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THE UNIVERSITY OF MANCHESTER

TUITION FEE ASSESSMENT FORM

 The personal information provided by you in completing this form will beused by the University solely to determine whether you will be classied asa home or international student for the purpose of payment of universitytuition fees. Please note that the University fee assessment process iscarried out independently of your application to study at it. A decision onyour fee status is not a decision on your application.

Instructions for completion

1. Please note that all questions are manator! unless indicatedotherwise and you will need to provide proof to support any of theanswers you give.  You must pro"ie t#e e"ience require. Anassessment cannot be made without the relevant evidence.

2. It is important that you submit this form as uic!ly as possible assome academic departments are unable to ma!e a decision on yourapplication until your fee status is determined.

 This form is only for current applicants to the University of "anchester.#eneral information for prospective applicants can be found on the U$%I&A

website' http'((www.u!cisa.org.u!. )e recommend you read the U$%I&A#uidance detailing the eligibility criteria which can be found at'http'((www.u!cisa.org.u!(International*&tudents(+ees**nance(,ome*or*-verseas*fees(ngland*,igher*ducation(  

)e apply the rules of The ducation /+ees and Awards0 /ngland0egulations 23 as amended4 and The &tudent +ees /5ualifying %oursesand Persons0 /ngland0 egulations 23 as amended in ma!ing ourdecision. 6etails of how we determine eligibility are available atwww.u!cisa.org.u! 

Return complete form an supportin$ e"ience to%feeassessment&manc#ester'ac'u(  

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FOR OFFICE USE ON)Y 

7International 7,ome

eason' %ondition 1 8 &ettled 79es 7 :o

eference'

%ondition 2 8 ; years 79es 7 :o

+6+A9%' %ondition ; *ducation

79es 7 :o

Assessing-<cer'

 Temp mploy 79es 7 :o

6ate' =td %ategory

eceived on%&'

%ompleted on %&'

ANS*ER A)) +UESTIONSAll questions are manator! unless ot#er,ise inicate

-' .ERSONA) /ETAI)S

SURNAME% FIRST NAME%

 Your Uni"ersit! I/%(7 digit number)

/ate of 1irt#%(day/month/year)

Title%  "r "s "rs "iss6r

Start ate of !our course%2month/year)

 Your email aress%

3' .UR.OSE OF RESI/ENCY

-n what date did you rst enter theU$(U(Iceland(=iechtenstein(:orway(&wit>erland(-verseas territories?(this will be your date of birth if you were born in one of these places)+or what purpose did you enter theU$(U(Iceland(=iechtenstein(:orway(&wit>erland(-verseas territories? please tickrelevant box I was born in one of these places  

ducation  

Asylum  

A(&wiss migrant wor!er in the U$   mployment  

-ther /please specify0

4' NATIONA)ITY

)hat is your nationality?  

)hat is your spouses ( civil partnersnationality?

 

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)hat is your fathers nationality?  

)hat is your mothers nationality?  

)hat is your country of birth?  

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5' RESI/ENCY /ETAI)S (continue on separate sheet if necessary)

#ive all dates since birth of your periods of resience IN the U$ or the U or Icelandor =iechtenstein or :orway or &wit>erland or the -verseas territories

+-" T- A&-: +-

&I6:%/e.g. holiday ( livinghere ( employment (

education0

A66&&"onth 9ear "onth 9ear

#ive all dates since birth of your periods of resience OUTSI/E the U$ or the U orIceland or =iechtenstein or :orway or &wit>erland or the -verseas territories

+-" T- A&-: +-&I6:%

/e.g. holiday ( livingthere ( employment (

education0

A66&&"onth 9ear "onth 9ear

 

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6' E/UCATION

Please give details of any education ( courses you have underta!en during the last Byears

5ualicatione.g. 6iploma4 A*levels4 #%&s

&chool ( %ollege/:ame4 address and country0

6ates/+rom * To0

+ull*timeor

Part*time?

