: FURTHER INFORMATION REQUESTED: DATE REQUESTED: DECISION: MADE BY: DATE DECISION SENT TO APPLICANT: October 2013 Page 14