 

6id you board at boarding school during these B years? 9es :o

7' EM.)OYMENT

Please give details of any employment you have underta!en during the last B years

 Cob Title

/most recentrst0

%ompany/:ame4 address and country0

6ates

/+rom * To0

+ull*time

orPart*time?

 

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8' MAINTAININ9 )IN:S (continue on separate sheet if necessary)

%omplete this section if you are a national of theU$(U(Iceland(=iechtenstein(:orway(&wit>erland(-verseas territories an have beenli"in$ OUTSI/E of these areas.

,ave you made regular return visits to theU$(U(Iceland(=iechtenstein(:orway(&wit>erland(-verseas territories since the date youleft? 9es :o

If yes4 provide full details of all return visits.ro"ie e"ience of t#ese return "isits 2e'$' entr!;e<it passport stamps= >i$#t?oo(in$s= etc'@

6ate of visit/from 8 to0

=ength of visit

eason for visit

/e.g. holiday ( educationetc.0

)here and with whomyou stayed

 

' TEM.ORARY EM.)OYMENT A1ROA/

%omplete this section if  you are livingoutsie theU$(U(Iceland(=iechtenstein(:orway(&wit>erland( -verseas territories because you oryour parent or your spouse is or has been temporaril! emplo!e outsie these areasduring the last B years.

)ho is temporarily employed outsie theU$(U(Iceland(=iechtenstein(:orway(&wit>erland(-verseas territories?   9ou

Parent&pouse ( %ivil Partner

.ro"ie supportin$ e"ience= i'e' copies of temporar! contract2s@ from t#eemplo!er2s@)hen did you leave theU$(U(Iceland(=iechtenstein(:orway(&wit>erland( -verseasterritories? (exact date)

 

)hen do you eDpect to return to theU$(U(Iceland(=iechtenstein(:orway( &wit>erland(-verseasterritories? (exact date)

 

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In which country is(was the temporary employment beingunderta!en?

 

Is(was the employment   on a Ded term contract?

on a permanent basis?

on a secondment from employment in theU$(U(Iceland(=iechtenstein(:orway( &wit>erland(-verseasterritories?

other4 please specify

If it were not for the employment outside theU$(U(Iceland(=iechtenstein( :orway(&wit>erland(-verseasterritories in which country would you be living?B' SU..ORTIN9 EVI/ENCE RE+UIRE/

Please tic! which of the following categories applies to you.

 You must pro"ie copies of t#e supportin$ ocuments inicate' Anassessment cannot ?e mae ,it#out t#e rele"ant ocuments' *#en !oupro"ie !our passport copies= if !our passport is less t#an 4 !ears ol= pleasealso suppl! a cop! of !our pre"ious passport' 

Please refer to our guidance notes if you reuire assistance'http'((documents.manchester.ac.u!(display.aspD?6ocI6E3B1F

I #a"e a time limit on t#e len$t# of m! sta! in t#e U:Provide a copy of the personal details page of your passport and all pagescontaining stamps ( visas

I ,ill nee to appl! for a temporar! "isa to enter t#e U: for m! stuies?ut #a"e not applie !et

 

I am a 1ritis# Citien or I #a"e no time limit on m! sta! in t#e U: (i.e.Indenite eave to !nter / "emain in the #$ or a %&erticate of the "ight of

 'bode) an I #a"e ?een li"in$ in t#e U: for t#e last 4 !ears= apart froman! temporar! a?sencesProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visasI am a 1ritis# Citien or I #a"e no time limit on m! sta! in t#e U: (i.e.Indenite eave to !nter / "emain in the #$ or a %&erticate of the "ight of

 'bode) an I am temporaril! li"in$ outsie of t#eU:;EU;Icelan;)iec#tenstein;Nor,a!;S,iterlan;O"erseas territoriesnsure that you have completed sections 3 and GProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visas

Provide dates and evidence of all return visits to theU$(U(Iceland(=iechtenstein(:orway( &wit>erland(-verseas  territories /passportentry H eDit stamps4 ight boo!ings4 etc.0Provide a copy of the initial contract of employment and all subseuent contractsor renewals or eDtensions /if applicable0I am a 1ritis# Citien or I #a"e no time limit on m! sta! in t#e U: (i.e.Indenite eave to !nter / "emain in the #$ or a %&erticate of the "ight of

 'bode) ?ut I HAVE NOT ?een li"in$ in t#e U: for t#e last 4 !earsProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visas

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I am an EU national Provide a copy of the personal details page of your passport and all pagescontaining stamps ( visas /or national identity card0I am not an EU national ?ut m! parent is an EU nationalProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visas /or national identity card0Provide a copy of your birth(adoption certicateProvide a copy of the personal details page of your parents passport /or nationalidentity card0

 

I am not an EU national ?ut m! spouse or ci"il partner is an EU nationalProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visas /or national identity card0Provide a copy of marriage certicate ( civil partnership papersProvide a copy of the personal details page of your spouse or civil partnerspassport /or national identity card0

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B' SU..ORTIN9 EVI/ENCE RE+UIRE/ ContinueDD''

I am an EU national an temporaril! emplo!e or li"in$ outsie of t#eEU;Icelan;)iec#tenstein;Nor,a!;S,iterlan;O"erseas territoriesnsure that you have completed sections 3 and GProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visas /or national identity card0Provide dates and evidence of all your return visits to theU(Iceland(=iechtenstein(:orway( &wit>erland(-verseas territories /passporteDit H entry stamps4 ight boo!ings4 etc.0Provide a copy of the initial contract of employment and all subseuent contractsor renewals or eDtensions /if applicable0M! parent is an EU national an temporaril! emplo!e outsie of t#eEU;Icelan; )iec#tenstein;Nor,a!;S,iterlan;O"erseas territories an Iam li"in$ ,it# t#emnsure that you have completed sections 3 and GProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visas /or national identity card0Provide a copy of your birth(adoption certicateProvide a copy of the personal details page of your parents passport /or nationalidentity card0Provide dates and evidence of all your return visits to theU(Iceland(=iechtenstein(:orway( &wit>erland(-verseas territories /passporteDit H entry stamps4 ight boo!ings4 etc.0Provide a copy of the initial contract of employment and all subseuent contractsor renewals or eDtensions /if applicable0M! spouse or ci"il partner is an EU national an temporaril! emplo!eoutsie of t#e EU;Icelan; )iec#tenstein;Nor,a!;S,iterlan;O"erseas  

territories an I am li"in$ ,it# t#emnsure that you have completed sections 3 and G

Provide a copy of the personal details page of your passport and all pagescontaining stamps ( visas /or national identity card0Provide a copy of marriage certicate ( civil partnership papersProvide a copy of the personal details page of your spouse or civil partnerspassport /or national identity card0Provide dates and evidence of all your return visits to theU(Iceland(=iechtenstein(:orway( &wit>erland(-verseas territories /passportentry H eDit stamps4 ight boo!ings4 etc.0Provide a copy of the initial contract of employment and all subseuent contractsor renewals or eDtensions /if applicable0

I am an EEA national ; S,iss national ,or(in$ in t#e U: 2i'e' a mi$rant

,or(er@Provide a copy of the personal details page of your passport and all pagescontaining stamps ( visasProvide evidence of your employment /contract of employment ( payslip0M! parent is a EEA national ; S,iss national ,or(in$ in t#e U: 2i'e' ami$rant ,or(er@Provide a copy of the personal details page of your passport and all pagescontaining stamps ( visasProvide a copy of your birth(adoption certicateProvide a copy of the personal details page of your parents passportProvide evidence of your parents employment /contract of employment (

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payslip0M! spouse or ci"il partner is a EEA national ; S,iss national ,or(in$ int#e U: 2i'e' a mi$rant ,or(er@Provide a copy of the personal details page of your passport and all pagescontaining stamps ( visasProvide a copy of marriage certicate ( civil partnership papers /whereapplicable0Provide a copy of the personal details page of your spouses passportProvide evidence of your spouses employment /contract of employment (payslip0

EEA E uropean Union countries and Iceland and =iechtenstein and :orway

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B' SU..ORTIN9 EVI/ENCE RE+UIRE/ ContinueDD''

I am a c#il of a S,iss national)hen do you intend to arrive in the U$ to start this course? (exact date) Provide a copy of the personal details page of your passport and all pagescontaining stamps ( visasProvide a copy of your birth(adoption certicate

Provide a copy of the personal details page of your parents passport

I am a c#il of a Tur(is# *or(erIs your parent living in the U$? 9es :oProvide a copy of the personal details page of your passport and all pagescontaining stamps ( visasProvide a copy of your birth(adoption certicateProvide a copy of the personal details page of your parents passportProvide evidence of your parents current(previous employment in the U$/contract ( payslip0

I am a refu$ee reco$nise ?! t#e U: $o"ernment

Provide a copy of the personal details page of your passport(travel documentand all stamps(visasProvide a copy of ,ome -<ce letter conrming refugee status and any relevantenclosuresM! parent is a refu$ee reco$nise ?! t#e U: $o"ernmentProvide a copy of the personal details page of your passport(travel documentand all stamps(visasProvide a copy of your birth(adoption certicateProvide a copy of the ,ome -<ce letter conrming refugee status and anyrelevant enclosuresProvide a copy of their ,ome -<ce documentation or :A&& card /showing thedate your parent applied for asylum0

M! spouse or ci"il partner is a refu$ee reco$nise ?! t#e U:$o"ernmentProvide a copy of the personal details page of your passport(travel documentand all stamps(visasProvide a copy of your marriage certicate ( civil partnership papersProvide a copy of ,ome -<ce letter conrming their refugee status and anyrelevant enclosuresProvide a copy of their ,ome -<ce documentation or :A&& card /showing thedate your spouse applied for asylum0

I #a"e ?een $rante Humanitarian .rotectionG in t#e U:Provide a copy of the ,ome -<ce letter conrming your ,umanitarian

protection or your Immigration &tatus documentation and U$ esidence PermitKignetteM! parent #as ?een $rante Humanitarian .rotectionG in t#e U: Provide a copy of the ,ome -<ce letter conrming their ,umanitarianprotection or Immigration &tatus documentation and U$ esidence PermitKignetteProvide a copy of your birth(adoption certicateM! spouse or ci"il partner #as ?een $rante Humanitarian .rotectionGin t#e U: Provide a copy of the ,ome -<ce letter conrming their ,umanitarianprotection or Immigration &tatus documentation and U$ esidence Permit

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KignetteProvide a copy of your marriage certicate ( civil partnership papers

I am an as!lum see(er a,aitin$ a ecision from t#e Home Oce AN/am appl!in$ for an uner$rauate course e<cept meicine or entistr!,#ic# are not inclue for t#is cate$or!

6id you apply to U%A& on or before 1Fth Canuary of the yearyou intend to start your undergraduate study?

 9es :o

Provide a copy of both sides of your :A&& card

-' A//ITIONA) INFORMATION

.lease ensure t#at !ou attac# electronic copies of all rele"ant ocuments ane"ience requeste to !our email ,#en !ou return !our complete form e'$'copies of t#e personal etails pa$e of !our passport2s@ an all pa$es t#at #a"e?een stampe an;or #a"e "isas etc' A ecision cannot ?e mae ,it#outsupportin$ e"ience'

/EC)ARATION

I declare that4 to the best of my !nowledge4 all the information given on this form is true4and I understand that I may be reuired4 at any time4 to produce documentary evidenceto support any of the answers given. I consent to The University of "anchester processingmy personal and sensitive information for the purpose of determining my tuition feestatus only in accordance with the 6ata Protection Act 1LLG. I also consent to theUniversity having contact with a third party /e.g. parent4 spouse4 legal guardian0 withregard to their personal circumstances which may aMect my fee status.

I a$ree to t#e /eclaration% Yes  No  /ate%

I #a"e attac#e t#e rele"ant aitional ocumentation ,it# t#is form% Yes 

eturn this form and electronic copies of supporting documents to'feeassessmentNmanchester.ac.u! 

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